PARENTAL EXCEPTION WAIVER
EDUCATION CODE 311(a): Children who know English
Name: ________________________________ Grade: ______________________
School: ________________________________ Date of Birth: ________________________________
Language Designation: ________________________________
My child possesses good English language skills and 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:
Child'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:__________________________________________
Exhibit MODOC JOINT UNIFIED SCHOOL DISTRICT
version: November 14, 2006 Alturas, California
EDUCATION FOR ENGLISH LANGUAGE LEARNERS
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:__________________________________________
Exhibit MODOC JOINT UNIFIED SCHOOL DISTRICT
version: November 14, 2006 Alturas, California
EDUCATION FOR ENGLISH LANGUAGE LEARNERS
PARENTAL EXCEPTION WAIVER
EDUCATION CODE 311