| PARENT’S RIGHT TO KNOW NOTICE
School Name:
________________________________________________________________________
Name of Student:
________________________________________________________________________
Name of Parent(s) {including address}:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date Information Requested: ________________________________________________________________________
Name of Teacher or
Paraprofessional: ________________________________________________________________________
Grade and Subject(s) Taught Related to this Request: ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Completed by the Personnel Department
Post Office Box 038991, Tuscaloosa, Alabama 35403
Telephone: (205) 759.3677 Fax: (205) 759.8351 Email: wmaddox@tusc.k12.al.us
Teacher
1. Has the teacher met the qualifications and licensing criteria
for the grade levels and subject areas in which he/she teaches?
_________Yes ________No
2. Is the teacher teaching under emergency or other provisional
status?
_________ Yes __________ No
3. List the professional qualifications of teacher:
Undergraduate Degree: ___________________________________________
Certification: ____________________________________________________
Graduate Degree: ________________________________________________
Certification: ____________________________________________________
Paraprofessional
4. Is the paraprofessional providing instructional services to
the student?
__________ Yes _________No
5. If yes, what are the qualifications of the paraprofessional?
High School Graduate: ____________________________________________
Undergraduate Degree: ____________________________________________
6. If the paraprofessional does not have an undergraduate degree,
but does have
hours towards an undergraduate degree or an associate’s degree,
what are the number of hours?
College/University: ________________________________________________
Major: __________________________________________________________
Hours: __________________________________________________________
______________________________
Director of Personnel
______________________
Date
CC: Teacher/Paraprofessional
SOURCE: Tuscaloosa City Schools, Tuscaloosa, Alabama
DATE: 3/17/03
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