506.05E2 - Report of Student Disclosure of Identity

REPORT OF STUDENT DISCLOSURE OF IDENTITY

 

Dear (Parent/Guardian) _________________,

 

This letter is to inform you that your student (student’s name listed on registration) ______________________ has made a request of a licensed employee to use a name, pronoun or gender identity that is different from the name, pronoun and/or gender identity listed on the student’s school registration forms.  The name, pronoun, or gender identity requested is:

______________________________________________________________________________________________________________________________________________________________________

 

If you would like to amend the student’s registration paperwork to permit the student’s requested accommodation and/or include the use of the above-referenced name/pronoun/gender identity, please complete the Request to Update Student Identity form (506.05E1) and return it to the district administration office.

 

Sincerely,

 

____________________________________________ __________________

Administrator                                                                    Date