Eastern Michigan University

Student Telephone Directory Exclusion Form

Completion of this form will EXCLUDE  you from the annual Eastern Michigan University printed Directory and the online directory. This form must be turned into the Office of Records and Registration (303 Pierce Hall ) by September 15 to be excluded from that academic year's printed directory and all subsequent printed directories.

Your home address and telephone number on file with Eastern Michigan University can be verified and updated through your my.emich account or through Records and Registration. Do not write home address or telephone numbers on this form. The purpose of this form is only to exclude you from the annual printed EMU Student Directory or the online directory.

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 STUDENT NUMBER     LAST NAME              FIRST                MIDDLE INITIAL 




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     DATE                               SIGNATURE   

Return this form to the Office of Records and Registration, 303 Pierce Hall

Deadline: September 15