AUTHORIZATION FOR RELEASING STUDENT DIRECTORY INFORMATION
The Spirit Lake 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 District Office.
The 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: name, address, telphone number, date and place of birth, e-mail 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, the most recent previous educational agency or institution attended by the student, student ID number that is displayed on a student identification card (provided it cannot be solely used to access the student's educational records), user ID or other unique personal identifier that is displayed on a student identification card (provided it cannot be solely used to access the student's educational records), 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 District in writing prior to the start of the school year or upon admission to the District. If you desire to make such a refusal, please complete and return the slip attached to this notice.
If you have no objection to the use of student information, you do not need to take any action.
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RETURN THIS FORM
Spirit Lake Community School District Parental Directions to Withold Student/Directory Information for Education Purposed for _________ 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.
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Approved: Reviewed: 6/10/19 Revised: 5/13/13; 7/24/25