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Richland SD |  E  5123  Students

Promotion/Acceleration/Retention   

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Exhibit 1

California Department of Education

Parental Agreement Form

Agreement for Pupil to Continue in Kindergarten

Reflects amendments to Education Code Sections 46300 and 48011, effective Jan. 1, 1992.

Name of Pupil ______________________________________________________

Kindergarten Attendance Anniversary Date _______________________________

Name of School Official Approving For District ___________________________

Information for parent or guardian

California law provides that after a child has been lawfully admitted to a kindergarten and has attended for a year, the child shall be promoted to the first grade unless the school district and the child's parent/guardian agree to having the child continue to attend kindergarten for not longer than one additional year. This rule applies whether a child begins kindergarten at the beginning of a school year or at some later date, so that a child who begins kindergarten in January, for example, shall be promoted the following January unless there is formal agreement to have him or her continue in kindergarten. Because kindergarten-age children often do not develop at steady or predictable rates, the California Department of Education recommends that approval for a child to continue not be given until near the anniversary of a child's admittance to kindergarten.

I agree to having my child (named above) continue in kindergarten until_________

(date)

(may not be more than one year beyond anniversary)

Signature of Parent/Guardian _____________________________ Date ________

Print/type name of Parent/Guardian______________________________________

Address ___________________________________________________________

Telephone Number___________________________________________________

PLEASE SEE DISTRICT MATERIAL IN DISTRICT OFFICE

FOR THE SPANISH VERSION OF E 5123

ENTITLED

" Agreement for Pupil to Continue in Kindergarten"

Exhibit RICHLAND SCHOOL DISTRICT

version: August 14, 2017 Shafter, California

_____________________________________________________________

Exhibit 2

RETENTION CHECKLIST

STEP 1: Meet with Parent of At-Risk Students (Sign "Conference About Retention Referral" Form)

DATE DUE: 5-10 Weeks after student enrolls

DATE COMPLETED: ___________________

STEP 2: Meet with parents and develop a written action plan. (Contract Form)

DATE DUE: October-January

DATE COMPLETED: ___________________

STEP 3: Submit SST referral.

DATE DUE: October-February

DATE COMPLETED: ___________________

STEP 4: Follow Up with Parent as agreed upon in Contract. (Parent Acknowledgement Form)

DATE DUE: March-April

DATE COMPLETED: ___________________

STEP 5: Final recommendation to Principal (Copies of all Forms)

DATE DUE: April

DATE COMPLETED: ___________________

CONFERENCE ABOUT RETENTION REFERRAL

Student __________________ Room _______ School __________________

I have conferenced with ________________________________ and understand that my child's achievement in school is low and his/her status is being reported to the Principal who will decide whether to retain him/her in the ____________ grade for the ______________ school year.

Parent Signature ________________________ Date _________________________

In order to support_________________________, we agree to do the following:

PARENTS' RESPONSIBILITIES:

______Send my child to school on time every day.

______Read with my child daily (or provide time for my child to read each day).

______Provide my child with time to do homework daily.

______Attend all meetings regarding my child's progress.

______Stay in contact with my child's teacher.

______Other ________________________________________________________

___________________________________________________________________

STUDENT'S RESPONSIBILITIES:

_______Attend school on time every day.

_______Read each day.

_______Complete my homework daily.

_______Ask all meetings regarding my child's progress.

_______Other ________________________________________________________

____________________________________________________________________

____________________________________________________________________

TEACHER'S RESPONSIBILITIES:

_______Provide a positive learning environment.

_______Attend all meetings regarding progress.

_______Provide continuous feedback to parents regarding student progress.

_______Other_________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

COMMENTS:_________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Signatures: _____________________________ ____________________

Student (optional) Date

_____________________________ ____________________

Parent Date

_____________________________ ____________________

Teacher Date

PARENT ACKNOWLEDGEMENT

To the Parents of: _____________________________________________

The Governing Board of the Richland School District recognizes that academic success in each grade level is necessary if students are to be successful at the next grade level.

On the following dates, ______________, _______________, ______________, we have conferenced with you about the skill areas where your child has not made satisfactory progress. Interventions for your child have been provided, including:

____________________________________________________________

____________________________________________________________

____________________________________________________________

After careful study and evaluation of many factors leading to student achievement, the decision has been made to give your child additional time to master skills and concepts. (Board Policy 5123)

Therefore, this letter is to officially inform you that your child will be retained in ______ grade for the _____________ school year.

Sincerely,

__ I Agree

__ I Disagree

Parent Signature ___________________________________ Date _________________

Exhibit RICHLAND SCHOOL DISTRICT

version: August 14, 2017 Shafter, California