California Common Core Data Opt-Out Form (Page 2 of 2) in pdf

California Common Core Data Opt-Out Form Page 2

Instructions and Information about Using the

California Common Core Data Opt-Out Form

What to Do:

1) Make copies and share this California Common Core Opt-Out form with other parents.

2) Fill the form out to indicate that you do not allow your child to take any Common Core formative

tests during the school year or a summative Common Core or other standardized test over any

subjects at the end of the school year. In addition, your child is not to be given any

questionnaire or survey without your prior written permission.

3) Submitting this form for each student will help protect your child[ren]’s and family’s privacy.

4) Make two copies of the completed form. Then, sign and date each copy in ink.

5) Take both completed forms to the school office.

6) Ask the school secretary or school principal to sign and date; and or to place the school

“Received” stamp on each copy of the form.

7) Keep one copy for your family and ask that the school keep a copy in your child’s school

records.

8) Fax, mail by certified, return-receipt or email a copy to the school district Superintendent.

9) Then make and give a copy to each of your child’s teachers. Keep a copy for yourself.

10) Ask to see your child’s records at least twice during the school year to monitor data being

collected and to verify that it is not being sent outside of the school district.

11) Resubmit a copy of this Opt-Out form for each child when you enroll them for the next school

year. Follow steps 1 through 11 as on the previous year.

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To download more copies of this California Opt-Out form and for more information about

Common Core Standards, standardized testing, your parental rights and

data collection, please visit:

Version 131105_1450

California Common Core Data Opt-Out Form Page 2