Memo Regarding Student Interview/Photography/Video
Dear Students and/or Parents/Guardians,
A part of the communication efforts of the Davis School District (DSD) and Vista Education Campus (VEC) is to let
the general public know about the educational activities occurring within the walls of our schools. The DSD Special
Education Department and VEC, specifically, may at times videotape, photograph, or interview students at a school,
community, or work-site activity and may want to use those photos in their offices or other publications.
IDEA provides for confidentiality of students in Special Education. Where VEC is a school with
programs entirely for special education students, identification of a student as a VEC Student discloses
that they are
receiving Special Education services. As a result, VEC requires permissionIRUDQ\VWXGHQW
WRSDUWLFLSDWHLQPHGLDSLFWXUHYLGHRLQWHUYLHZ. Thus, \RXUH[SUHVVLQWHQWVDUHUHTXHVWHGLQWKLVIRUP.
At times the media may choose to highlight district or school work or activities (which may include community and
work-sites). Reporters may contact the DSD or VEC regarding a story. We make every effort to work together with
the media and to ensure that our efforts or viewpoints can be communicated. At DSD, we strive to promote our
programs, as well as recognize our students’
abilities and accomplishments. Consequently, DSD often invites
reporters to the schools to cover educational activities and events, as well.
Because education is student-centered, the media often pursues stories that center on students. Therefore, we are
requesting permission, in advance, for you (if you are your own guardian) or your student (if you are your student’s
guardian) to be interviewed, photographed, or videotaped.
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2. □ Limited Participation — I (if own guardian) or my student(if guardian) mayparticipate in Stu
dent Interview/
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3. □ Full Participation — I am (if own guardian) or my student is (if guardian) PD\ participate in Student,QWHUYLHZ
Student Name: _____________________________________________ Student Number: _____________________
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Signature of Student (if own guardian) or Guardian ____________________________ Date __________________
Office Use: Received by
_________________________________________________ Date ___________________
If you have any questions or concerns about this information, please
contact James Gordon
at Vista Education Campus (801.402.5975 or jgordon@dsdmail.net). Thank you!
. □ 1RQParticipation — I (if own
guardian) or my student(if guardian) PXVWQRWparticipate in Student,QWHUYLHZ
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Vista Education Campus
Davis School District
2022 School Year
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