Common Core Opt Out printable pdf download

Common Core Opt Out

PLEASE T AKE N OTICE a ny a nd a ll s chool a dministration, f aculty o r i ndividual(s) a cting

on b ehalf o f t he D istrict, t hat i n a ccordance w ith t he f undamental c onstitutional

rights o f p arents a nd l egal g uardians t o d etermine a nd d irect t he c are, t eaching and

education o f t heir c hildren, a nd t he r elevant s tate a nd f ederal s tatutes, I h ereby

exempt m y c hild _ ________________________________from t he f ollowing c heck

marked a ctivities a s o f t he s ubmitted d ate o f t his n otice through D ecember 3 1, 2 014.

o Any a nd a ll s tandardized t esting o r a ctivities r equired b y l aw, u nder w hich

individual s tudent d ata a re c ollected a nd/or s hared w ith t he f ederal

government o r o ther e ntities o utside o f t he l ocal s chool d istrict; o r a re u sed for

the p urposes o f s chool, s tudent, o r t eacher a ccountability, i ncluding b ut not b y

way o f l imitation t o, a cademic, a chievement a nd a nnual t ests, s tate-‐wide

performance a ssessments a nd C ommon C ore S tate S tandards a ligned

assessments a nd p ilots, c omputer a daptive t esting a nd a ssessments designed

by P artnership f or A ssessment o f R eadiness f or C ollege a nd Careers ( PARCC).

THIS I NCLUDES A NY T HIRD G RADE S TANDARDIZED READING A SSESSMENT.

o Any and all tests, assessments, or surveys of my child’s interests, family

information, c areer p lanning o r o ther n on-‐academically r elated i nformation.

o Any and all tests, assessments, or surveys not l imited solely to proficiency i n

core a cademic s ubjects.

Student N ame

Grade

Parent/Guardian’s N ame(s)

Signature

Date s ubmitted

Daytime/Evening P hone N umber(s)

E-‐ M ail a ddress

School D istrict

Received b y ( school a dministrator)

Signature

Date r eceived

Common Core Opt Out