Please print, fill out, sign and return this letter by mail to the address below.|
Teacher's Request for Information
New York, NY 10012
My name is
In order for you to do a comprehensive check of your records, I understand that I need to provide you with the following information:
My student's name is _________________________ [child's first and last name].
My student's e-mail address is _________________________ [child's e-mail address].
My student's individual user name is _________________________ [child's username].
The Scholastic website is _________________________ [fill in URL or web address].
The program or activity is _________________________ [fill in name of activity].
[Check boxes that are applicable:]
Please tell me whether you have collected online from student and are currently holding his/her name and e-mail address or any other personally identifiable information (such as but not limited to school name and location) in association with the above program or activity on the above website. If you have collected personally identifiable information from this student, I would like to review this information.
If you have collected online from my student and are holding his/her name and e-mail address or any other personally identifiable information (such as but not limited to school name and location) in association with the above program or activity on the above website, please remove it from your records and do not allow such student to participate in such contest, sweepstakes or other online activity in which such student has enrolled.
I refuse to permit further collection or use of my student's personally identifiable information in connection with such program or activity on the specified website.
Please use the box below to provide any additional details that may help us process your request:
Please respond to this letter at the following address:
By my signature, I affirm that I am a teacher of the child with the name and e-mail address that I have provided in this letter. I understand that from the information I have provided in this letter, you have no way of knowing whether this child is participating in a contest, sweepstakes or other activity using another name and e-mail address, or whether this child is participating in online classroom activities using a class-wide username and password. I also understand that if you have separately received consent from the student's parent for the student to participate in a program or activity, that you may limit your compliance with the requests in this letter to those programs or activities to which I have given consent, unless and until you are directed otherwise by the parent.