Verification Of Student Admission Information (For Student Residing With Parent Or Guardian)/proof Of Residency Form (Page 4 of 13) in pdf

ROISD NEW STUDENT ENROLLMENT FORM

CAMPUS: ______________________ SCHOOL YEAR: __________

Student’s Legal Name_________________________________________________________________________

(Last)

(First)

(Middle)

Red Oak Independent School District requires your signature as acknowledgement of agreement to read and become

acquainted with specific printed materials located in the ROISD Student Handbook and/or Student Code of Conduct.

Your signature will signify that you have acknowledged and have agreed to read and become acquainted with the

following documents and will return this acknowledgement of your agreement within ten school days of the first

day of instruction.

_________Red Oak Independent School District Student Handbook

_________Red Oak Independent School District Code of Conduct

_________Truancy Warning Notice

_________Acceptable Use of District Technology Resources

_________Notice regarding Directory Information

DIRECTORY INFORMATION ACKNOWLEDGEMENT (see Student Handbook for full details)

According to the state and federal law, certain information about the district’s 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.

(See Student Handbook)

Red Oak ISD has designated the following information as “directory information “ for school sponsored purposes:



Student’s name, address, telephone number, date and place of birth, major field of study and email address



Photograph, participation in officially recognized and sports, and weight and height of athletic teams



Dates of attendance, grade level, enrollment status, degrees, honors and awards received in school, and most recent school attended

previously

Directory information for all other purposes includes student’s name, address, and grade level.

A parent is allowed to record their objection to the release of all directory information or just one or more specific

categories of directory information. Please read each statement below and indicate your preference by putting a

checkmark beside your choices.

IN-SCHOOL PUBLICATIONS:

______ Red Oak ISD should NOT release my child’s student directory information for ANY specified school-sponsored

purposes listed above.

Example: If this preference is checked, your student’s name will NOT appear in school publications, campus newsletters,

school/District webpage or local newspapers for winning awards, scholarships, honor roll lists, etc…

NOTE: Your student’s picture WILL NOT be included in any Yearbook or ROISD video.

_______ Red Oak ISD has my permission to use directory information for school related communications and publicity ONLY

but ROISD may not release my child’s directory information to any other requestor, political candidate or business.

Example: Permissible uses: school yearbook, newsletters, district website, videos, PTO, Booster Clubs, press

releases, etc.

_______ Red Oak ISD does not have my permission to release my child’s name, address, and telephone number to

a military recruiter or institutions of higher education upon their request without my prior written consent.

_________________________________________

________________________________

Parent/Guardian Signature

Date of Acknowledgement

ENR-01

Page 2

rev. 3.22.11

Verification Of Student Admission Information (For Student Residing With Parent Or Guardian)/proof Of Residency Form Page 4

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