505.02 E1 - Authorization for Releasing Student Directory Information

The South Tama County Community School District has adopted a policy designed to assure parents and students the full implementation, protection and enjoyment of their rights under the Family Educational Rights and Privacy Act of 1974 (FERPA).  A copy of the school district’s policy is available for review in the office of the principal of all of our schools.

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 and telephone number; date and place of birth; email address, grade level, enrollment status, major field of study; participation in officially recognized activities and sports; weight and height of members of athletic teams; dates of attendance; degrees and awards received; and the most recent previous educational institution attended by the student; photograph and other likeness and other similar information. 

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 the first Friday of September of this 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.

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Return this Form if You Want to Refuse to Release Student Directory Information

 

South Tama County Community School District Parental Directions to Withhold
Student/Directory Information for Education Purposes, for 20_____ - 20_____ school year.

 

Student Name:                                                            Date of Birth:                                    

 

School:                                                                                                Grade:                        

 

                                                                                                                                               
(Signature of Parent/Legal Guardian/Custodian of Child)                             (Date)

 

This form must be returned to your child’s school no later than the first Friday of September.  Additional forms are available at your child’s school.

 

 

(January 17, 2005; March 21, 2011; January 19, 2015; August 19, 2019)