Code No. 506.1E3
REQUEST FOR HEARING ON CORRECTION OF STUDENT RECORDS
To: Address:
Board Secretary (Custodian)
I believe certain official student records of my child, (Full Legal Name of Student), Morning Sun Elementary School, are inaccurate, misleading or in violation of privacy or other rights of my child.
The official education records which I believe are inaccurate, misleading or in violation of the privacy or other rights of my child are:
The reason I believe such records are inaccurate, misleading or in violation of the privacy or other rights of my child is:
My relationship to the child is:
I understand that I will be notified in writing of the time and place of the hearing; that I will be notified in writing of the decision; and I have the right to appeal the decision by so notifying the hearing officer in writing within ten days after my receipt of the decision.
(Signature)
Date:
Address:
City:
State: ZIP
Phone Number:
MORNING SUN COMMUNITY SCHOOL DISTRICT BOARD OF DIRECTORS