.
.

Forms >

Education >
Consent Form for CAFN Education Staff

Consent Form for CAFN Education Staff

The purpose of this form is to allow you to give us your consent (or not) to release personal and confidential material related to your childrens.
Please check in the options below the right ones for you.

I hereby give consent to CAFN education staff to provide support and programs for all of my child(ren) within any of the Yukon schools.
I hereby give consent to CAFN education staff to communicate private information to its affiliates to ensure eligibility for scholarships, awards nominations, partnerships (i.e. Dakwakada Development Corporation, CA Trust, etc.).
I hereby give consent to CAFN education staff to communicate with teachers, school administration, other service providers and other CAFN staff (Employment and Training Officer; Post-Secondary Officer; CAFN Case Manager) in matters related to my child (ren) within any of the Yukon schools.

I provide consent for the release of my child(ren)’s educational records to enable the Yukon Department of Education to provide data to the Champagne and Aishihik First Nations Government, as follows:

Release of attendance records (may be used to support regular attendance at school).
Release of individualized reports from teachers, counsellors and administrators. This includes IEPs, behavioral plans, students support plans, school incident reports, etc.
Release of reports cards and transcripts.
Advocate on behalf of my child (ren) and myself. This includes attending school meetings, sitting in on disciplinary meetings, meeting with other agencies (your ESW will sit in on your behalf, take notes and relay information back to you).

All the information provided is kept confidential and access to these documents is restricted to CAFN Education Department Director and staff, on an as needed basis.

This consent form is valid for (please choose one of the options below):

If at any time I wish to withdraw this consent, I will submit a letter to the Director of Education or the Education Support Worker indicating my withdrawal and for which student(s).

Children 1 Data
Full Name including middle & last name
Additional Name (nick name)
DD slash MM slash YYYY
School and Grade
Print Parent/Guardian Name:
Clear Signature
MM slash DD slash YYYY