New Submission

Datefield type date
Bonneville School District has designated the following personally identifiable student information as directory information that may be disclosed to third parties without parental consent, including publication of this information on the District’s website and social media pages:
Under the federal and state law, school districts are required to distribute lists of high school juniors and seniors (i.e., 17 years and older) with their names, addresses, and telephone numbers to Idaho colleges and universities and United States Armed Forces recruiting agencies, However, the Family Educational Rights and Privacy Act provides parents/guardians the option to withhold the release of this information each year. If you wish to withhold the release of your child’s name, address, and telephone number, you must complete the form below. The request to withhold the student information is applicable only to the current school year.

Request to Withhold Directory Information

Student Number*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Birth Date*field type date

Student First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Student Middle Namefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Student Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Parent First Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Parent Last Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Please check all that apply:
field type checkbox
I do not wish to have any directory information of the student named above released to any individual or organization, excluding the two listed below.
field type checkbox
I do not wish to release the name, address and telephone number of the student named above to United States Armed Forces (Military) Recruiting Agencies
field type checkbox
I do not wish to release the name, address and telephone number of the student named above to colleges, universities or other Institutions of Higher Education

School Yearfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
DCIDfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Opt Outfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Last Initialfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
This field contains a calculation error.
References: Student Last Name