PRIOR WRITTEN NOTICE TO PARENTS – Proposal 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 - IEP Amendment
2. A description of the action proposed or refused by the school district:
The district proposes to initiate an evaluation team report to determine the student’s eligibility for special education
under IDEA.
3. An explanation of why the school district proposes or refuses to take the action: (choose options listed below)
-The student requires a level of interventions that are so intense that it appears to be specialized instruction.
-To determine if the student needs special education services in order to receive FAPE.
-The team has been implementing academic/behavioral interventions with ___ for the past ___ months/weeks and suspects that
due to lack of adequate progress, ____may have a disability which would qualify for special education services.
-Despite the intensive and individualized intervention the student continues to struggle with grade level material.
-Data collection shows ___ has difficulties learning basic academic skills. ___ currently receives reading and math interventions.
classroom data show that ___ has made progress but he/she has difficulties generalizing learned skills to daily work. His/her
written work does not reflect his/her level of comprehension.
4. A description of other options that the IEP team considered and the reasons why those options were rejected:
The team considered continuing with interventions being provided within the RTI process but ultimately determined
that it would be best to open up an evaluation to determine special education eligibility.
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 showed the student’s possible need for specially designed instruction/or suspects the student may
have a disability. Such levels of intervention are needed with such intensity that they cannot take place without
significant support. Assessment data includes:______
6. A description of other factors that are relevant to the school district’s proposal or refusal:
Input from the team, including the parent/guardian and consideration of any outside evaluation.
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
School District: West Clermont Schools
State: OH
Zip Code: 45245
E-mail: Nazzarine_l@westcler.org
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