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 email address is _________________________ [child's email address].
My student's individual user name is _________________________ [child's username].
The Scholastic website, online service or app 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 any personally identifiable information online from my student (such as but not limited to email address, 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 any personally identifiable information online from my student 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 online program or activity.
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 email address that I have provided in this letter. I understand that Scholastic may require additional verification of my identity and relationship to the child, and that I have consent from the childís parent (either directly or through the school) to act as the parentís intermediary for these purposes, in order to comply with the requests 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 another program or activity using another name and email 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 studentís parent for the student to participate in your other online programs or activities, 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, and that if you have received conflicting instructions from the studentís parent regarding the same program or activity specified above, you reserve the right to comply with the parentís instructions, not mine.