DSU Alumni Consent Form

Delaware State University Office of Alumni Relations

Consent Form for Release of Information to the DSU Alumni Association

As a member of the DSU Class of 2013, you are given a free, complimentary membership for one year to the DSU Alumni Association (DSUAA) effective on the day you graduate. In order for the University to release information about you to the DSUAA, you must grant permission, or you may decline, by choosing one of the options below. Thank you.

First Name *

Last Name *

Permanent Address *

Email *

Phone

Questions? Contact the Office of Alumni Relations, 302.857.6050 or alumni@desu.edu [1].

* The Federal Educational Rights and Privacy Act (FERPA) allows the University to release to third parties “directory information” e.g. name, address, telephone, date and place of birth, school activities and other non-invasive data. It is your right to restrict the disclosure of “directory information.” To do so you must notify the University in writing that you do not want disclosed your "directory information." Completion and return of this form will serve as your written notice.