STUDENT PERSONNEL
Series 500
Policy Title: Authorization For Releasing Student Directory Information
Code No. 559E1
The Carroll Community School District has adopted a policy designed to assure parents/guardians 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 administrative offices at 1026 North Adams Street.
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
- Address
- Telephone listing
- Electronic mail address
- Photograph
- Date and place of birth
- Major field of study
- Dates of attendance
- Grade level
- Participation in officially recognized activities and sports
- Weight and height of members of athletic teams
- Degrees, honors, and awards received
- The most recent educational agency or institution attended
- Student ID number, user ID, or other unique personal identifier used to communicate in electronic systems that cannot be used to access education records without a PIN, password, etc. (A student’s SSN, in whole or in part, cannot be used for this purpose.)
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 no later than September 15th, of each 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.
Date of Adoption/Revision
July 2010
September 2012
August 2015
June 2017
August 2024
Carroll Community School District Parental/Guardian Directions to Withhold Student/Directory Information for education purposes, for the 20__ - 20__ school year.
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RETURN THIS FORM |
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School: Carroll Community School District
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Withhold Student/Directory Information for Education Purposes for the 20 - 20 school year.
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Student Name: |
Date of Birth
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School: |
Grade:
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Signature of Parent/Legal Guardian/Custodian of Child:
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Date: |
This form must be returned to your child's school no later than September 15th of this school year.
Additional forms are available at your child's school.
