Permission to Withhold Parent/Guardian Directory Information Form 2024-25

Permission to Withhold Parent/Guardian Directory Information Form

Release to OSPI for Higher Education - for High School Families Only
Release of high school students' parent or legal guardian directory information to the state Office of the Superintendent of Public Instruction for the purpose of sharing with higher education institutions in Washington state is guided by RCW 28A.150.515 and RCW 28B.10.041.

Parent/guardian directory information includes:
- Name
- Address
- Phone number
- Email address
If parents/guardians do not want their directory information released, please complete the form below on or before October 15 of the current school year.

Please complete this form for each of your high school students if you have more than one student in grades 9-12 in Northshore.

This process is separate and independent of the release of student directory information. If you do not want your student's directory information released to higher education institutions or as permitted by the Family Educational Rights and Privacy Act (FERPA), please review the information on the Permission to Withhold Student Directory Information website.
Please choose from the options below to continue.
Northshore School District may release my high school student's parent/guardian directory information to OSPI for the purpose of sharing with Washington state colleges and universities.I'd like to request the parent/guardian directory information associated with my high school student be withheld from release to OSPI for the purposes of sharing with Washington state colleges and universities.

Request to Withhold Parent/Guardian Directory Information Form

Step 2 of 3

You are indicating that your parent/guardian directory information can be released to OSPI. This is the default choice unless a student's parent/guardian specifies otherwise.

Please click "Next" if your choice is represented in the table below.

If the table below does not represent your request, please click "Back."

Parent/guardian directory information WILL be shared with the following:

Parent/guardian directory information WILL NOT be shared with the following:

✅ Washington State Office of the Superintendent of Public Instruction, which would release the information to participating Washington colleges and universities and the state community and technical colleges.

🚫 N/A

Request to Withhold Parent/Guardian Directory Information Form

Step 2 of 3

You are indicating that you would like to request your directory information be withheld from release to OSPI. This request will be applied to all parents/guardians associated with the student specified on the next page.

Please click "Next" if your choice is represented in the table below.

Parent/guardian directory information WILL be shared with the following:

Parent/guardian directory information WILL NOT be shared with the following:

NONE SHARED

🚫 Washington State Office of the Superintendent of Public Instruction, which would release the information to participating Washington colleges and universities and the state community and technical colleges

Request to Withhold Parent/Guardian Directory Information Form

Step 3 of 3
Please provide the following information so we can accommodate your request:
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student's Name
Please type your student's name in the blank spaces below. You must type the name of your student as it appears in ParentVUE.*

First NameMiddle NameLast Name
School
Please select your child's current school:*
Student ID
Please enter your child's student ID, which can be found in ParentVUE or by contacting your child's school:*
Grade
Please select your child's current grade level:*
Should be Empty:

Permission to Withhold Parent/Guardian Directory Information Form

Please choose from the options below to continue.

Request to Withhold Parent/Guardian Directory Information Form

Request to Withhold Parent/Guardian Directory Information Form

Request to Withhold Parent/Guardian Directory Information Form

Please provide the following information so we can accommodate your request:

Parent/Guardian Information

Student's Name

School

Student ID

Grade