503.7-E(1): Student Disclosure of Identity - 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 (check all that apply):

 

______ make an accommodation that is intended to affirm the student’s gender identity as follows:

______________________________________________________________________________

 

______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 attached form and return it to the district administration office.

 

Sincerely,

____________________________________________                   __________________

Administrator                                                                                                    Date