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Code No. 506.2E1 Denial of Authorization to Release Student Directory Information

The Interstate 35 Community School 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 (FERPA).  A copy of the school district’s policy is available for review in the office of the principal of all of the school district’s schools.

This law requires the school 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 school district has designated the following information as directory information:

Name, address, 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, the most recent previous educational agency or institution attended by the student, 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 school district in writing not later than September 1 of this 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

Interstate 35 Community School District Parental Directions to Withhold Student/Directory Information for Education Purposes, for    20__-20__ school year.

Student Name:____________________________________ Date of Birth_____________        

School:_________________________________________ Grade: __________________

______________________________________________    ________________________

(Signature of Parent/Legal Guardian/Custodian of Child)     (Date)

This form must be returned to your child’s school no later than September 1,__________ .

Additional forms are available at your child’s school.

 

Revised/Reviewed:   February 25, 2019