STUDENT PERSONNEL
Series 500
Policy Title: Notification of Transfer of Education Records
Code No.: 558E5
To: _______________________________________________________
Parent
Date: ______________________________________________________
______________________________________________________________________________
Street Address City State Zip
Please be notified that copies of the Carroll Community School District's official education records concerning
______________________________________________________________________________
(Full legal name of student)
have been transferred to:
________________________________________ _________________________________
School District Name Address
upon the written statement that the student intends to enroll in said school system.
If you desire a copy of such records furnished, please check here _____ and return this form to the undersigned. A reasonable charge will be made for the copies.
If you believe such records transferred are inaccurate, misleading or otherwise in violation of the privacy or other rights of the student, you have the right to a hearing to challenge the contents of such records.
______________________________________________
(Name)
______________________________________________
(Title)
Date of Adoption/Review/Revision: June 2017 December 2023