Illinois Statutory Short Form Power Of Attorney For Property (Page 6 of 7) in pdf

Illinois Statutory Short Form Power Of Attorney For Property Page 6

EXHIBIT B

DELEGATION OF RIGHTS TO MAKE EDUCATIONAL DECISION

THIS EXHIBIT, WHICH IS ATTACHED TO ILLINOIS STATUTORY SHORT FORM POWER

OF ATTORNEY FOR PROPERTY (HEREINAFTER REFERRED TO AS "POWER"), IS

HEREBY INCORPORATED THEREIN AND MADE A PART THEREOF BY REFERENCE.

this

_________

day

______________________,

20_____,

_____________________________________, execute this Delegation of Rights, in

express accordance with and pursuant to Public Act 095-0372, which amended the Illinois

School Code by adding Section 14-6.10 (105 ILCS 5/14-6.10), “TRANSFER OF PARENTAL

RIGHTS AT THE AGE OF MAJORITY”, effective 8/23/2007.

I, _____________________________________, am 18 years of age or older and a student

who has the right to make educational decisions for myself under State and federal law. I

have not been adjudged incompetent and, as of the date of the execution of this document,

I hereby delegate my right to give consent and make decisions concerning my education to

my Agent, who will be considered my "parent" for purposes of the Individuals with

Disabilities Education Improvement Act of 2004 and Article 14 of the School Code and will

exercise all of the rights and responsibilities concerning my education that are conferred on

a parent under those laws. I understand and give my consent for My Agent, to make all

decisions relating to my education on my behalf. I understand that I have the right to be

present at meetings held to develop my individualized education program and that I have

the right to raise any issues or concerns I may have and that the school district must

consider them. This delegation will be in effect for one year from the date of execution of

this document, and may be renewed by my written or other formal authorization. I also

understand that I have the right to terminate this Delegation of Rights at any time and

assume the right to make my own decisions regarding my education. I understand that I

must notify the school district immediately if I revoke this Delegation of Rights prior to its

expiration.

_______________________________________________

Student (Principal)

Accepted by:

_______________________________________________

Designated Representative (Parent)

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Illinois Statutory Short Form Power Of Attorney For Property Page 6