CLICK HERE TO DOWNLOAD THE PARENTAL AUTHORIATION FOR WITHHOLDING STUDENT DIRECTORY INFORMATION
The Linn-Mar 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 in the administrative offices of all of our schools and on the district’s policy website [Refer to policies 505.62 and 505.62-R].
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, phone number; photograph; grade level; dates of attendance; participation in officially recognized activities and sports; weight and height of members of athletic teams; degrees, honors, and awards received; and the most recent educational agency or institution attended.
Parents have the right to refuse the designation of any or all of the categories of personally identifiable information as directory information with respect to their student provided they notify the school district in writing on an annual basis. If a parent desires to make such a refusal, they should complete and return the form included at the bottom of this notice.
If parents have no objection to the use of student information, they do not need to take any action.
-----------------------------Return the form below to your student's attendance center main office--------------------
Parental Directions to Withhold Student Directory Information for Education Purposes
For the school year of: _________________________________________
Student's Name: _________________________________ Date of Birth: __________________
School: ________________________________________ Grade: _______________________
Please withhold the following directory information on my student (Check all that apply):
____ Name
_____ Address
____ Phone Number
____ Photograph
____ Grade Level
____ Dates of Attendance
____ 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 attended
Signature of Parent/Legal Guardian: ______________________________ Date: ____________
Adopted: 9/98
Reviewed: 7/13; 10/14; 12/20; 10/23
Revised: 8/17; 1/21
Related Policy: 505.62; 505.62-R; 505.63
IASB Reference: 506.02-EH(1)