Description of Records to be released:
- Student: Date of Birth, ID Number, Gender, Ethnicity, Zip Code, English language learner classification, special education classification, grade level, credit accumulation, cohort year, attendance, course grade, AP enrollment, graduation, diploma type, college enrollment and Parent Contact Information
Reasons for release of Record: To provide the team conducting Big Brothers Big Sisters of Southern Arizona research and evaluation with all relevant student information in order to draw conclusions about Big Brothers Big Sisters of Southern Arizona's impact on students
Other restrictions and conditions:
This consent to release records is limited to those persons expressly named herein for the duration of their involvement in the Big Brothers Big Sisters of Southern Arizona program. Any further release of records to any other person, group, corporation or other entity of any kind or nature is expressly prohibited without the further written consent of the student and parent.
THE STUDENT HAS THE RIGHT TO DENY ACCESS TO THE RECORES LISTED ABOVE AND/OR TO REVOKE THIS CONSENT AT ANY TIME.
In checking off this statement, the student and/or student's legal guardian agrees to permit the release of these records.