506.02-E(1) - Student Directory Information - Authorization for Releasing Student Directory Information

The North Tama County Community School District has adopted a policy designed to assure parents  and students the full implementation, protection and enjoyment of their rights under the Family Educational  Rights and Privacy Act of 1974 (FERPA). A copy of the school district's policy is available for review www.ntredhawks.org. 

This law requires the school district to designate as "directory information" any personally identifiable  information taken from a student's educational records prior to making such information available to the  public. 

The school district has designated the following information as directory information: 

• Student’s name 
• Address  
• Telephone listing  
• Electronic mail address 
• Photograph 
• Date and place of birth 
• Major field of study 
• Dates of attendance  
• Grade level  
• Participation in officially recognized activities and sports 
• Weight and height of members of athletic teams 
• Degrees, honors, and awards received 
• The most recent educational agency or institution attended 
• Student ID number, user ID, or other unique personal identifier used to communicate in electronic  systems that cannot be used to access education records without a PIN, password, etc. (A student’s SSN,  in whole or in part, cannot be used for this purpose.)  

You have the right to refuse the designation of any or all of the categories of personally identifiable  information as directory information with respect to your student provided that you notify the school district in writing annually. If you desire to make such a refusal, please complete  and return the slip attached to this notice. 

If you have no objection to the use of student information, you do not need to take any action. 

 

AUTHORIZATION FOR RELEASING STUDENT DIRECTORY INFORMATION 

 

RETURN THIS FORM 

 

_________________________________________ Community School District Parental Directions to 

Withhold Student/Directory Information for Education Purposes, for 20__- 20__ school year. 

 

Student Name: __________________________________________ Date of Birth: ______________

 

School: ________________________________________________ Grade: ____________________

 

______________________________________________________ __________________________

(Signature of Parent/Legal Guardian/Custodian of Child) (Date) 

 

This form must be returned to your child's school no later than __, 20__. Additional forms are available at your child's school.

 

I.C. Iowa Code Description 

Iowa Code § 22 Open Records 

Iowa Code § 622.10 Evidence - Communications in Professional Confidence 

 

I.A.C. Iowa Administrative Code Description 

281 I.A.C. 12.3 Administration 

281 I.A.C. 41 Special Education 

 

U.S.C. - United States Code Description 

20 U.S.C. § 1232g Education - FERPA 

 

C.F.R. - Code of Federal Regulations Description 

34 C.F.R. Pt. 99 Education - Family Rights and Privacy 

 

Cross References Description 

901 Public Examination of School District Records 

902.04 Live Broadcast or Recording

 

Approved: 9/16/2024, 9/16/2026

Reviewed: 8/19/2026

Revised: 8/19/2026