Adapted From Churchill High School
Eugene, Oregon

Armed Forces Recruiting
Important Notice to Parents— Armed Forces Recruiter Access to Students & Student Recruiting Info

The "No Child Left Behind Act of 2001" passed certain new requirements with respect to Armed Forces Recruiter Access to Students and Student Recruiting Information:

Duty to Provide Information to Military Recruiters. Unless the parent request otherwise, the District must provide upon request by military recruiters access to high school student's names, addresses and telephone listings.
Consent. Either the high school student or the parent of the student may request that the student's name, address and telephone listing not be released without the prior parental consent. Schools are required to notify parents of this option to make a request and shall comply with the request.
Access to Students. Each district shall provide military recruiters the same access to high school students as is provided generally to higher education institutions, community colleges, and prospective employers.

If you do not want your student's name, address and telephone listing released to Armed Forces recruiters, YOU MUST SIGN AND RETURN THIS FORM, YOU CAN WRITE A LETTER TO THIS EFFECT, or YOU CAN SEND AN EMAIL TO _______________.

Your statement of objections will be placed in your child's records, and we will not release this information to military recruiters without your written consent.

DO NOT RELEASE MY STUDENT’S INFORMATION
As parent/guardian of _________________________________ I do not give permission for (Name of High School) to release any information regarding the above student to any branch of the US Military.
Date: ______________
Signature: _____________________


Adapted From Fairfax County (Virginia) Public School

DENIAL OF ACCESS TO MILITARY RECRUITERS OPT-OUT FORM (for details see page 4)
TO: _________________________________, Principal
________________________________ High School

I object to the release of the name, address, or telephone number of _____________ [print name of student] to military recruiters during this school year. I understand that once this form has been signed by either the student or
a parent, only a parent may change it. I also understand that if I want to change it, the parent must notify the principal in writing that the form is no longer in effect and that student information may be released.

Signature of student or parent: ______________________________

Name of signing student or parent—please print: ___________________________

Date: ________________


Adapted from Los Angeles Unified Independent School District

LAUSD FORMATO DE OPCION DE NO PATICIPACION con respecto al DESCARGO DE

NOMBRE, DIRECCIÓN, Y NÚMERO del TELÉFONO

Escuela ______________________ Fecha ________________

El estudiante Name_______________________
Date de Nacimiento _________

Como estudiante usted tiene el derecho de pedir que su información privada no sea revelada a los organismos de reclutamiento del ejercito y otros. Complete este formato de Opcion de No Participacion y entregueselo al director de la escuela o al Administrador de la misma antes del22 de octubre de 2004.

___ Solicito que el nombre, direccion y telefono de este estudiante, no sea revelado a las Fuerzas Armadas y a los encargados de reclutamiento del ejército o las escuelas militares.

___ Solicito que el nombre, direccion y telefono de este estudiante, no sea revelado a colegios communitarios, universidades, o compañías en buscan de empleados.

Firma de estudiante ____________________________________

Firma de padre o protector ______________________________

Le federal publica 107-110, sección 9528 del ESEA, que "No Child Left Behind Act" requiere que los distrito escolares revelen el nombre, la direcciones y los números de teléfono de los estudiantes a los encargados de reclutamiento del ejército cuando sea solicitado por ellos. Los estudiantes son llamandos a sus casas por los oficiales de reclutamiento y presionados a enlistarse en el ejército. La ley también requiere que el distrito escolar le informe sobre su derecho de No Participacion en este programa, mediante la solicitud al distritode no revelar su informacion a los oficiales de reclutamiento. Llenar esta foram y entregarla a los infomaciaon a
los respectivos encargados, sirve como perdido para no revelar su información. Entregue esta forma llena antes de 22 de octubre de 2004.