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: ___________________________
Exhibit SAN MATEO UNION HIGH SCHOOL DISTRICT
version:: May 14, 2013 San Mateo, California