I further authorize the E&T office to release information to the school district, CWI, DSS and other involved agencies. The information will be used to determine eligibility and appropriateness for E&T services and programs. It may also be necessary for my child to attend workshop{s} given by the E&T office to meet year-round program requirements. I understand that the E&T office may need to obtain information and school records regarding my child to comply with follow up services for at least one year. Information that may be exchanged includes, but is not limited to:
Date of Birth (certificate) Address Academic Scores/Report Cards Standardized Test Scores
Attendance Records Health Records CSE Classification & IEP Counseling Services
Academic Intervention Svs. Psychological Math/Reading Levels Free Lunch Eligibility
Food Stamp/Public Assistance Info. Employability Skills/Interests/Aptitudes
I understand that all information released is confidential. I understand that information requested by the E&T office is for the purpose of determining eligibility and appropriate program services.