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Article 66 - Student Records
| Section 66.1 | Purpose |
| Section 66.2 | Definitions i |
| Section 66.3 | Rights of Parents Students ii |
| Section 66.4 | Annual Notification to Parents Eligible Students iii |
| Section 66.5 | Records of a Law Enforcement Unit iv |
| Section 66.6 | Rights of Parent or Eligible Student to Inspect And Review Education Records v |
| Section 66.7 | Fees For Copies of Education Records vi |
| Section 66.8 | Amendment of Education Records vii |
| Section 66.9 | Hearing On Amendment of Records viii |
| Section 66.10 | Decision After Hearing ix |
| Section 66.11 | Prior Consent Required To Disclose Information x |
| Section 66.12 | Disclosure Of Information Without Prior Consent xi |
| Section 66.13 | Recordkeeping Requirements For Disclosures xii |
| Section 66.14 | Limitations On Redisclosure Of Information xiii |
| Section 66.15 | Disclosure Of Information To Other Educational Agencies Or Institutions xiv |
| Section 66.16 | Disclosure Of Information For Federal or State Program Purposes xv |
| Section 66.17 | Disclosure of Information in Health and Safety Emergencies xvi |
| Section 66.18 | Disclosure Of Directory Information xvii |
| Section 66.19 | Disclosure of Information as Permitted by State Statute Adopted After November 1 |
| Section 66.20 | Complaints Against the District xix |
| Section 66.21 | Amendment |
STUDENT RECORDS
Adopted 1/15/02
The purpose of this policy is to guarantee, protect and maintain the confidentiality of student records pursuant to the "Family Educational Rights and Privacy Act of 1974", as contained in 20 U.S.C. '1232g et seq. and as implemented by the Code of Federal Regulations at 34 CFR Part 99.
Section 66.2 Definitions [i]
The following definitions apply to this policy:
(A) Act shall mean the "Family Educational Rights and Privacy Act of 1974", as contained in 20 U.S.C. '1232g et seq. and as implemented by the Code of Federal Regulations at 34 CFR Part 99.
(B) Attendance includes, but is not limited to:
(1) Attendance in person or by correspondence; and
(2) The period during which a person is working under a work‑study program.
(C) Dates of attendance.
(1) The term means the period of time during which a student attends or attended an educational agency or institution. Examples of dates of attendance include an academic year, a spring semester, or a first quarter.
(2) The term does not include specific daily records of a student's attendance at an educational agency or institution.
(D) Directory information means information contained in an education record of a student that would not generally be considered harmful or an invasion of privacy if disclosed, and includes but is not limited to the student's,
(1) name,
(2) address,
(3) telephone listing,
(4) electronic mail address,
(5) photograph,
(6) date and place of birth,
(7) major field of study,
(8) dates of attendance,
(9) grade level,
(10) enrollment status,
(11) participation in officially recognized activities and sports,
(12) weight and height of members of athletic teams,
(13) degrees, honors and awards received, and
(14) the most recent educational agency or institution attended.
(E) Disciplinary action or proceeding means the investigation, adjudication, or imposition of sanctions by an educational agency or institution with respect to an infraction or violation of the internal rules of conduct applicable to students of the agency or institution.
(F) Disclosure means to permit access to or the release, transfer, or other communication of personally identifiable information contained in education records to any party, by any means, including oral, written, or electronic means.
(G) District shall mean the Saranac Lake Central School District.
(H) Educational agency or institution means any public or private agency or institution to which this policy applies, including the District.
(I) Education records.
(1) The term means those records that are:
(a) directly related to a student; and
(b) maintained by the District or by a party acting for the District.
(2) The term does not include records:
(a) kept in the sole possession of the maker, are used only as a personal memory aid, and are not accessible or revealed to any other person except a temporary substitute for the maker of the record;
(b) of a law enforcement unit of the District, subject to the provisions of section 66.5;
(c) relating to an individual who is employed by the District, that:
(i) are made and maintained in the normal course of business;
(ii) relate exclusively to the individual in that individual's capacity as an employee; and
(iii) are not available for use for any other purpose.
(d) on a student who is 18 years of age or older that are:
(i) made or maintained by a physician, psychiatrist, psychologist, or other recognized professional or paraprofessional acting in his or her professional capacity or assisting in a paraprofessional capacity;
(ii) made, maintained, or used only in connection with treatment (other than remedial educational activities or activities that are part of the program of instruction) of the student; and
(iii) disclosed only to individuals providing the treatment; and
(e) that only contain information about an individual after he or she is no longer a student of the District.
(J) Eligible student means a student who has reached 18 years of age or is attending an institution of postsecondary education.
(K) Institution of postsecondary education means an institution that provides education to students beyond the secondary school level; "secondary school level" means the educational level (not beyond grade 12) at which secondary education is provided as determined under State law.
(L) Law enforcement unit means any individual, office, department, division, or other person/entity, including but not limited to a unit of commissioned police officers or non‑commissioned security guards, that is officially authorized or designated by the District to:
(1) enforce any local, State, or Federal law, or refer to appropriate authorities a matter for enforcement of any local, State, or Federal law against any individual or organization other than the District itself; or
(2) maintain the physical security and safety of the District, its students, staff and/or officials.
A component of an educational agency or institution does not lose its status as a law enforcement unit if it also performs other, non‑law enforcement functions for the District, including investigation of incidents or conduct that constitutes or leads to a disciplinary action or proceedings against the student.
(M) Parent means a parent of a student and includes a natural parent, a guardian, or an individual acting as a parent in the absence of a parent or a guardian.
(N) Party means an individual, agency, institution, or organization.
(O) Personally identifiable information includes, but is not limited to:
(1) the student's name;
(2) the name of the student's parent or other family member;
(3) the address of the student or student's family;
(4) a personal identifier, such as the student's social security number or student number;
(5) a list of personal characteristics that would make the student's identity easily traceable; or
(6) other information that would make the student's identity easily traceable.
(P) Record means any information recorded in any way, including, but not limited to, handwriting, print, computer media, video or audio tape, film, microfilm, and microfiche.
(Q) Records of a law enforcement unit:
(1) means those records, files, documents, and other materials that are:
(a) created by a law enforcement unit;
(b) created for a law enforcement purpose; and
(c) maintained by the law enforcement unit.
(2) does not mean:
(a) records created by a law enforcement unit for a law enforcement purpose that are maintained by a component of the educational agency or institution other than the law enforcement unit; or
(b) records created and maintained by a law enforcement unit exclusively for a non‑law enforcement purpose, such as a disciplinary action or proceeding conducted by the educational agency or institution.
(R) Secretary means the Secretary of the U.S. Department of Education or an official or employee of the Department of Education acting for the Secretary under a delegation of authority.
(S) Student, except as otherwise specifically provided in this part, means any individual who is or has been in attendance at District facilities and regarding whom the District maintains education records.
Section 66.3 Rights of Parents & Students [ii]
(A) The District shall give full rights under the Act to either parent, unless the District has been provided with evidence that there is a court order, State statute, or legally binding document relating to such matters as divorce, separation, or custody that specifically revokes these rights.
(B) When a student becomes an eligible student, the rights accorded to, and consent required of, parents under this policy transfer from the parents to the student.
Section 66.4 Annual Notification to Parents & Eligible Students [iii]
(A) The District shall annually notify parents of students currently in attendance, or eligible students currently in attendance, of their rights under the Act and this policy by any means reasonably likely to inform them of such rights, including use of a letter substantially in the form attached hereto as Exhibit A.
(B) The District shall effectively notify parents or eligible students who are disabled or who have a primary or home language other than English.
Section 66.5 Records of a Law Enforcement Unit [iv]
Education records, and personally identifiable information contained in education records, do not lose their status as education records and remain subject to the Act, including the disclosure provisions of section 66.11, while in the possession of a law enforcement unit.
Section 66.6 Rights of Parent or Eligible Student to Inspect And Review Education Records [v]
(A) Except as limited under paragraph (G) of this section, a parent or eligible student shall be given the opportunity to inspect and review the student's education records by submitting to the District a written request.
(B) The District shall comply with a request for access to records within a reasonable period of time, but not more than 45 days after it has received the request.
(C) The District shall respond to reasonable requests for explanations and interpretations of the records.
(D) If circumstances effectively prevent the parent or eligible student from exercising the right to inspect and review the student's education records, the District shall:
(1) provide the parent or eligible student with a copy of the records requested; or
(2) make other arrangements for the parent or eligible student to inspect and review the requested records.
(E) The District shall not destroy any education records if there is an outstanding request to inspect and review the records under this section.
(F) While the District is not required to give an eligible student access to treatment records under subparagraph (2)(d) of paragraph (I) ("Education records") in section 66.3 of this policy, the student may have those records reviewed by a physician or other appropriate professional of the student's choice.
(G) If the education records of a student contain information on more than one student, the parent or eligible student may inspect and review or be informed of only the specific information about that student.
Section 66.7 Fees For Copies of Education Records [vi]
(A) No fee shall be charged:
(1) to a parent or eligible student for furnishing them with a copy of an education record which is made for the parent or eligible student;
(2) to search for or to retrieve the education records of a student; or
(3) to State or Federal officials entitled to inspect and review such records, or to another educational institution at which the student is or seeks to enroll.
(B) A fee of 25 cents per page may, in the discretion of the superintendent, be charged to third parties for furnishing them with copies of an education record to which they are entitled to access by consent or by law.
Section 66.8 Amendment of Education Records [vii]
(A) If a parent or eligible student believes the education records relating to the student contain information that is inaccurate, misleading, or in violation of the student's rights of privacy, he or she may make a written request to the Superintendent to amend the record. The written request shall identify the record or records which is/are claimed to be inaccurate, misleading or otherwise in violation of the privacy or other rights of the student, and shall include a statement of the reasons for challenging the record(s).
(B) The Superintendent shall review the record and make any additional investigation that he/she deems appropriate in order to determine whether to amend the record as requested.
(C) Within 15 school business days of receipt of a request, the Superintendent shall issue a written decision indicating either that:
(1) the challenged record(s) is/are inaccurate, misleading or otherwise in violation in whole or in part and that the same will be corrected or deleted, or
(2) there is no basis for correcting or deleting the record in question, and stating the reasons therefor, as well as informing the parent or eligible student of their right to a hearing under section 66.9 of this policy.
Section 66.9 Hearing On Amendment of Records [viii]
(A) Within fourteen (14) days of receipt of the Superintendent's determination under paragraph (C)(2) of section 66.8 of this policy, a parent/guardian or eligible student may request in writing to the Board President that a hearing be held to review the determination of the Superintendent.
(B) The District shall hold the hearing within a reasonable time after it has received the request for the hearing from the parent or eligible student, which shall in no event be more than thirty (30) days after such receipt.
(C) The District shall give the parent or eligible student notice of the date, time, and place, reasonably in advance of the hearing.
(D) The hearing may be conducted by any individual, including an official of the District, who does not have a direct interest in the outcome of the hearing.
(E) The District shall give the parent or eligible student a full and fair opportunity to present evidence relevant to the issues raised under section 66.8. The parent or eligible student may, at their own expense, be assisted or represented by one or more individuals of his or her own choice, including an attorney.
(F) A written record shall be made of all evidence submitted at the hearing.
Section 66.10 Decision After Hearing [ix]
(A) Within fourteen (14) days after conclusion of the hearing under section 66.9, a written decision shall be made and issued. A copy shall be furnished to the parent(s) or eligible student, and the original shall be sent to the Superintendent.
(B) The decision must be based solely on the evidence presented at the hearing, and must include a summary of the evidence and the reasons for the decision.
(C) If, as a result of the hearing, the Board or committee decides that the information is inaccurate, misleading, or otherwise in violation of the privacy rights of the student, it shall:
(1) amend the record accordingly; and
(2) inform the parent or eligible student of the amendment in writing.
(D) If, as a result of the hearing, the Board or committee decides that the information in the education record is not inaccurate, misleading, or otherwise in violation of the privacy rights of the student, it shall inform the parent or eligible student of the right to place a statement in the record commenting on the contested information in the record or stating why he or she disagrees with the decision, or both.
(E) If the District places a statement in the education records of a student under paragraph (D) of this section, the District shall:
(1) maintain the statement with the contested part of the record for as long as the record is maintained; and
(2) disclose the statement whenever it discloses the portion of the record to which the statement relates.
Section 66.11 Prior Consent Required To Disclose Information [x]
(A) Except as provided in section 66.12, a parent or eligible student shall provide a signed and dated written consent before the District discloses personally identifiable information from the student's education records.
(B) The written consent must:
(1) specify the records that may be disclosed;
(2) state the purpose of the disclosure; and
(3) identify the party or class of parties to whom the disclosure may be made.
(C) When a disclosure is made under paragraph (A) of this section:
(1) if a parent or eligible student so requests, the District shall provide him or her with a copy of the records disclosed; and
(2) if the parent of a student who is not an eligible student so requests, the District shall provide the student with a copy of the records disclosed.
Section 66.12 Disclosure Of Information Without Prior Consent [xi]
(A) The District may disclose personally identifiable information from an education record of a student without the consent required by section 66.11 if the disclosure is to or for any of the following:
(1) to District officials, including teachers, whom the Superintendent has determined to have legitimate educational interests;
(2) to officials of another school, school system, or institution of postsecondary education where the student seeks or intends to enroll, pursuant to section 66.15.
(3) to authorized representatives of:
(a) the Comptroller General of the United States;
(b) the Attorney General of the United States;
(c) the Secretary; or
(d) State and local educational authorities.
(4) in connection with financial aid (payment of funds or a payment in kind of tangible or intangible property to the individual that is conditioned on the individual's attendance at an educational agency or institution) for which the student has applied or which the student has received, if the information is necessary for such purposes as to:
(a) determine eligibility, amount, and/or conditions of/for the aid; or
(b) enforce the terms and conditions of the aid.
(5) to State and local officials or authorities to whom this information is specifically:
(a) allowed to be reported or disclosed pursuant to State statute adopted before November 19, 1974, if the allowed reporting or disclosure concerns the juvenile justice system and the system's ability to effectively serve the student whose records are released; or
(b) allowed to be reported or disclosed pursuant to State statute adopted after November 19, 1974, subject to the requirements of section 66.19.
(6) to organizations (including but not limited to, Federal, State, and local agencies, and independent organizations) conducting studies for, or on behalf of, the District to:
(a) develop, validate, or administer predictive tests;
(b) administer student aid programs; or
(c) improve instruction;
but only if the study is conducted in a manner that does not permit personal identification of parents and students by individuals other than representatives of the organization, and the information is destroyed when no longer needed for the purposes for which the study was conducted.
(7) to accrediting organizations to carry out their accrediting functions.
(8) to parents of a dependent student, as defined in section 152 of the Internal Revenue Code of 1986.
(9) to comply with a judicial order or lawfully issued subpoena, in which event:
(a) the District shall make a reasonable effort to notify the parent or eligible student of the order or subpoena in advance of compliance, so that the parent or eligible student may seek protective action, unless the disclosure is in compliance with‑‑
(1) a Federal grand jury subpoena and the court has ordered that the existence or the contents of the subpoena or the information furnished in response to the subpoena not be disclosed; or
(2) any other subpoena issued for a law enforcement purpose and the court or other issuing agency has ordered that the existence or the contents of the subpoena or the information furnished in response to the subpoena not be disclosed.
(10) to a court:
(a) where the District has initiated legal action against a parent or student, the District may disclose the education records of the student that are relevant for the District to proceed with the legal action as plaintiff; or
(b) where a parent or eligible student has initiated legal action against the District, the District may disclose the student's education records that are relevant for the District to defend itself.
(11) in connection with a health or safety emergency, under the conditions described in section 66.17.
(12) the information has been designated by the District as "directory information", under the conditions described in section 66.18.
(13) to the parent of a student who is not an eligible student or to the student.
(B) Paragraph (A) of this section does not forbid the District from disclosing, nor does it require the District to disclose, personally identifiable information from the education records of a student to any parties under subparagraphs (1) through (12) thereof.
Section 66.13 Recordkeeping Requirements For Disclosures [xii]
(A) The District shall maintain a record of each request for access to and each disclosure of personally identifiable information from the education records of each student, and shall maintain such record with the education records of the student as long as the records are maintained; except that no such record shall be made or maintained if the request was from, or the disclosure was to:
(1) the parent or eligible student;
(2) a District official under section 66.12(A)(1);
(3) a party with written consent from the parent or eligible student;
(4) a party seeking directory information; or
(5) a party seeking or receiving the records as directed by a Federal grand jury or other law enforcement subpoena and the issuing court or other issuing agency has ordered that the existence or the contents of the subpoena or the information furnished in response to the subpoena not be disclosed.
(B) The record for each request or disclosure must include:
(1) the parties who have requested or received personally identifiable information from the education records; and
(2) the legitimate interests the parties had in requesting or obtaining the information.
(C) If the District discloses personally identifiable information from an education record under section 66.14(A)(1), the record of the disclosure required under this section must include:
(1) the names of the additional parties to which the receiving party may disclose the information on behalf of the educational agency or institution; and
(2) the legitimate interests under section 66.12 which each of the additional parties has in requesting or obtaining the information.
(D) The following parties may inspect the record relating to each student:
(1) the parent or eligible student;
(2) the District official or his or her assistants who are responsible for the custody of the records; or
(3) those parties authorized in section 66.12(A)(1) and (3) for the purposes of auditing the recordkeeping procedures of the District.
Section 66.14 Limitations On Redisclosure Of Information [xiii]
(A) The District may disclose personally identifiable information from an education record only on the condition that the party to whom the information is disclosed will not disclose the information to any other party without the prior consent of the parent or eligible student; except that this shall not:
(1) prevent the District from disclosing personally identifiable information with the understanding that the party receiving the information may make further disclosures of the information on behalf of the District if:
(a) the disclosures meet the requirements of section 66.12; and
(b) the District has complied with the requirements of section 66.13, if applicable; or
(2) apply to disclosures made:
(a) to parents of dependent students under section 66.12(A)(8);
(b) pursuant to court orders, lawfully issued subpoenas, or litigation, as provided in section 66.12(A)(9) and (10);
(c) of directory information pursuant to section 66.12(A)(11) and section 66.18; or
(d) to a parent or eligible student.
(B) The officers, employees, and agents of a party that receives information under paragraph (A) of this section may use the information, but only for the purposes for which the disclosure was made.
(C) Except for disclosures under section 66.12(A)(9) and (10), the District shall inform a party to whom disclosure is made of the requirements of this section.
Section 66.15 Disclosure Of Information To Other Educational Agencies Or Institutions [xiv]
(A) The District may disclose an education record of a student in attendance to another educational agency or institution:
(1) which has requested the record and in which the student seeks or intends to enroll;
(2) in which the student is enrolled; or
(3) from which the student receives services.
(B) In the event the District discloses an education record under paragraph (A) above, the District shall give the parent or eligible student, upon request:
(1) a copy of the record that was disclosed; and
(2) an opportunity for a hearing.
Section 66.16 Disclosure Of Information For Federal or State Program Purposes [xv]
(A) The District may furnish Federal or State officials listed in section 66.12(A)(3) access to education records in connection with an audit or evaluation of Federal or State supported education programs, or for the enforcement of or compliance with Federal legal requirements which relate to those programs.
(B) Information that is collected under paragraph (A) of this section must be:
(1) protected in a manner that does not permit personal identification of individuals by anyone except such officials; and
(2) destroyed when no longer needed for such purposes.
(C) Paragraph (B) of this section does not apply if:
(1) the parent or eligible student has given written consent for the disclosure under section 66.11; or
(2) the collection of personally identifiable information is specifically authorized by Federal law.
Section 66.17 Disclosure of Information in Health and Safety Emergencies [xvi]
(A) The District may disclose personally identifiable information from an education record to appropriate parties in connection with an emergency if knowledge of the information is necessary to protect the health or safety of the student or other individuals.
(B) Nothing herein shall prevent the District from:
(1) including in the education records of a student appropriate information concerning disciplinary action taken against the student for conduct that posed a significant risk to the safety or well‑being of that student, other students, or other members of the school community;
(2) disclosing appropriate information maintained under paragraph (B)(1) of this section to teachers and school officials within the District who the Superintendent has determined have legitimate educational interests in the behavior of the student; or
(3) disclosing appropriate information maintained under paragraph (B)(1) of this section to teachers and school officials in other schools who have been determined to have legitimate educational interests in the behavior of the student.
Section 66.18 Disclosure Of Directory Information [xvii]
(A) The District may disclose directory information regarding a student in attendance only if the parent(s) of the student, or the student (if an eligible student), has not notified the District in writing that the information should not be released after the District has notified the parent(s) or eligible student under section 66.4.
(B) The District may disclose directory information about former students without meeting the conditions in paragraph (A) of this section.
Section 66.19 Disclosure of Information as Permitted by State Statute Adopted After November 19, 1974 Concerning the Juvenile Justice System [xviii]
(A) If reporting or disclosure allowed by State statute concerns the juvenile justice system and the system's ability to effectively serve, prior to adjudication, the student whose records are released, the District may disclose education records under section 66.12(A)(5).
(B) The officials and authorities to whom the records are disclosed shall certify in writing to the District that the information will not be disclosed to any other party, except as provided under State law, without the prior written consent of the parent of the student.
Section 66.20 Complaints Against the District [xix]
A parent or eligible student may file a written complaint with the Office regarding an alleged violation under the Act and this policy. The Office's address is: Family Policy Compliance Office, U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, DC 20202‑4605.
In the event that the Federal statutes and/or regulations are hereafter amended, then the provisions incorporated herein shall be automatically amended accordingly.
Exhibit A
NOTIFICATION OF RIGHTS UNDER THE FAMILY
EDUCATIONAL RIGHTS AND PRIVACY ACT
Dear Parent or Student:
This is to advise you of your rights with respect to the school records relating to (your son) (your daughter) (you) pursuant to the Federal "Family Educational Rights and Privacy Act of 1974" (the "act").
Parents of a student under 18 have a right to inspect and review any and all official records, files, and data directly related to their children. A student 18 or older also has the right to inspect and review such records, etc. pertaining to her/him. This right applies to all material that is incorporated into each student's cumulative record folder, and which is intended for school use or to be available to parties outside the school or school system. Examples include, but are not limited to, identifying data, academic work completed, level of achievement (grades, standardized achievement test scores), attendance data, scores on standardized intelligence, aptitude, and psychological tests, interest inventory results, health data, family background information, teacher or counselor ratings and observations, and verified reports of serious or recurrent behavior patterns.
A parent of a student under 18 years of age, or a student 18 years of age or older, shall make a request for access to a child's (his/her own) school records, in writing, to the Principal of the building to which such student is assigned. Upon receipt of such request, arrangements shall be made to provide access to such records within a reasonable period of time, but in no case, no more than 45 days after the request has been received.
If information contained in the student's record is believed to be inaccurate, misleading or in violation of the student's privacy rights, the parent or eligible student should write to the Superintendent, clearly identify the part of the record they want changed, and specify why it is inaccurate, misleading or a violation of the student's privacy rights. If the Superintendent decides not to amend the record as requested, the parent or eligible student will be notified of the decision and advised of their right to a hearing regarding the request for amendment. Additional information regarding the hearing procedures will be provided to the parent or eligible student when notified of the right to a hearing.
Student records, and any material contained therein which is personally identifiable, are confidential and may not be released or made available to persons other than parents or students without the written consent of such parents or student. There are a number of exceptions to this rule, such as other school employees and officials who have a legitimate educational need for access to such records in the course of their employment, and certain State and Federal officials. In addition, the District will disclose, upon request, education records to officials of another school District in which a student seeks or intends to enroll.
Further, directory information may be released by the school to anyone who requests it unless the parent or eligible student objects to the release of any or all of this information within ten (10) school days of the time this letter was issued. Directory information includes a student's name, parents' names, address, telephone number, date and place of birth, participation in school activities or sports, weight and height if a member of an athletic team, dates of attendance, degrees and awards received, and most recent previous school attended. If you do not wish directory information to be released by the District regarding your son or daughter or you, please complete the attached form and return it to the District within as soon as possible. In the event that you do not return this form within 10 days of this letter, you may complete the same and return it to the District at any time thereafter B but it will not be effective until the District receives it and will not apply to any information released by the District prior thereto.
Finally, if you believe that the District is not complying, or has failed to comply, with the Act, you have the right to file a complaint with the Secretary under 34 CFR '99.63 and '99.64 at the following address: Family Policy Compliance Office, U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, DC 20202‑4605.
Sincerely yours,
Superintendent of Schools
EXHIBIT B
The Saranac Lake Central School District shall NOT release directory information regarding the student(s) named below during the current school year, except as specifically listed below.
Student(s):
Directory Information which may be released (place your initials next to each item to be released):
____ name
____ address
____ telephone listing
____ electronic mail address
____ photograph
____ date and place of birth
____ major field of study
____ dates of attendance
____ grade level
____ enrollment status
____ 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.
Dated: _______________ _____________________________________
(signature
_________________________________________________
(print name)
Exhibit C
APPLICATION TO REVIEW STUDENT RECORDS BY PARTIES
ENTITLED THERETO WITHOUT CONSENT BY PARENT OR STUDENT
I,________________________, have hereby requested access to the records of _____________________________ (the "student") for the following reasons:
I am entitled to review such records pursuant to law or regulation as follows:
Said records will not be made available to any other person or persons without the specific written consent of the parent(s) of said student or of the student if he/she is 18 years of age or older.
DATED: _____________________________________
(signature)
_________________________________________________
(print name)
Exhibit D
NOTIFICATION OF RELEASE PURSUANT TO A COURT ORDER OR SUBPOENA
TO: ________________________________
(Parent - Student)
Address:
The purpose of this notice is to notify you that on ___________________, the Saranac Lake Central School District released the following documents from your child's (your own) student records to ___________________________________________ pursuant to a court order or subpoena, a copy of which is attached hereto:
DATED: ________________________________
Superintendent of Schools
Exhibit E
APPLICATION BY THIRD PARTY TO REVIEW STUDENT'S RECORDS
AND CONSENT THERETO BY PARENTS OR STUDENT
I,________________________, have hereby requested access to the records of _____________________________ (the "student") based upon the consent of the parent(s) of said student, or of the student if he/she is 18 years of age or older, as set forth below.
Said records will not be made available to any other person or persons without the specific written consent of the parent(s) of said student or of the student if he/she is 18 years of age or older.
DATED: _____________________________________
(signature)
_________________________________________________
(print name)
CONSENT
I hereby consent that _______________________________ have access to my child's (to my) records with the understanding that such records will not be released by him/her to other persons without my further consent.
DATED:
_____________________________________
(Parent/Student signature)
_________________________________________________
(print name)
[i] Source B 34 CFR '99.3
[ii] 34 CFR '99.4
[iii] 34 CFR '99.7
[iv] 34 CFR '99.8
[v] 34 CFR '99.10 & '99.12
[vi] 34 CFR '99.11
[vii] 34 CFR '99.20
[viii] 34 CFR '99.21 & '99.22
[ix] 34 CFR '99.21 & '99.22
[x] 34 CFR '99.30
[xi] 34 CFR '99.31
[xii] 34 CFR '99.32
[xiii] 34 CFR '99.33
[xiv] 34 CFR '99.34
[xv] 34 CFR '99.35
[xvi] 34 CFR '99.36
[xvii] 34 CFR '99.37
[xviii] 34 CFR '99.38
[xix] 34 CFR '99.66