Request to Prevent Disclosure of Directory Information

    Directory information is defined as that information which would not generally be considered harmful or an invasion of privacy if disclosed. Mercy College of Health Sciences recognizes the following information as directory information. This information may be released for any purpose at the discretion of the institution.

    1. Name
    2. Address
    3. Telephone number
    4. Student email address
    5. Photograph
    6. Date and place of birth
    7. Major field of study
    8. Dates of attendance
    9. Grade level (i.e. freshman, sophomore, junior, or senior)
    10. Degrees, honors and awards (Dean/President Lists and Graduation)
    11. Most recent previous educational institution attended
    12. Participation in College activities

    Mercy College of Health Sciences may disclose Directory Information without the consent of the Eligible Student.  However, every Eligible Student has the right to instruct Mercy College of Health Sciences not to disclose Directory Information.  Each Eligible Student may exercise this right at any time by submitting the information set forth below.  A student may not use this right to prevent the College from disclosing, or requiring the Eligible Student to disclose the Eligible Student's name, identifier or email address in a class in which he or she is enrolled. Mercy College of Health Sciences DOES NOT release Directory Information to any third party for the purpose of allowing it to market its goods and services to you, however we MAY release Directory Information to our healthcare affiliates in order to help those entities evaluate employment options and to make employment offers to you. 

    I am indicating my understanding of the content of each section above by my signature below.

    Birthdate*
    Birthdate*
    Date*
    Date*

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    Mercy College is a Catholic, accredited, nonprofit institution of higher learning.

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