CTE English Information Release

Career and Technical Education (CTE)

Student Information Release Form

Student Name*

FirstLast

Your student has been enrolled in CTE courses as a pathway to graduate. Enrollment data will be submitted to the Indiana Commission for Higher Education and the Department of Workforce Development upon completion of these courses.

Some employers contact these agencies to locate students for recruitment. In order for this information to be released, you must consent. Otherwise, you may opt-out below.

Do you consent?*

Your Full Name

FirstLast

I AGREE to release information regarding my enrollment (emancipated student) or my student's enrollment in a career or technical education course to potential employers that contact the school to recruit students with particular career and technical skills. The school shall also provide enrollment information to the Department of Workforce Development (DWD) through the InTERS reporting system. The DWD may provide the enrollment information to potential employers that contact the DWD to recruit students with particular career and technical education skills.

Your Full Name

FirstLast

I REFUSE to release information regarding my enrollment (emancipated student) or my student's enrollment in a career or technical education course to potential employers that contact the school to recruit students with career and technical skills.

Your Full Name*

FirstLast

Your Signature*

Date*

Date

Student Email Address*

example@example.com

I understand the information may be released orally or in the form of copies of written enrollment information, when preferred by the requester. I have a right to inspect any written information released pursuant to this Consent.

I understand I may revoke this Consent upon providing written notice to the Indiana Commission for Higher Education by emailing CTE@che.IN.gov.

I further understand that until this revocation is made, this consent shall remain in effect and my enrollment information will continue to be provided as detailed in this Consent.