Appendix B: Sample PWN 1
Assessment: Proposal to Initiate/Change Identification
Date
Parent/Guardian Address Line 1 Address Line 2
Subject: Assessment/Proposal to Initiate or Change the Identification - Jane Doe (DOB: 01/00/00)
Dear Parent/Guardian,
Pursuant to 34 Code of Federal Regulations (C.F.R.) Section 300.503, the District is required to provide written notice to you whenever it proposes to begin or change the identification, evaluation, or educational placement of your child or the provision of FAPE to your child. The District is proposing to conduct an evaluation to determine eligibility for special education for your child, Jane Doe, Date of Birth: 01/00/00. The evaluation process starts with a review of information that the District already knows about Jane. Following this review, the evaluation team may need to collect additional information in order to determine eligibility for special education and related services. Your consent will be required before the District can conduct additional assessments or place Jane in a special education program. As you know, the District Teacher Assistance Team (TAT) has been working with you and Jane ’s teacher to increase her reading ability. The District considered strategies used during the TAT intervention process, which included such things as specific practice on sound-letter relationships, phonemic awareness, and part-to-whole decoding. However, in spite of our joint efforts, Jane has not been making adequate progress in acquiring basic reading skills. The proposed special education evaluation for Jane will begin with a review of what the District knows about her current reading status, learning modes, and general aptitude. We have considered waiting until April in order to give Jane more time to catch on; however, we feel that waiting would likely place her further behind. Your written permission must be given before the District can assess your child to determine eligibility. You have the right to be familiar with the assessment procedures and types of tests that may be given to your child. After the assessment is completed, you will be notified in writing of a meeting to discuss the results of the evaluation and to make recommendations. Your input is vital to this discussion, and you will be included in the decisions regarding any special education eligibility. If your child is found eligible for special education services, a full range of program options will be discussed.
BP 1001 – Procedural Safeguards
Page 28
Desert Mountain Special Education Local Plan Area (DMSELPA) (rev. 03/13)
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