504.2F DENIAL OF AUTHORIZATION TO RELEASE STUDENT DIRECTORY INFORMATION
The District has adopted a policy designed to assure parents and students the full implementation, protection and enjoyment of their rights under the Family Educational Rights and Privacy Act of 1974. A copy of the School District's policy is available for review in the office of the Principal of all of our schools.
This law requires the District to designate as "directory information" any personally identifiable information taken from a student's educational records prior to making such information available to the public.
The District has designated the following information as directory information: student's name, address and telephone number; date and place of birth; e-mail address; grade level; enrollment status; major field of study; participation in officially recognized activities and sports; weight and height of members of athletic teams; dates of attendance; degrees and awards received; and the most recent previous educational institution attended by the student; the student ID number that is displayed on a student identification card (provided it cannot be solely used to access the student’s educational records), user ID or other unique personal identifier that is displayed on a student identification card (provided it cannot be solely used to access the student’s educational records); photograph and other likeness and other similar information. You have the right to refuse the designation of any or all of the categories of personally identifiable information as directory information with respect to your student provided that you notify the District in writing not later than the first Friday of September of the current school year. If you desire to make such a refusal, please complete and return the slip attached to this notice. If you have no objection to the use of student information, you do not need to take any action.
RETURN THIS FORM
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District Parental Directions to Withhold Student/Directory Information for Education Purposes, for 20 - 20 school year.
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Student Name:
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Date of Birth:
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School:
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Grade:
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Signature of Parent/Guardian:
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Date:
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This form must be returned to your child’s school no later than the first Friday in September of the current school year. Additional forms are available at your child’s school.
*Adopted: 06/08/15
*Reviewed: 10/9/17
*Revised: 10/10/22
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