NOTIFICATION OF TRANSFER OF STUDENT RECORDS
To:_______________________________________ Date: __________________
Parent or Guardian
Street Address: ________________________________________________
City/State: ______________________________ ZIP: ________________
Please be notified that copies of the Wapello 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.
_____ Please check here if you desire a copy of such records furnished and return this form to the undersigned. A reasonable charge will be made for the copies.
If you believe such records transferred are in accurate, misleading, or otherwise in violation of the privacy or other rights the student, you have the right to a hearing to challenge the contents of such records.
Superintendent of Schools