Agmt18 Redwood City School District 17-18 Extended Day Learning Services

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Parental Consent As required by Education Code section 49075, CONTRACTOR will provide RCSD with written parent/guardian consent authorizing CONTRACTOR to access data from that student's school or district education records. No identifiable pupil information will be provided to CONTRACTOR for students who do not provide an appropriate written consent. CONTRACTOR agrees to provide a copy of such consents to RCSD, and will maintain the originals in its files for five (5) years and make them available to RCSD upon its request. Consent forms must contain this language: I, the parent or legal guardian for _ hereby give my permission to the Redwood City School District (RCSD) to release information from my child's education records (listed below) to authorized staff frons the (CONTRACTOR) to support the Out -Of -School Time services provided to my child. Additionally, I grant permission for teachers, counselors and other school staff to verbally communicate any academic information regarding my child to the representatives of CONTRACTOR in order to best support my child's achievement. I authorize the RCSD to share the following categories of information with CONTRACTOR: • State -assigned Student ID # -- SSID • School ID • EL designations • CAASPPISBAC scores • Beginning of year, middle of year, and end -of -year reading and math proficiency levels • Beginning of year, middle of year, and end -of -year reading and math performance bands • 6`h -8`h grade students' GPA • Student attrition and retention (students'start and end dates in district) • Attendance (tardies, absences)- Number (#) of instances • Behavioral referrals (#) of instances 1 further authorize the RCSD to provide CONTRACTOR with real-time access to the above - listed information through its electronic student information system, PowerSchool. This authorization is valid for as long as my student receives services from CONTRACTOR, unless my consent is revoked earlier in writing. Timing of Data Request and Return CONTRACTOR runs its programs during the school year and the summer. Therefore, it will be able to submit a unified annual data request in June, September, December, and March of each year (including for students who participated over the previous school year and/or summer). The data requests will be submitted by the I" day of the months identified. CONTRACTOR will compile its data request electronically. CONTRACTOR will also share its set of student data with the District in August/September, January, and June. RCSD will provide the data in the form of an Excel document. The Excel document will include two sheets—one for the CONTRACTOR list of students who have returned signed consent forms authorizing the release REV: 11-14-1715 ATTY/AGR.2017.270/Redwood City School Distdfete 14 of 17