STUDENT HANDBOOK
ACKNOWLEDGMENT
FORM

My child and I acknowledge that the Munday CISD Student Handbook and the Student Code of Conduct is available online at http://www.esc9.net/munday.  I understand that the handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the code.  I may request a written copy of the Student Handbook by checking the appropriate box.

State and federal law require the District to notify parents that you may object to the release of certain information about your child.  After reading the following, please mark through any directory information on the form below that you do not want released and return the signed and dated form within ten school days of your child’s first day of instruction for this school year.

Notice Regarding Directory Information and
Parent’s Response Regarding Release of Student Information

 

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 Munday CISD 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 child’s first day of instruction for this school year.

This means that the district must give certain personal information (called “directory information”) about your child to any person who requests it, unless you have told the district in writing not to do so.  In addition, you have the right to tell the district that it may, or may not, use certain personal information about your child for specific school-sponsored purposes.  The district is providing you this form so you can communicate your wishes about these issues. 

For the following school-sponsored purposes:  student recognition activities, yearbook or student newspaper, printed programs for extracurricular activities, news releases to local media Munday CISD has designated the following information as directory information:

          Student’s name

          Address

          Telephone listing

          E-mail address

          Photograph

          Date and place of birth

          Major field of study

          Degrees, honors, and awards received

          Dates of attendance

          Grade level

          Most recent school previously attended

          Participation in officially recognized activities and sports

          Weight and height, if a member of an athletic team

          Enrollment status

Directory information identified only for limited school-sponsored purposes remains otherwise confidential and will not be released to the public without the consent of the parent or eligible student.

Parent:  Please circle one of the choices below:

I, parent of ______________________________ (student’s name), (do give) (do not give) the district permission to use the information in the above list for the specified school-sponsored purposes.

Parent signature                                                                                    Date                            

For all other purposes, Munday CISD has designated the following information as directory information: 

          Student’s name

          Address

          Telephone listing

          E-mail address

          Photograph

          Date and place of birth

          Major field of study

          Degrees, honors, and awards received

          Dates of attendance

          Grade level

          Most recent school previously attended

          Participation in officially recognized activities and sports

          Weight and height, if a member of an athletic team

          Enrollment status

Parent:  Please circle one of the choices below:

I, parent of ______________________________ (student’s name), (do give) (do not give) the district permission to release the information in this list in response to a request unrelated to school-sponsored purposes.

Print name of student:                                                                                    

Signature of student:                                                                                      

Signature of parent:                                                                                       

Date:                                                                                                             

I request a written copy of the MCISD Student Handbook  _____