| Please print, fill out the appropriate section, sign and return this
letter by mail to the address below.|
Teacher's Request for Information
205 Chubb Avenue
Lyndhurst, NJ 07071
My personal username is __________________________________________
My class username is _____________________________________________
My student's name is
first and last name].
[Check boxes that are applicable:]
I would like to review any personally identifiable informtchrequestation you have collected from this student.
I would like you to remove any personally identifiable information you have on this student from your records and terminate this student's Lectorum Global Classport account.
By my signature, I affirm that I am the teacher of the student with the personal information 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 student is participating in other activities using another name and/or Global Classport ID.
You may respond to my request(s) by either e-mail or postal mail at the following addresses:
My e-mail address is