Meeting Participation Form
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1The School Board of St. Lucie County, Florida
Meeting Participation Form
Date:_____/_____/_____
:
To the Parents/Adult Student
Student:
ID#:
You have the opportunity and are encouraged to participate in conferences regarding the educational program for your son/daughter as
prescribed by State Board of Education Rule 6A-6.0331. A meeting has been scheduled at:
School:
Date:
Time:
If the listed time, date, and location are not agreeable to you, please notify the school official listed below for further information.
School Official:
Telephone #:
Purpose of the meeting [Check () all that apply]
1. Parent Conference
2. The review of evaluation information and the determination of the appropriate educational program
for your child (Eligibility/Placement Staffing and develop Individual Educational Plan or Education Plan if
appropriate).
3. The determination of reevaluation instruments.
4. The review of reevaluation data and updating the individual education plan.
5. The review and updating of the individual education plan for your child.
6. The review of the gifted education plan (EP).
7. The development and/or review of the Transition Individual Education Plan, which may include agency participation
as listed below .*
____beginning at age 14, the student will be invited, and the purpose of the meeting is to develop a statement of
the student’s transition needs. **
____beginning at age 16, the student will be invited to the meeting, and the purpose of the meeting is to
consider transition services needs, and identify any agency invited to send a representative. **
8. Manifestation Determination.
9. Other (please specify) ____________________________________________________________________________
This is to inform you that either party may invite individuals with knowledge or special expertise to the meeting. The following people are
scheduled to participate in this meeting:
Name
Title
Name
Title
Student* *
LEA Representative
(as appropriate)
ESE Teacher
Evaluation Specialist
General Ed Teacher
*Agency Representative
Other
Other
*Agency involvement for transition, is based only on prior consent.
Under IDEA and State Law, when a legally competent student reaches the age of majority (18), he/she has all rights pertaining to education
transferred to him/her including a copy of this and all other notices/consents.
If due to a disability you need special accommodations to receive school board information or to participate in school board functions, call (772)
429-3600 and ask for the School Board secretary.
Telecommunications Device for the Deaf (TDD) phone is available by dialing (772) 429-3919.
For invitations to nonpublic school representatives, please be sure the name of the private school is identified.
PARENT: Please () Check one of the following:
1. I will attend on the above date and time.
2. I wish to attend, but on another date or time. Please suggest date/time: ________________________________________
3. I am unable to attend, please continue the meeting without me and forward copies of all paperwork to my home.
4. You and school/district staff have the right to invite a person with knowledge or expertise about the student. If you would like, you may
invite someone to the meeting.
5. Do you need a language interpreter? Yes No
If Yes, what language or dialect:__________________________
As a parent, you have certain protections under the attached procedural safeguards. For further explanation of your rights, contact the school
guidance counselor or ESE chairperson.
Record of Contact Attempts:
OFFICE USE
1
._______________________________________________________________________________________________________________________________
(Date)
(Type of Contact)
(Results)
Attempt made by
: _______________________________________________________________________________________________________________
2._______________________________________________________________________________________________________________________________
(Date)
(Type of Contact)
(Results)
Attempt made by: _________________________________________________________________________________________
White: Cum File or ESE Audit File Canary: Parent/Adult Student Pink: Parent/Adult Student
XED0081 Rev. 9/02
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