Military Recruitment Release
MILITARY RECRUITMENT – RELEASE OF INFORMATION
(HIGH SCHOOL ONLY)
Recognizing the challenges faced by military recruiters, the No Child Left Behind Law requires high schools to provide to military recruiters, upon request, access to names, addresses, and phone numbers of high school students.
If you do not want Parkway School District to disclose this information without your prior written consent, you must fill out the detachable form below and return it to Mary Theriot, Supervisor of Student Records, 12657 Fee Fee Road, St. Louis, MO 63146. Denying permission of release of directory information will not be sufficient to deny the release of information to military recruiters. Also please note that the district cannot guarantee that buzz books will only be shared with families and members of the school community. They are, however, generally only distributed or sold to families and school personnel.
If you have previously filled out this form, you do not have to send it again.
A list of the guidelines on military recruiters’ access to information can be found at the following Web site: http://www2.ed.gov/policy/gen/guid/fpco/pdf/ht100902b.pdf. If you have any questions, please do not hesitate to call Mary Theriot at 314-415-5062.
PARENT OPT-OUT FORM
I deny permission for my student’s directory information to be given to military recruiters.
Student Name ___________________________________________ DOB ______________
Parent’s signature __________________________________________ Date ______________
Rev 5/13/10 mt