PRIOR WRITTEN NOTICE TO PARENTS – Refusal to Initiate ETR Student’s Full Name Date of Birth: Date Sent This is to notify you of the district's action regarding . 's educational program. 1. Type of action taken: Proposes to initiate an initial evaluation Refusal to initiate an evaluation Expedited evaluation Proposes to change the identification, evaluation or educational placement of the child or provision of FAPE Refusal to change the identification, evaluation or educational placement of the child or provision of FAPE Change of placement Change of placement for disciplinary reasons Reevaluation IEP issues/meetings where the parent(s) disagree with the district Due process hearing, or an expedited due process hearing, initiated by the district Graduation from high school Exiting high school due to exceeding the age eligibility for FAPE Other 2. A description of the action proposed or refused by the school district: (choose) The district will not initiate an evaluation team report for _________. The intervention team has documented progress with the interventions and supports being provided and do not suspect that he/she requires special education services to access the general education curriculum. 3. An explanation of why the school district proposes or refuses to take the action: -Current data indicate that the level of performance and rate of performance is commensurate with peers. (data) -Student is making adequate progress with interventions at this point 4. A description of other options that the IEP team considered and the reasons why those options were rejected: The team considered completing an evaluation, however the student intervention data did not indicate a need for specialized instruction. The data reflects the student is making adequate progress in the general curriculum. 5. A description of each evaluation procedure, assessment, record or report the school district used as a basis for the proposed or refused action: Assessment data does not support moving ahead with an Evaluation Team Report at this time. (provide data) 6. A description of other factors that are relevant to the school district’s proposal or refusal: -No other factors are relevant at this time. -Excessive absences, previous schooling without HQT, high mobility. 7. Provision of procedural safeguards: As a parent of a child with a suspected or identified disability, you have procedural safeguard protection under the Individuals with Disabilities Education Improvement Act (IDEIA) of 2004. Upon initial referral for an evaluation or parent request for an evaluation, you will be given a copy of your procedural safeguards. You will also be given a copy of your procedural safeguards upon request, upon receipt of the first state complaint under 34 C.F.R. §300.151300.153 and upon receipt of the first due process request under 34 C.F.R. §300.507 in a school year and in accordance with the discipline procedures in 34 C.F.R. §300.530 (h). Please contact Laura Nazzarine at 513-943-5000 if you have any questions about the action(s) described above, your rights, as described in the Procedural Safeguards Notice, or other related concerns. You may also obtain a copy of the procedural safeguards notice from the following: Name: Laura Nazzarine Title: Director of Special Education Address: 4350 Aicholtz Rd. Suite 220 City: Cincinnati Telephone: 513-943-5000 State: OH Zip Code: 45245 E-mail: Nazzarine_l@westcler.org School District: West Clermont Schools Enclosure: Procedural Safeguards Notice ****Your child may be eligible for a scholarship under the Autism Scholarship Program or the Jon Peterson Special Needs Scholarship program to attend a special education program that implements the child’s individualized education program and that is operated by an alternative public provider or by a registered public provider. For more information on both scholarships you can call the Ohio Department of Education at 1-877-644-6338 or email autismscholarship@education.ohio.gov or Peterson.scholarship@education.ohio.gov. Effective date: 2/1/07 PR-01