Written Agreements Between The Parent And The District printable pdf download

Written Agreements Between The Parent And The District

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Written Agreements between the Parent and the District

Student Name

Birth Date

Student ID #

Attending School

Case Manager

The authorized District staff has explained to the Parent that he or she is not required to enter into any of

these agreements.

________________________________________

Authorized District Staff – Print Name

Date

1. THREE YEAR RE-EVALUATION

The District and the Parent agree that the District will not conduct a three-year re-evaluation which is

due on:

Parent Signature

Date

Authorized District Staff Signature

Date

Note: Prior Notice about Evaluation/Consent for Evaluation is not required.

2. IEP TEAM ATTENDANCE NOT REQUIRED

A. CONTENT AREA OF EXCUSED MEMBER NOT DISCUSSED AT MEETING

The District and the Parent agree that the following member(s) of the IEP team are not required to

attend the IEP meeting on

, in whole or in part, because the member’s area

of the curriculum or related service is not being modified or discussed in the meeting. List name(s) of

member(s):

Parent Signature

Date

Authorized District Staff Signature

Date

B. CONTENT AREA OF EXCUSED MEMBER DISCUSSED AT MEETING

The District and the Parent agree that the following member(s) of the IEP team may be excused from

attending the IEP meeting on ________________, in whole or in part, when the meeting involves a

modification to or discussion of the member’s area of the curriculum or related services, if the member

submits in writing to the team input into the IEP before the meeting. List name(s) of member(s)

Parent Signature

Date

Authorized District Staff Signature

Date

Form # 581-1281-P (Rev. 7/07)

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Written Agreements Between The Parent And The District