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EOC, LAA2, or GEE
2014-2015 Graduation Waiver Application Timelines
Requested Periods
Submission Deadlines
Spring 2015
Wednesday
January 21, 2015
Summer 2015
Wednesday
June 3, 2015
All application packets should be mailed or securely emailed to:
Attention: Megan Miron
Louisiana Department of Education, IDEA Services
1201 North Third Street
Baton Rouge, LA 70802
Megan.Miron@la.gov
Please contact Megan by telephone at (225) 342-3452 or by email if you have any questions.
WAIVER APPLICATION KIT CHECKLIST
Instructions: Each application should be submitted in an individual folder with a
pre-identified label that includes the student’s name, school, and LEA. The information in
the chart below should be submitted for each waiver request.
Student’s Name:
Waiver Requested:
School:
EOC
or
LAA2
or
GEE
(check two test if applicable; however, GEE and EOC are not an eligible testing combination)
REQUIRED DOCUMENTATION
1. A copy of the official student transcript
2. A copy of the most recent triennial reevaluation report
(If a waiver of evaluation has been granted, a copy of the most recent official evaluation report
must also be submitted.)
3. Copy of the LEAP Alternate Assessment Level 2, (LAA2)
participation criteria sheet (LAA2 students only)
4. Evidence of participation in remediation activities
(Remediation activities may include participation in tutoring, remediation provided by the
LEA, or by a private entity. Evidence of remediation should be submitted as part of this
process).
5. Statement of extenuating circumstances, if applicable.
(A statement of extenuating circumstances should only be submitted if the student has not
participated in any remediation activities.)
6. Has the student transferred from out-of-state schools,
nonpublic schools, or approved home study schools?
7. Did the student passed two of the three end-of-course test in
any of the following categories?
English
or
English III
Algebra I
or
Geometry
Biology
or
American History
8. Local Education Agency Assurance and Student Data Spreadsheet
(The LEA Superintendent or Designee must provide a signature certifying and assuring that
each student is currently attending school in the LEA and has met the age requirements, 18
years old, under IDEA).
ATTACHED
Yes
No
N/A
2014-2015 Student Application Assurance Data Sheet
Instructions: Pursuant to the graduation exit examination waivers list all students applying for waivers in the 12th grade that have participated
th
in either EOC, LAA2, and/ or GEE assessment who are eligible for graduation. Please do not submit an application for any student in the 11
grade unless he or she is anticipating graduating during the current 2014-2015 school year and have fulfilled all graduation requirements to
include a minimum of 23 Carnegie units by the end of this current school year.
Local Education Agency:
Type of Waiver
Requested
EOC, LAA2, GEE
Student’s Name
(Last, First Name)
DOB
Current
Grade
School Currently
Attending
Contact Person
for Waiver
Requests
Contact Person
Email Address
Contact Person
Telephone
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Assurance Statement: The local education agency certifies and assures that information submitted in the above chart is true and correct. The LEA further assures that each
student whose name appears in conjunction with this waiver process has met the necessary requirements for an End of Course , Graduation Exit Examination or Louisiana
LEAP Alternate Assessment, Level 2 waiver application request under the criteria set forth in Bulletin 741, §2319B regarding waiver of a required graduation examination
component.
Superintendent or Designee Signature:
Superintendent or Designee Printed Name/Title:
Date
2014-2015 Student Application Assurance Data Sheet
Local Education Agency:
Type of Waiver
Requested
EOC, LAA2, GEE
Student’s Name
(Last, First Name)
DOB
Current
Grade
School Currently
Attending
Contact Person
for Waiver
Requests
Contact Person
Email Address
Contact Person
Telephone
Number
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Assurance Statement: The local education agency certifies and assures that information submitted in the above chart is true and correct. The LEA further assures that each
student whose name appears in conjunction with this waiver process has met the necessary requirements for an End of Course, Graduation Exit Examination or Louisiana
Alternate Assessment, Level 2 waiver application request under the criteria set forth in Bulletin 741, §2319B regarding waiver of a required graduation examination
component.
Superintendent or Designee Signature
Superintendent or Designee Printed Name/Title:
Date