NOTEP Trade School CONSENT FORM

Dear Parents and Guardians,

You are receiving this consent form because you have indicated interest in enrolling your student in a 21st Century Community Learning Center after school program.

To enroll your child in this program, NOTEP Trade School must provide information about your student to the online registration system maintained by Youth Services, which will in turn be shared with the Louisiana Department of Education.

 I understand that:

• To offer after school to my child, NOTEP Trade School will pursue registering my student in a 21st Century Community Learning Center.
• Youth Services and the Louisiana Department of Education will maintain the confidentiality of my student’s personally identifiable information in accordance with law.
• To register your student in this program, the following student data must be shared:
  • First and last name
  • Birth date
  • Social security number or other student identifier
  • Student demographics like ethnicity, special education, and limited English Proficiency
  • Grades and school attendance
  • Performance-related information like state assessment scores
• No additional data elements beyond those listed above will be requested or shared.

I CONSENT to NOTEP Trade School disclosing my child’s personal information listed above to Youth Services and the Louisiana Department of Education for the purposes stated above.