№ lp_1_2_21125
Formal agreement outlining obligations of a 21st Century Community Learning Center grantee to collect, share, and protect student data for federal and state evaluation and reporting.
Effective Date: [Insert Effective Date]
Parties: [School/LEA Name], [Grantee Name]
Purpose: Authorize release and use of student personal and educational data
Data Elements: PASecure ID, Last Name, First Name, Grade Level, Educating School Building, PSSA/PASA scores, GPA, School attendance rate, In-school suspensions, Graduation/promotion/dropout status, Student demographics (race/ethnicity, economically disadvantaged, sex/gender, language, disability)
Compliance: Federal GPRA measures, state 21st Century CCLC evaluation, FERPA
Consent: Written parental consent required
Data Sharing: Allegheny Intermediate Unit Department of Evaluation, Grants, and Data; local evaluator [Name]
Term: 12 months, renewable annually
Data Retention: PII destroyed within 30 days after no longer needed
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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