Course of study evaluation for foster youth




Yüklə 54.61 Kb.
tarix08.04.2016
ölçüsü54.61 Kb.
COURSE OF STUDY EVALUATION FOR FOSTER YOUTH

Per AB 216 Legislation [effective January 1, 2014]


Student [last, first, mi]:




Date of birth:




Grade:




Current school of attendance:




Current district of attendance:




Mandatory evaluation timeline:

Date of school entrance/transfer in date:____________

30 day deadline to notify student of eligibility: ___________

Date of this evaluation: __________________


Prior high school(s)s attended:

Grade: ___ School: ____________________________________

Grade: ___ School: ____________________________________



AB 216 eligibility criteria:

(all three boxes must be checked to be eligible)


  • Changed schools and/or districts in grades 11 or 12.

  • Completed at least 2 years of high school

  • Would not reasonably be able to complete the district’s graduation requirements by the end of the 4th year of high school.

AB 216 Transcript Evaluation

COURSE


Each box = 1 semester of coursework (5 credits) 1 course = 1 full year of study (10 credits)

***ELECTIVE CREDITS DO NOT COUNT TOWARD GRADUATION REQUIREMENTS

English

3 courses


English

English

English

English

English

English

Social Studies

3 courses


World History

World History

U.S. History

U.S. History

Gov.

Econ.

Science

2 courses


Physical

Physical

Life

Life







Mathematics

2 courses

Algebra I

Algebra I

Math

Math





Physical Education

2 courses

PE

PE

PE

PE







Fine Arts or

For. Lang

1 course

F.A. or F.L.

F.A. or F.L.













CAHSEE

Score of 350/better




Math

 Passed  Failed score: ___________

 Exempt from CAHSEE per AB X4 2


English

 Passed  Failed score: ___________



 Exempt from CAHSEE per AB X4 2

130 Total credit requirement per AB 216

- ____ Total credits earned

=____ Credits needed to meet AB 216 requirements for graduation

___ Total credit requirement per district

- ____ Total credits earned

=____ Credits needed to meet district’s requirements for graduation

Page 1 of 2

Name:

     

Birthdate:    /    /     

Meeting Date:    /    /     




AB 216 MEETING PARTICIPANTS

Please print names

     

Ed Rights Holder

     

Student

     

Admin/Designee

     

Counselor

     

Caregiver

     

Social Worker

     

other:___________

     

other:___________

     

other:___________

     

other:___________





AB 216 DETERMINATION

Check only one box.

 The student is not eligible for AB 216.  The student is eligible for AB 216.



SAFEGUARDS & NOTIFICATIONS TO STUDENT AND EDUCATIONAL RIGHTS HOLDER


  • The district is prohibited from requiring eligible student to graduate before the end of his/her fourth year. [ed rights holder ___________ student_____________]

  • Graduation under AB 216 does not entitle the student entrance into a 4 year university/college. The youth is eligible to attend a community college and utilize a course of study that will allow the student to transfer to a 4 year postsecondary institution. [ed rights holder ___________ student_____________]

  • If student is eligible for the exemption, they are not required to accept the exemption and cannot be denied enrollment in courses for which they are otherwise eligible. [ed rights holder ___________ student_____________]

  • If the student is not eligible to graduate under AB 216 upon initial evaluation; the student shall be granted an exemption any time if he/she requests and qualifies for it in the future. [ed rights holder ___________ student_____________]

  • Once the AB 216 exemption has been granted it cannot be revoked by the school district. [ed rights holder ___________ student_____________]




SIGNATURES AND PARENT CONSENT

Agreement

1a


I agree to all parts of the AB 216 determination.

1b

I agree with the AB 216 determination, with the exception of:

     

1c

I do not agree with this AB 216 determination.

Consent


2a

I understand and agree that student is eligible for AB 216, and I am accepting the exemption. The state’s graduation requirements will be the student’s new course of study

2b

I understand and agree that student is eligible for AB 216; however I am NOT accepting the exemption. The district’s graduation requirements of _____ credits will continue to be the student’s course of study.

Authorization

Signature below is to authorize and confirm agreement with all the areas initialed above:


Signature:




Date:

   /    /     

 Parent  Guardian  Surrogate  Educational Rights Holder  Adult Student

Page 2 of 2




Verilənlər bazası müəlliflik hüququ ilə müdafiə olunur ©azrefs.org 2016
rəhbərliyinə müraciət

    Ana səhifə