Parents and Guardians: Please complete this student release form.

Lebanon Special School District is conducting a survey about school climate and learning in school. The survey will help us create safe and supportive school environments that promote academic success. In prior years, schools have used this information to drive positive changes for student and staff culture. We are asking permission for your child to complete the survey. The survey includes questions about student relationships with teachers, school principals, and other students; school safety, bullying, and substance use; and school rules and the school environment. However, note that there is a delay between the administration of the survey and the analysis of data, so the Tennessee School Climate Survey should not be viewed as a means of communicating health or safety risks.

This survey is voluntary. Students who take the survey may skip any question they do not want to answer or may stop taking the survey at any time. Your child’s teacher will be there to help answer questions. This survey is designed to be anonymous, and your child will be asked to NOT provide their name or any identifying information. Any personnel who have access to the Tennessee School Climate Survey data are required to maintain the confidentiality of the data.

The survey will be administered to students online between November 30th-December 4, 2026. During this time frame an additional survey will be opened for PARENTS to complete. More info to follow regarding the parent survey. Both of these surveys will take 15-20 minutes to complete.

Please scan the QR code to mark whether you would like your child to participate in the survey. You may contact Sarah Burton, Coordinated School Health Coordinator, at [email protected] or by calling 615-449-6060 with any questions about the survey.

Please scan the QR code to mark whether you would like your child to participate in the survey. You may contact Sarah Burton, Coordinated School Health Coordinator, at [email protected] or by calling 615-449-6060 with any questions about the survey.

QR code to release form

Published November 9, 2026 Print