558E3 - Request for Hearing on Correction of Education Records

STUDENT PERSONNEL

 

Series 500

 

Policy Title:             Request for Hearing on Correction of Education Records           

Code No.:             558E3

 

 

To:  ____________________________________________________________________

            Board Secretary (Custodian)                                                Address

 

 

I believe certain official education records of my child,

 

______________________________________________________________________,

(Full legal name of student)                                                                                   

 

 

Carroll Community School District, are inaccurate, misleading or in violation of privacy rights of my child.

 

The official education records which I believe are inaccurate, misleading or in violation of privacy or other rights of my child are:

 

_______________________________________________________________________

 

_______________________________________________________________________

 

_______________________________________________________________________

 

The reason I believe such records are inaccurate, misleading or in violation of the privacy or other rights of my child is:

 

_______________________________________________________________________

 

_______________________________________________________________________

 

_______________________________________________________________________

 

My relation to the child is:  _________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

I understand that I will be notified in writing of the time and place of the hearing; that I will be notified in writing of the decision; and I have the right to appeal the decision by so notifying the hearing officer in writing within ten days after my receipt of the decision or a right to place a statement in my child's record stating I disagree with the decision and why.

 

 

____________________________________________

(Signature)

 

 

 

 

Date:__________________________

 

Address: _______________________

 

City: __________________________          State: _________________________

 

Zip: ___________________________          Phone Number: _________________

 

 

 

Date of Adoption/Review/Revision:

June 2017

December 2023