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506.1E5 Notification of Transfer of Education Records

NOTIFICATION OF TRANSFER OF EDUCATION RECORDS

 

To:                                                                                                            Date:                             

                   Parent/or Guardian                                                                           

 

Street Address:  

                                                                                                                              

City/State:   Zip:                                       

 

Please be notified that copies of the Denison Community School District official student records concerning

                                                                                                                                                                                 Full Legal Name of Student:

 

have been transferred to:

 

School District Name:

 

                                                                                           

Address:

 

upon the written statement that the student intends to enroll in said school system.

 

If you desire a copy of such records furnished, please check here          and return this form to the undersigned.  A reasonable charge will be made for the copies.

 

If you believe such records transferred are inaccurate, misleading or otherwise in violation of the privacy or other rights of the student, you have the right to a hearing to challenge the contents of such records.

 

                                                                                                    

(Name)

                                                                                                 

(Title)

Date Board Adopted 10/12/1992

Date Board Reviewed 12/18/2017