Prior Written Notice Of District'S Proposal/refusal Suspension/disciplinary Action Form

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PRIOR WRITTEN NOTICE OF DISTRICT’S PROPOSAL/REFUSAL

Suspension/Disciplinary Action

Hancock County Schools

Student’s Full Name: ____________________________________________________

Date: ________________________

School: _______________________________________________________________

DOB: _________________________

Parent(s)/Guardian(s): __________________________________________________

Grade: _______________________

Address: _____________________________________________________________

WVEIS #: ____________________

City/State: ___________________________________________________________

Telephone: __________________

Dear ______________________________________,

As a result of:

___ a Student Assistance Team (SAT) meeting conducted on ____________________,

___ an Eligibility Committee (EC) meeting conducted on ________________________,

___ an Individualized Education Program (IEP) Team meeting conducted on ______________________,

_X_ a disciplinary action occurring on _____________________________,

___ other ____________________________________________________.

the district is providing you with written notice of the district’s ___proposal / X refusal of the following action(s) with regard to:

___ the educational evaluation or reevaluation of the student.

___ the identification of the student as having a disability.

___ the educational services and/or placement of the student.

___ the provision of a free appropriate public education (FAPE) to the student.

_X_ other Suspend student for 10 days. Conduct and IEP meeting to determine if the misconduct was a manifestation of the

student’s disability. .

Specifically, the district is proposing the team may make a recommendation to Hancock Count Schools superintendent for further

disciplinary action which could include expulsion..

The district is proposing or refusing this action because: the student violated the Safe Schools Act. In accordance with Policy 2419

and IDEA 04, the IEP team must determine if the conduct was a manifestation of the disability before implementing further

disciplinary action.

The evaluation procedure(s), assessment(s), record(s) or report(s) the district used as a basis for the _X_ proposed/ _ refused action

are: Discipline report, WV Code of Conduct and State Law, Student’s IEP, Parent information, teacher reports and observations.

Other options considered include: Student returns to the school setting following the 10 day suspension.

The reasons the above options were rejected are: The nature and severity of the behavior and violations of the Safe Schools Act

require a recommendation for further disciplinary action after the initial suspension.

Other factors relevant to the district’s _X_ proposal / __ refusal are: Prior to the final day of suspension, IEP team will convene and

determine if behavior is a manifestation of the disability. Notice of meeting will be provided. After the IEP steps will be taken to

ensure student receives services and supports to progress in curriculum.

Exceptional students and their parents have protections under the procedural safeguards. A copy of the Procedural Safeguards Brochure and assistance in

understanding the provisions of the procedural safeguards may be obtained by contacting the Director of Special Education at 304-564-3411, as appropriate, the local

Parent Educator Resource Center at __________________ and/or the West Virginia Department of Education, Office of Special Programs at 304-558-2696 or 1-800-

642-8541.

Sincerely,

__________________________________________

Signature/Position

Date

West Virginia Department of Education

July 2013