topleft CSBA.org >  Services >  Governance Technology > 

Mark Twain Union ESD |  E  6174  Instruction

Education For English Language Learners   

arrow Previous bar Next arrow

PARENTAL EXCEPTION WAIVER EDUCATION CODE 311

Student's Name: Grade:

School: Date of Birth:

Student's Primary Language:

I request a waiver of the placement of my child in the school's structured/sheltered English immersion program for the following reason:

__ My child possesses good English language skills. (Education Code 311(a))

__ My child is 10 years of age or older and I believe that an alternate course of study is better suited to my child's rapid acquisition of English. (Education Code 311(b))

__ I believe that my child has special needs and that an alternate course of study is better suited to his/her educational development. (Education Code 311(c))

I understand that the objective for my child is to be taught English as rapidly and effectively as possible. I have been provided a full written description of the intent and content of the structured English immersion program; any alternative courses of study offered by the district and made available to my child; all educational opportunities offered by the district and made available to my child; and the educational materials to be used in the different educational program choices.

I have personally visited the school to apply for this waiver.

I understand that I must request that this waiver be reconsidered annually, each school year.

Parent/Guardian Signature: Date:

Address:

City: State: Zip:

Phone Number:

For School Use Only:

For waivers pursuant to Education Code 311(a), student's English standardized test scores: (Scores must be at or above the state average for the child's grade level or above the 5th grade average) _____________________________________________________________

Waiver Granted/Denied: Date:__________________

Signature:_________________________________ Title: ___________________________

Spanish version of this Exhibit is available at the District office

Exhibit MARK TWAIN UNION ELEMENTARY SCHOOL DISTRICT

version: May 21, 2015 Angels Camp, California

___________________________________________________________________________

Exhibit (2)

PARENTAL EXCEPTION WAIVER

EDUCATION CODE 311(b): Children age 10 or older

Name: Grade:

School: Date of Birth:

Language Designation:

My child is 10 years of age or older and I believe that an alternate course of study is better suited to my child's rapid acquisition of English. For that reason, I request a waiver of the school's Structured/Sheltered English language program. I understand that the objective for my child is to be taught English as rapidly and effectively as possible.

I have personally visited the school to apply for this waiver.

I have been provided a full written description of: the intent and content of the structured English immersion program; any alternative courses of study offered by the district and made available to my child; all educational opportunities offered by the district and made available to my child; and the educational materials to be used in the different educational program choices.

I understand that I must request that this waiver be reconsidered annually, each school year.

Parent/Guardian Signature: Date:

Address:

City: State: Zip:

Phone Number:

For School Use Only:

Waiver Granted/Denied: Date:

Signature:

Spanish version of this Exhibit is available at the District office

Exhibit MARK TWAIN UNION ELEMENTARY SCHOOL DISTRICT

version: May 21, 2015 Angels Camp, California

___________________________________________________________________________

Exhibit (3)

PARENTAL EXCEPTION WAIVER

EDUCATION CODE 311(c): Children with Special Needs

Name: Grade:

School: Date of Birth:

Language Designation:

I believe that my child has special needs and that an alternate course of study is better suited to his/her educational development. (Check all that apply and provide a brief statement)

____ Educational Needs ____ Physical Needs ____ Emotional/Psychological Needs

Therefore, I request a waiver of the school's Structured/Sheltered English language program. I understand that the objective for my child is to be taught English as rapidly and effectively as possible. I have personally visited the school to apply for this waiver.

I understand that my child must be placed in an English language classroom for 30 calendar days and that this waiver will be considered by the Superintendent pursuant to Board-established guidelines.

I have been provided a full written description of: the intent and content of the structured English immersion program; any alternative courses of study offered by the district and made available to my child; all educational opportunities offered by the district and made available to my child; and the educational materials to be used in the different educational program choices.

I understand that I must request that this waiver be reconsidered annually, each school year.

Parent/Guardian Signature: Date:

Address:

City: State: Zip:

Phone Number:

For School Use Only:

Waiver Granted/Denied: Date:

Signature:

Spanish version of this Exhibit is available at the District office

Exhibit MARK TWAIN UNION ELEMENTARY SCHOOL DISTRICT

version: May 21, 2015 Angels Camp, California