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ISA ROI-Consent
Handle: Document-108964
Owner: Geveshausen, Olivia (User-6386, 15414:EVERETT)DS
Tuesday, October 15, 2019 02:07:55 PM PDT
Thursday, January 16, 2025 12:57:00 PM PST
Modified By: Geveshausen, Olivia (User-6386, 15414:EVERETT)DS
Locked By:
  • Page 1 of 2
Rev.
  • 9-30-19
CONSENT TO SERVICES and RELEASE OF INFORMATIONUnder the Family Education Rights and Privacy Act (FERPA) 2018-2021I consent for my family to receive school success services through the United Way Improving SchoolAttendance Collaborative.
  • I
understand the Program Coordinator and the CFA will use these education records to monitor mychild(ren)’s academic progress and to evaluate and improve the support the CFA offers.
  • This release may be revoked or withdrawn at any time in writing, but that will not affect any information
already shared.
  • 222
Email: Fax: 425-353-5546Email: monicabestwilson@housinghope.orgYou...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
1_ISA ROI-Consent 2021-2023.pdf
No
4
222891
No
Appears In: Kids In Transition
Preferred Version: ISA ROI-Consent