The University of Tennessee, Knoxville
EXCLUDE ME FROM UT STUDENT DIRECTORIES

To request Directory Exclusion, please print this form, complete it and mail, fax or bring it to Student Data Resources.

For more information about the student directory and privacy, click here.

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name (no nicknames)

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

 


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Student ID Number


Please exclude my directory information from publication. I understand that this action will result in my directory information being excluded from:

  • The printed Student Directory, published each Fall term,
  • UT's Online "People Search" Directory,
  • The Commencement Program the term I graduate,
  • The online list of confirmed degrees, and
  • Data provided to non-University (external) entities, including credit card companies. 

Directory information includes: name, semester (local) address, permanent address, netID, email address (university-supplied), telephone number, classification, most recent previous educational institution attended, graduate or undergraduate level, full-time or part-time status, college, major, dates of attendance, degrees and awards, participation in school activities and sports, and weight and height.

I understand that the printed Student Directory is compiled following the fourteenth calendar day from the beginning of Fall term classes, and that I must submit my request for exclusion from that directory prior to that date. I further understand that there is no deadline for exclusion from the online "People Search" directory.

This action will remain in effect until I ask that it be revoked.

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Signature     
_______________________________
  Date

Mail/fax or bring form to:
Student Data Resources
218 Student Services Building
Knoxville, TN  37996-0221
Fax: (865) 946-1841                
Phone: (865) 974-2108
 

For Office Use Only:
Invoke   Revoke
______   ______ "Notele" file ______
______   ______ Telephone Services ______
______   ______ Web Directory ______
______   ______ Excel File ______