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
