As allowed by law, the District provides student records considered “Student Directory Data” to interested persons, unless the adult student, parent, legal guardian or guardian ad litem of any student specifically requests that the directory data may not be released without the prior consent of the parent, legal guardian or guardian ad litem.
Such request for nondisclosure must be made prior to October 1 of each academic year or if a student enrolls after October 1, within 14 days after enrollment. To request nondisclosure of directory data, the following information MUST be provided:
NAME OF STUDENT (one only): __________________________________________
NOTE: Parents (legal guardian, guardian ad litem) can decide certain information can be disclosed to certain groups and not to others.
Please list below the name of any groups to which you would not like information to be released:
__________________________________ _______________________________________
__________________________________ _______________________________________
__________________________________ _______________________________________
SIGNATURE OF PARENT, GUARDIAN, OR STUDENT 18 YEARS OF AGE OR OLDER:
Signature _________________________________________________
Printed Name __________________________________________
Date _________________________
REVISED: February 8, 2007
APPROVED: March 22, 2007
03/30/2007 pw