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506.2E1 AUTHORIZATION FOR RELEASING STUDENT DIRECTORY INFORMATION

The Tipton 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 on the district's website.

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 attendance

  • Student ID number

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 Monday prior to the first day of school, 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. 

NOTE: If the board decides to eliminate name, address or telephone listing from their directory information, military recruiters and postsecondary institutions still have the right, under federal law, to access the three items. If the board eliminates name, address or telephone listing, the district needs to give parents a second notice allowing them to withhold this information from military recruiters or postsecondary institutions.  

AUTHORIZATION FOR RELEASING STUDENT DIRECTORY INFORMATION.                                                                                                                                   RETURN THIS FORM:

Tipton Community School District Parental Directions to Withhold Student/Directory Information for Education Purposes, for 2024-2025 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 Monday prior to the first day of school.  Additional forms are available at your child’s school.

 

 

Cross Reference:

    901            Public Examination of School District Records

    902.04       Live Broadcast or Recording

 

Approved:  02/10/1997         Reviewed: 03/18/2024         Revised:  03/18/2024