558E5 - Notification of Transfer of Education Records

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