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Administrative Procedure: Access to Pupil Information for Pupils 18 Years and Over
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EFFECTIVE DATE:
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ADMINISTRATIVE PROCEDURE CODE:
1.A.220
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AMENDED DATE:
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Policy Reference
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Legal Reference
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The Public Schools Act 42.3(3) indicates – “Consent of adult pupil”
The school board shall not disclose to a parent the pupil file of his or her child who has attained the age of majority without first obtaining the consent of the pupil.”
As such, the following form will be completed by every student upon their 18th birthday.
Every school will communicate to parents that this form is in use.
Border Land School Division
ACCESS TO PUPIL INFORMATION
PUPILS 18 YEARS OF AGE OR OLDER
CONSENT TO DISCLOSE PERSONAL INFORMATION TO
PARENTS/GUARDIANS
________________________________________________________________________________________________________________________
Student’s Legal Last Name First Name Middle Initial
Date of Birth: __________ __________ ______
Year Month Day
- qI give () permission to release school-related information, such as academic progress, attendance records and conduct reports to my parent(s)/guardian(s).
- qI do not give () permission to release school-related information, such as academic progress, attendance records and conduct reports to my parent(s)/guardian(s).
Parent/Guardian Name: ______________________________________
Parent/Guardian Address: ______________________________________
Telephone Number: ________________________________
City: _______________ Postal Code ___________
Dated this _______ _____day of ________, 201_
Student Signature: _________________________
Witness (18 years or older): __________________
This form must be completed and returned to the school administration office.