You are here

506.1E6 Notification Of Transfer Of Student Records

NOTIFICATION OF TRANSFER OF STUDENT RECORDS

To:

 

 

 

Date:

 

 

Parent/or Guardian

 

 

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

City/State

 

 

ZIP:

 

 
 
 
 
 
 
 
 
 
 

 

Please be notified that copies of the Chariton Community School District's 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)