PWN Initial Referral

Date Prior Written Notice Given to Parents: Date PWN is given to parents

• Prior to evaluation process starting - this is prior to meeting with parents to discuss REVIEW OF EXISTING DATA

Select: Determine what type of decision the Team/District made during the meeting

Proposes to initiate or change the areas as described below;

• Going forward with evaluation process

Refuses to initiate or change the areas as described below;

• Not going forward with evaluation process

Parent Written requests have to be responded to in 15 school days.

Description of the action proposed or refused: Document that the student is being referred to an evaluation process.

• Drop down menu is a guide - make statements that are individual to the student

• Both proposed or refused decisions by the District

STUDENT has been referred for an evaluation from the student study team.

STUDENT'S parent has proposed in writing that the school conduct an evaluation.

Evaluation = REVIEW OF EXISTING DATA

• Is an evaluation process

• Is the first step prior to requesting parent permission to evaluate IF determined by the team that additional data is needed to make a special education eligibility determination

Explanation of why the agency proposes or refuses to take this action: Explain why the decisions were made

• Drop down menu is a guide - make statements that are individual to the student

The student study team has determined that interventions have not produced the anticipated results. STUDENT has still demonstrated academic struggles beyond the interventions that have been provided in the general education setting.

Description of any options the agency considered: What options were also considered by the District

• Drop down menu is a guide - make statements that are individual to the student

Reasons the above listed were rejected: Why did the District reject the other options

• Drop down menu is a guide - make statements that are individual to the student

Considered:

Fort Thomas School District considered and rejected not reviewing the student study team’s request. STUDENT has a history of academic struggles and behaviors in the classroom suggest frustration levels are high.

Fort Thomas School District considered and rejected reviewing the parent's written request. Upon review of students grades and academic testing, STUDENT is performing at or above average in all academic areas.

Why Rejected:

Data received from the student study team indicates the need for an evaluation. STUDENT is failing math and reading. STUDENT has been participating in classroom interventions every school year and has participated in after school reading remediation for 2 years.

• Information from Coversheet: Reason for Teacher Referral

STUDENT is performing with his same age peers in the general education classroom. His teacher has noted that at times, he has had the highest test scores in the class. His behavior is typical for his age at school and has not had any teacher concerns about advancement to the next grade.

• If parent request and rejecting, make sure information is factual and can be presented to the parent appropriately.

Description of each evaluation procedure, test, record, or report the agency used/will use as a basis for the proposed or refused action: List all data used to make the decision

• Drop down menu is a guide - make statements that are individual to the student

Data received from the student study team indicates the need for an evaluation.

Parent request, teacher input, current grades and assessments.

Description of any other factors that are relevant to the agency's proposal or refusal: Document anything else that needs to noted regarding the student's education and parent participation.

STUDENT has been retained in 1st grade and is still involved in intensive intervention activities during and after school for reading and math.

STUDENT is well liked on campus and has several friends at school. STUDENT participates in class and is able to do so without much redirect to tasks.