Volunteer Confidentiality Agreement
 As a community volunteer assisting at Lincoln Academy, you have been authorized by the Principal to act as a school official subject to the direction and control of the school’s administrators and teachers.  As a school official, you may under limited circumstances have access to student education records in connection with your authorized duties.  Student education records include all records, files, documents and other materials that contain personally identifiable information on any student, as well as the personally identifiable information itself (including student grades).                                        

By adding your name below, you agree to maintain the confidentiality of all student education records which you generate and to which you are given access as an authorized community volunteer.  This means that you agree not to disclose student education records or personally identifiable student information in such records to any person other than the school administrator(s) and/or teacher(s) with whom you are working.  You understand and agree that your failure to maintain the confidentiality of all student education records to which you are given access may disqualify you from further service as a community volunteer in the Jefferson County Public Schools.

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Child's First Name *
Child's Last Name *
Grade *
Second Child's First Name
Second Child's Last Name
Grade
Third Child's First Name
Third Child's Last Name
Grade
Volunteer Last Name *
Volunteer First Name *
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