Code No. 506.2E1
AUTHORIZATION FOR RELEASING STUDENT DIRECTORY INFORMATION
The Grinnell-Newburg Community School District has adopted a policy designed to assure parents/guardians 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 office of the principal of all of our schools.
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 may designate the following information as directory information: student's name, address and telephone number; date of birth; email address, grade level, enrollment status, major field of study; participation in officially recognized activities and sports; weight and height of members of athletic teams; dates of attendance; degrees and awards received; and the most recent previous educational institution attended by the student; photograph and other likeness and other similar information. You have the right to refuse the designation of any or all of the categories of personally identifiable information as directory information with respect to your student provided that you notify the school district in writing not later than September 1st of this school year. If you desire to make such a refusal, please complete and return the slip attached to this notice.
Even though student addresses and telephone numbers are not considered directory information, military recruiters and postsecondary educational institutions may legally access this information without prior parental consent. Parents/guardians not wanting military recruiters and postsecondary institutions to access the information must ask the school district to withhold the information.
If you have no objection to the use of student information, you do not need to take any action.
RETURN THIS FORM
Grinnell-Newburg Community School District Parental Directions to Withhold Student/Directory Information for Education Purposes, for 20___ - 20 ___school year.
Student Name: ____________________________________ Date of Birth:_________________
School: _________________________________________ Grade _______________________
______________________________________________________________________________
(Signature of Parent/Legal Guardian/Custodian of Child) (Date)
This form must be returned to your child's school no later than ______________________, 20____ . Additional forms are available at your child's school.
Approved 2/24/16
Revised 2/6/22
Grinnell-Newburg School District, Grinnell, IA