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1. Header Information: Date, full names and addresses of both the authorizing party (usually parent/guardian) and the authorized representative
2. Student Information: Full name, date of birth, and current educational institution of the student for whom authorization is being granted
3. Scope of Authorization: Clear specification of the educational assistance activities and decisions the representative is authorized to handle
4. Duration of Authority: Specific timeframe for which the authorization is valid, including start and end dates
5. Emergency Contact Details: Contact information for the parent/guardian and alternative emergency contacts
6. Declaration of Authority: Formal statement conferring the specified authority to the named representative
7. Signatures and Date: Space for signatures of the authorizing party, authorized representative, and date of execution
1. Medical Information Authorization: Additional authorization for access to student's medical information and decision-making in medical emergencies, if relevant
2. Special Educational Needs: Specific instructions regarding any special educational needs or accommodations required for the student
3. Financial Authority: Authorization for handling specific education-related financial matters or payments
4. Travel Authorization: Permission for school trips or education-related travel, if needed
5. Language Preference: Specification of preferred language for communication if in a multilingual setting
6. Revocation Clause: Optional clause specifying conditions under which the authorization can be revoked
1. Schedule A: Specific Powers: Detailed list of specific educational decisions and activities the representative is authorized to handle
2. Schedule B: Contact List: Comprehensive list of all relevant contact information including school personnel, medical providers, and emergency contacts
3. Schedule C: Special Instructions: Any specific instructions or protocols to be followed in particular situations
4. Appendix 1: Identification Documents: Copies of identification documents of the authorizing party and authorized representative
5. Appendix 2: Related Certificates: Relevant certificates or documentation supporting the authorization (e.g., proof of guardianship, power of attorney)
Authorized Representative
Student
Educational Institution
Educational Assistance
Authorization Period
Educational Records
Emergency Contact
Special Educational Needs
Educational Decision-Making
School Activities
Academic Support
Educational Personnel
Parent-Teacher Meetings
School Administration
Authorization Scope
Educational Materials
Emergency Medical Care
Personal Data
Academic Assessment
Scope of Authorization
Duration
Revocation Rights
Data Protection
Emergency Powers
Confidentiality
Medical Authorization
Educational Decision Making
Communication Rights
Document Access
Travel Authorization
Financial Authority
Liability
Governing Law
Special Instructions
Termination
Dispute Resolution
Education
Legal Services
Healthcare
Social Services
Child Care
Special Education
Educational Consulting
Youth Services
Family Services
Legal Affairs
Student Services
Academic Affairs
International Education
Student Support Services
Document Processing
Family Services
Educational Administration
Compliance
Special Education Services
Education Administrator
School Principal
Legal Counsel
Education Consultant
Special Education Coordinator
Student Affairs Manager
Family Services Coordinator
Educational Rights Advocate
School Social Worker
International Student Coordinator
Educational Program Director
Legal Document Specialist
Family Liaison Officer
Student Support Coordinator
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