Reg- 6163.2 APPENDIX A
California High School Exit Exam Waiver Procedures 1.
Student takes the CAHSEE with a non-standard accommodation as allowed by the Individualized Education Plan (IEP) or Section 504 Plan (For example, using calculator in the math section of the CAHSEE).
2.
Student report is received with an equivalent of passing score (350 or above) but indicated “invalid.”
3.
The parent/guardian is notified of the waiver process.
4.
The parent/guardian submits a waiver request to the principal.
5.
The principal or designee collects all pertinent information (for example, IEP, Transcript), completes the waiver forms, and submits a recommendation to the local governing agency (that is, the School Board).
6.
Local governing agency makes a decision whether or not to grant the waiver.
7.
The decision is communicated to the parent/guardian in writing.
8.
A copy of the letter is filed with student’s cumulative folder.
Reg- 6163.2 APPENDIX B
Dear Parent, Your child has received a score on the California High School Exit Exam (CAHSEE) Student and Parent Report labeled “Not Valid” in Mathematics, English-Language Arts or both. The “Not Valid” score indicates that your child took one or both sections of the CAHSEE using “modifications” as specified in either her/his IEP or Section 504 Plan and received a score of 350 or higher. This “Not Valid” score now needs to be presented to the Pleasanton Unified School District Board of Trustees in consideration for the CAHSEE score to be “waived” as specified in California law. If the Board grants this CASHEE Waiver, your child will have met the requirement for passing the section(s) of the CAHSEE indicated, thus enabling her/him to progress toward obtaining a high school diploma. The request for the Pleasanton Unified School District Board of Trustees to consider a CAHSEE waiver must come from the parent, and be addressed to the school principal. The CAHSEE waiver request form is on the back side of this letter. Please complete this form and send it in to your school principal as soon as possible so that your child’s waiver may be considered. Once the waiver request is received, the school principal will compile other necessary documents (your child’s IEP or Section 504 Plan, the transcript, and a copy of the Parent Report showing the “invalid” score) and submit the entire package to the Board of Education. Students are identified only by first name and last initial. The Board will review the documents and make a determination as to whether or not to grant the waiver. They will do so in closed session (no public) and the results will be confidential. You will be notified by letter of their decision. If you have questions about this process or the report; or, if you need assistance completing the CAHSEE waiver form, please contact your child’s counselor or special education case manager. Sincerely, Kent Rezowalli Senior Director, Special Education Pleasanton Unified School District (925) 426-4293
Reg- 6163.2 APPENDIX C
PARENT REQUEST FOR THE CALIFORNIA HIGH SCHOOL EXIT EXAM (CASHEE) WAIVER Dear Principal, My child recently received a score of “Not Valid” on the Exit Exam. As a result of this score, I am requesting that you submit a CASHEE waiver request to the Pleasanton Unified School District Board of Education on behalf of my child. I understand that I will receive written notification of the Board’s decision. Please print:
(Parent/Guardian Name) (Parent/Guardian Signature)
(Date) (Address to Send Notification Letter)
(Home Phone)
(Work/Cell Phone)
Student’s Name: Last
First
Student ID Number:_____________
School: “Invalid” score received in:
Middle
(Date of birth)
Test Date (from Parent Report): _________________
Grade 10 English-Language Arts
Grade 11 Mathematics
Grade 12
Reg- 6163.2
APPENDIX D
PLEASANTON UNIFIED SCHOOL DISTRICT
Page: 1 of 3
CALIFORNIA HIGH SCHOOL EXIT EXAMINATION (CAHSEE) WAIVER REQUEST Waiver of Test Passage for Students With a Disability Send original plus one copy to:
Kent Rezowalli, Senior Director Special Education, PUSD School:
School Waiver Contact:
Position
Student’s First Name and Last Initial:
Waiver #
Date:
Waiver for
ELA
Math
LEGAL CRITERIA 1.
Education Code or California Code of Regulations to be Waived: Education Code Section 60851(a) provides that “Commencing with the 2003-04 school year and each school year thereafter, each pupil completing grade 12 shall successfully pass the exit examination as a condition of receiving a diploma of graduation or a condition of graduation from high school.” 2. Reference Section E.C. 60851
At the parents or guardian’s request, a school principal shall submit a request for a waiver of the requirement to successfully pass the high school exit examination to the governing board of the school district for a pupil with a disability who has taken the high school exit examination with modifications that alter what the test measures and has received the equivalent of a passing score on one or both parts of the high school exit examination. A governing board of the school district may waive the requirement to successfully pass one or both subject matter parts of the high school exit examination for a pupil with a disability if the school certifies to the governing board of the school district that the pupil has all of the following: •
An individualized education program adopted pursuant to the federal Individual’s with Disabilities Education Act (20 U.S.C. 1400 et seq.) or a plan adopted pursuant to Section 504 of the federal Rehabilitation Act of 1973 [29 U.S.C. Sec. 794 (a)] in place that requires the accommodations or modifications to be provided to the pupil when taking the high school exit examination.
•
Sufficient high school level coursework either satisfactorily completed or in progress in a high school level curriculum sufficient to have attained the skills and knowledge otherwise needed to pass the high school exit examination.
•
An individual score report for the pupil showing that the pupil has received the equivalent of a passing score on the high school exit examination while using a modification that fundamentally alters what the high school exit examination measures as determined by the State Board of Education.
The school certifies to the governing board of the school district that the pupil has met all of the criteria listed above. (School Principal’s Signature) (School Principal’s Name--printed)
(Date) (Phone Number)
Reg6163.2 Page: 2 of 3 CAHSEE WAIVER COVER SHEET: INFORMATION ON THE SPECIFIC STUDENT WITH A DISABILITY Student’s First Name And Last Name Initial Only 1. Describe the nature of the student’s disability as identified on the IEP or Section 504 Plan (Please note if this will result in overt identification of the student). 2. Modification Used on: ELA Test Describe modification(s) used on the ELA test.
Math Test Describe modification(s) used on the Math test.
3. List the rationale as to why the modification(s) used to achieve the equivalent passing score on the CAHSEE was necessary to allow the student to access the test.
4. Give a description of the accommodations/modifications that the student regularly uses in the classroom and on other assessments.
ELA
Math
5. This student has successfully completed, or is enrolled in a high school level curriculum sufficient to have attained the skills and knowledge needed to pass the CAHSEE. Please list courses taken and other pertinent information:
I certify that this student attained the equivalent of a passing score upon completing the English language arts and/or mathematics sections of the CAHSEE using a modification that has been determined to “fundamentally alter what the test measures.” (Attach copy of the student’s CAHSEE score report.) “Equivalent of a passing score” (350 or more points): ELA Math Certified By: Title: Date: > > > Attach to this cover sheet the following: 1. An IEP or Section 504 Plan (PLEASE BLACK OUT STUDENT AND PARENT LAST NAME – First Name and Last Name Initial Only) reviewed and approved by the student’s IEP team and parent dated prior to the exam, that indicates all of the accommodations and/or modifications that the student needs to access and participate in statewide assessments; and 2. A certified transcript (PLEASE BLACK OUT STUDENT’S LAST NAME – First Name and Last Name Initial Only) showing sufficient high school level coursework (either satisfactorily completed or in progress) in a high-school level curriculum sufficient to have gained the skills and knowledge otherwise needed to pass the CAHSEE; and 3. A copy of the CAHSEE Student and Parent Report (PLEASE BLACK OUT STUDENT’S LAST NAME – First Name and Last Name Initial Only) showing “equivalent of a passing score.”
Reg- 6163.2
S
A
M
P L
E
PLEASANTON UNIFIED SCHOOL DISTRICT
Page: 1 of 2
CALIFORNIA HIGH SCHOOL EXIT EXAMINATION (CAHSEE) WAIVER REQUEST Waiver of Test Passage for Students With a Disability Send original plus one copy to:
Kent Rezowalli, Senior Director Special Education, PUSD School:
School Waiver Contact:
ABC High School
Mr. John Smith
Student’s First Name and Last Initial: Dillon S.
Waiver # Waiver for
Position
Principal Date:
X ELA
May 26, 2003
X Math
LEGAL CRITERIA 3.
Education Code or California Code of Regulations to be Waived: Education Code Section 60851(a) provides that “Commencing with the 2003-04 school year and each school year thereafter, each pupil completing grade 12 shall successfully pass the exit examination as a condition of receiving a diploma of graduation or a condition of graduation from high school.” 4. Reference Section E.C. 60851
At the parents or guardian’s request, a school principal shall submit a request for a waiver of the requirement to successfully pass the high school exit examination to the governing board of the school district for a pupil with a disability who has taken the high school exit examination with modifications that alter what the test measures and has received the equivalent of a passing score on one or both parts of the high school exit examination. A governing board of the school district may waive the requirement to successfully pass one or both subject matter parts of the high school exit examination for a pupil with a disability if the school certifies to the governing board of the school district that the pupil has all of the following: •
An individualized education program adopted pursuant to the federal Individual’s with Disabilities Education Act (20 U.S.C. 1400 et seq.) or a plan adopted pursuant to Section 504 of the federal Rehabilitation Act of 1973 [29 U.S.C. Sec. 794 (a)] in place that requires the accommodations or modifications to be provided to the pupil when taking the high school exit examination.
•
Sufficient high school level coursework either satisfactorily completed or in progress in a high school level curriculum sufficient to have attained the skills and knowledge otherwise needed to pass the high school exit examination.
•
An individual score report for the pupil showing that the pupil has received the equivalent of a passing score on the high school exit examination while using a modification that fundamentally alters what the high school exit examination measures as determined by the State Board of Education.
X The school certifies to the governing board of the school district that the pupil has met all of the criteria listed above.
(School Principal’s signature)
Mr. John Smith (School Principal’s Name--printed)
May 26, 2003 (Date)
(925) 426-4290 (Phone Number)
Reg- 6163.2
S
A
M
P L
E
Page: 2 of 2
CAHSEE WAIVER COVER SHEET: INFORMATION ON THE SPECIFIC STUDENT WITH A DISABILITY Student’s First Name And Last Name Initial Only
Dillon S.
1. Describe the nature of the student’s disability as identified on the IEP or Section 504 Plan (Please note if this will result in overt identification of the student.) LD (Learning Disability 090) Discrepancy between ability and achievement in the areas of short term memory and visual motor integration 2. Modification Used on: ELA Test Describe modification(s) used on the ELA test. Reader Word Processor
Math Test Describe modification(s) used on the Math test. Calculator
3. List the rationale as to why the modification(s) used to achieve the equivalent passing score on the CAHSEE was necessary to allow the student to access the test. Dillon has difficulty with fine motor skills as well as writing mechanics and organization due to processing deficits. The word processor allows him to demonstrate composition skills. A reader allows him to focus and demonstrate comprehension skills. 4. Give a description of the accommodations/modifications that the student regularly uses in the classroom and on other assessments ELA
Math
Reader Calculator Word processor/spell checker 5. This student has successfully completed, or is enrolled in a high school level curriculum sufficient to have attained the skills and knowledge needed to pass the CAHSEE. Please list courses taken and other pertinent information: Dillon has been enrolled in written language classes at ABC High. The courses included literature, essay writing and writing mechanics. Dillon successfully passed pre-algebra and is currently enrolled in Algebra I. I certify that this student attained the equivalent of a passing score upon completing the English language arts and/or mathematics sections of the CAHSEE using a modification that has been determined to “fundamentally alter what the test measures.” (Attach copy of the student’s CAHSEE score report.) “Equivalent of a passing score” (350 or more points): ELA Math Certified By: Title: Date: >Mr. Smith >Principal >May 24, 2003 Attach to this cover sheet the following: 4. An IEP or Section 504 Plan (PLEASE BLACK OUT STUDENT AND PARENT LAST NAME – First Name and Last Name Initial Only) reviewed and approved by the student’s IEP team and parent dated prior to the exam, that indicates all of the accommodations and/or modifications that the student needs to access and participate in statewide assessments; and 5. A certified transcript (PLEASE BLACK OUT STUDENT’S LAST NAME – First Name and Last Name Initial Only) showing sufficient high school level coursework (either satisfactorily completed or in progress) in a high-school level curriculum sufficient to have gained the skills and knowledge otherwise needed to pass the CAHSEE; and 6. A copy of the CAHSEE Student and Parent Report (PLEASE BLACK OUT STUDENT’S LAST NAME – First Name and Last Name Initial Only) showing “equivalent of a passing score.”
Reg- 6163.2 Page: 3 of 3
APPENDIX E
Special Education Services/ Tri-Valley SELPA Dear Parent/Guardian, At the Pleasanton Unified School District Board meeting on _________, the Pleasanton Unified School District Board of Education (Board) reviewed your request for a waiver of the California High School Exit Exam (CAHSEE) on behalf of your child, _______________________, in the area of: English Language Arts and/or Math The Board has determined that your child has met the CAHSEE waiver requirements. Therefore, your request for a CAHSEE waiver of the requirement to successfully pass the high school exit examination has been granted for: English Language Arts Math We congratulate you and your child on his/her achievement and wish you well as you continue to progress toward the remaining high school graduation requirements. Should you have any questions regarding the waiver, please contact Mr. Kent Rezowalli, Senior Director of Special Education, at (925) 426-4293. Sincerely,
Board of Education President
Cc: School Principal
