Request for Student Directory Information Form

Requestor Information

Name*

First Last

Company/Organization

Company EIN

***If an EIN is not provided for a company, this request cannot be fulfilled***

Phone

Is this request on behalf of a university-sanctioned research project?*

Yes
No

Note: an email address ending in “edu” is required.

Is this request on behalf of an UW System Institution?*

Yes
No

UW System Institution*

Please enter your institution*

Email*

Submit button will not appear until a valid email address is entered.

Email*

Submit button will not appear until a valid email address is entered.

Request Details

Date Desired

Please allow up to two weeks for processing.

The University of Wisconsin-Milwaukee, in accordance with FERPA, has designated the following categories of information about individual students as public, or directory information.

This information will be routinely released to any inquirer unless the student specifically requests that all of the items on the following list be withheld.

The University of Wisconsin-Milwaukee is a public university subject to the Wisconsin Public Records Law (Wis. Stats. §§19.31-19.39). Directory information is provided upon request in accordance with state and federal laws and statutes. The University of Wisconsin-Milwaukee remains in no way associated with requesters and does not represent you or endorse your use of the directory information. You are expected to use this information responsibly and failure to do so may result in legal action.

Requested Directory Information

Student Name
Address
Email address
Year in school
Major field of study

Additional Directory Information

Comments

Billing Information

Name (if different from requestor's name)

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Requests for student data will be charged a minimum fee of $60 for the time required to generate and provide the data. For requests that require more than one hour to process, additional time will be billed at a rate of $60 per hour. If your request will exceed 4 hours of work, you will be contacted for request approval prior to the start of student data reporting work. If you require a cost estimate for work even if it will take less than 4 hours to complete, please specify in the comments field above.