506.2E1 - Authorization for Releasing Student Directory Info

Option I

The Webster City 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 our 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:  student's name, grade level, enrollment status, participation in officially recognized activities and sports; weight and height of members of athletic teams; dates of attendance; degrees and awards received; 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                , 20       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

Webster City 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                             , 20        .
Additional forms are available at your child's school.

 

Option II

The Webster City 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.  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 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.

Even though student addresses and telephone numbers are not considered directory information, military recruiters and post-secondary educational institutions may legally access this information without prior parental consent.  Parents not wanting military recruiters and post-secondary institutions to access the information must ask the school district to withhold the information.

The school district has designated the following information as directory information: student's name; grade level, enrollment status, participation in officially recognized activities and sports; weight and height of members of athletic teams; dates of attendance; degrees and awards received; 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                , 20       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

Webster City 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                             , 20        .
Additional forms are available at your child's school.

Parental Directions to Withhold Student Names, Addresses and Phone Numbers from Military Recruiters
and Post-Secondary Educational Institutions, 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                             , 20        .
Additional forms are available at your child's school.