Adopted: October 2006
Revised:
Download 602.5.1.3P - Permission for Retention Assessment
Date:
Dear Parent/Guardian,
We have reviewed the request for retention for your child, ____________________________.
That review has resulted in a recommendation to conduct a retention assessment. We
need your written permission with the testing. The following areas will be evaluated:
· Social and emotional development;
· Intellectual ability, and
· Academic achievement.
Please indicate your permission to proceed with the assessment by signing and returning
the bottom portion of this sheet to me at your child’s school. If you have any questions,
please call ____________________________ at ( ) .
case manager phone number
Sincerely,
____________________________________________
Signature of Principal
------------------------------------------------------------------------------------------------------------------------------------------------
(cut and return bottom portion)
Request for Retention Assessment
Yes, I give permission for the school to proceed with retention assessment of my child.
No, I do not give the school permission to proceed with retention assessment of my child.
______________________________________________ ____________
Student’s Name Grade
______________________________________________ ____________
Signature of Parent or Guardian Date
Received by principal ______________________________________________ ____________
Signature of Principal Date