Creston School District
3600F2
Student Directory Information Notification
Please sign and return this form to the school within ten (10) days of the receipt of this form ONLY if you do not want directory information about your child disclosed to third parties in accordance with the Family Educational Rights and Privacy Act (FERPA). If we receive no response by that date, we will disclose all student directory information at our discretion and/or in compliance with law.
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Dear Parent/Eligible Student:
This document informs you of your right to direct the District to withhold the release of student directory information for
Following is a list of items this District considers student directory information.
Please review School District Policy 3600P for complete information.
-Student's name
-Address
-Telephone listing
-Electronic mail address
-Photographs, Audio, Video
-Date and place of birth
-Major field of study
-Dates of attendance
-Grade level
-Enrollment status (e.g., undergraduate or graduate; full-time or part-time)
-Participation in officially recognized activities and sports
-Weight and height of members of athletic teams
-Degrees
-Honors and awards received
-Most recent educational agency or institution attended
If you do NOT want directory information provided to any of the following while allowing release to other entities, please check the appropriate box. If a form is returned without any box selected, no information will be provided to any entity.
Institutions of Higher Education,
Potential Employers,
Armed Forces Recruiters,
Government Agencies
Other
NOTE: If information such as a student's name, grade level, or photograph, and other listed information is to be withheld, the student will not be included in the school's yearbook, program events, and similar School District publications or other statewide programs related to student safety, research, and scholarship. Please review School District Policy 3600P for complete information.
Parent/Eligible Student's Signature
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MTSBA 2023
2
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