NEW CANEY INDEPENDENT SCHOOL DISTRICT DIRECTORY INFORMATION RESTRICTION FORM FAMILY EDUCATIONAL RIGHTS & PRIVACY ACT The Family Educational Rights and Privacy Act (“FERPA”) governs NCISD’s release of directory information regarding students. “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. 34 C.F.R. § 99.3. Certain information about District students is considered directory information and will be released to anyone who follows the procedures for requesting the information unless the parent or guardian objects to the release of the directory information about the student. If you do not want NCISD to disclose directory information from your child’s education records without your prior written consent, you must notify the District in writing within ten school days of your child’s first day of instruction for this school year. NCISD has designated the following information as directory information: student name; address; telephone listing; electronic mail address; photograph; date and place of birth; major field of study; degrees, honors, and awards received; dates of attendance; grade level; most recent educational institution attended; participation in officially recognized activities and sports; and weight and height of members of athletic teams.
***YOU ONLY NEED TO COMPLETE THIS FORM IF YOU DESIRE TO RESTRICT OR LIMIT THE RELEASE OF STUDENT DIRECTORY INFORMATION. TURN THE FORM IN AT THE CAMPUS MAIN OFFICE. Please select one of the following statements regarding your child’s directory information if you choose to limit or restrict the release of information: NCISD may release my child’s directory information for school-related purposes only (yearbook, school pictures, graduation-related services and products, campus directories, newsletters, school/District websites, awards, honors, local newspaper/media, artwork that is not considered an education record, displays, extracurricular programs or events, school/District photos, school/District videos). Example: If you select this option, your child will be included in the school yearbook, but his/her information will not be released to vendors who may offer products and services. NCISD may NOT release my child’s directory information for any purpose, including school/District publications and positive publicity (yearbook, newsletters, school/District website, awards, honors, local newspaper, artwork displays, extracurricular programs or events, class rosters given to other parents, school/District photos, school/District videos) without my prior consent. Example: If you select this option, your child’s name would not appear in the District newsletter if he/she won an award and he/she will NOT be included in the school yearbook.
SECONDARY STUDENTS ONLY Federal law requires school districts to provide a military recruiter or an institution of higher education, on request, with the name, address, and telephone number of a secondary student unless the parent has advised the District that the parent does not want the student’s information disclosed without the parent’s prior written consent. Please select this box if you do NOT want NCISD to release your secondary student’s name, address, and telephone listing to military recruiters and institutions of higher education upon their request.
Student’s Name (printed)
Parent/Guardian Name (printed)
Parent/Guardian Signature
Date
