Each student has the option of choosing 1) to be included in the student directory or 2) to be excluded from the student directory. The student directory includes both the printed Emory University Campus Directory and the on-line directory. The University default is that directory information may be included in these media. Print this page, indicate your preference and return this page to the Office of the Registrar, 100 Boisfeuillet Jones Center, Emory University, Atlanta, GA 30322.
_____ I wish to be included in the student directory.
_____ I wish to be excluded from the student directory.
________________________________________________________Student Name (Please print)
___________________________Student ID Number
___________________________Date
_________________________________________________________
Student Signature (Form cannot be processed without signature.)