Camden County Schools Military Connected Students Form
NOTE: General Statute does not mandate that this letter, or any other communication on this data
collection, be mailed thr
ough the U.S. Postal Service. Distribution through student folders or other
internal communications means is sufficient.
Dear Parent or Guardian,
In an effort to ensure that the unique needs of military-connected students are met, Session
Law 2014-15 requires the North Carolina State Board of Education/North Carolina Department
of Public Instruction to collect information on military-connected students. The goal is to help
accommodate these students by providing them with support and consistency when their
parents are deployed, when they are transitioning between schools, and at other pivotal times
during their academic career.
This mandatory collection starts in the 2015-16 school year. The Session Law 2014-15 that
describes this requirement can be accessed at:
http://www.ncleg.net/Sessions/2013/Bills/House/PDF/H1060v3.pdf
.
To ensure compliance with Session Law 2014-15, please complete the following information:
Is an immediate family member of your child connected to the U.S. Military, including Active
Duty, National Guard and Reserves, Retired Military, Disabled Veteran, Veteran or a Federal
Civil Service Employee?
Immediate family member” is defined as a parent, step-parent, sibling, guardian or any other
person that would normally live in the same household as the child.
Yes No
If Yes, please complete the information for each family member on the reverse side.
Example and Options:
Relationship
Branch
Status
Grade
Military Installation
Father
Army
Active Duty
E-4
Fort Bragg
Branches: Air Force, Army, Coast Guard, Marine Corps, Navy
Status Options: Active Duty, Activated Guard/Reserve, National Guard, Reserves, Retired
Military, Disabled Veteran, Veteran, Federal Civil Service, Deceased, Deceased KIA, Foreign
Military
Installation (Optional): The facility where the service member fulfills their duty role in the
military.
(e.g. Fort Bragg, NG Raleigh Armory, Knightdale Reserve Center etc.)
Grade (Optional): Enlisted (E-1 through E-9), Officer (O-1 through O-10),
Warrant Officer (W-1 through W-5)
R
evised February 7, 2019
Camden County Schools Military Connected Students Form
NOTE: General Statute does not mandate that this letter, or any other communication on this data
collection, be mailed thr
ough the U.S. Postal Service. Distribution through student folders or other
internal communications means is sufficient.
(Please return a form for each child in your household)
STUDENT NAME:
Relationship
Status
Grade
Military Installation
Please return this form to the school office form each child in your household.
If you have any questions, please call Ina D. Lane, Chief Student Services Officer at 252-335-0831
ext. 105.