507.1E6 - Notification of Transfer of Student Records

To:  _______________________________________________________________     Date:  ___________________________
         Parent/or Guardian

Street Address:  ________________________________________  City/State:  ______________________  ZIP  ___________

Please be notified that copies of the Red Oak 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)