ࡱ> @B?b jbjb (:mm< m\\\\\\\vvv8T4 B6x x x x x r D. $J L L L L L L ,Rx Q\R x x R R x \\x x  R \x \x J p\\\\R J \\ 6 a(v 0 o o \vv Provided to parent prior to district initiation or refusal regarding change of identification, evaluation, educational placement, or provision of free appropriate public education Student Name:  FORMTEXT       D.O.B.: FORMTEXT       First, Middle, Last This notice is to inform the parent(s) of the above named student regarding the school districts:  FORMCHECKBOX  Proposal to initiate or change the:  FORMCHECKBOX  Identification  FORMCHECKBOX  Evaluation  FORMCHECKBOX  Educational Placement  FORMCHECKBOX  Provision of a free appropriate public education to your child This notice includes a description of the proposed action, an explanation of why the district proposed to take this action, a description of any other options that were considered and the reasons why those options were rejected, and other factors that are relevant in this proposal. Your written permission must be given before we assess your child to determine eligibility. You have the right to be familiar with the assessment procedures and type 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.  FORMCHECKBOX  Refusal of your request to initiate or change the  FORMCHECKBOX  Identification  FORMCHECKBOX  Educational Placement  FORMCHECKBOX  The provision of a free appropriate public education to your child This notice includes a description of action being refused, an explanation of why the district refused to take this action, a description of any other options that were considered and the reasons why those options were rejected, and other factors that are relevant to this refusal. Description of proposed or refused action:  FORMTEXT      Reason(s) for proposed or refused action:  FORMTEXT      Description of evaluation procedures, tests, records, or reports used in deciding to propose or refuse this action:  FORMTEXT      Description of other options considered and reasons for rejecting them:  FORMTEXT      Other factors relevant to the proposal or refusal:  FORMTEXT      You have protection under the procedural safeguards of Part B of the IDEA. If you would like a copy of the Procedural Safeguards please contact the district and a copy will be sent to you. If you would like further information about your rights or the proposed action and/or referral please contact:  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Print Name and District Contact Position Phone E-mail Address     Sonoma County Special Education Local Plan Area PRIOR WRITTEN NOTICE SELPA 27 10/09 jlrfZKZhOh}SCJOJQJaJh}SCJOJQJaJh}SCJOJQJaJ-jh}S>*CJOJQJUaJmHnHu.jh|CBh}S>*CJOJQJUaJh}S>*CJOJQJaJ"jh}S>*CJOJQJUaJh}S5CJOJQJaJh0h}S5CJOJQJaJh8h}S6CJOJQJaJh}S6OJQJhQl5OJQJjls`  $Ifgd}S]gd}Sgd}S , !gd}S$a$gd}S=  stֿ֯vgX?*(h9nh}S5B*CJOJQJaJph1jh9nh}S5B*CJOJQJUaJphh0h}SCJOJQJaJh8h}SCJOJQJaJ"h^h}S5>*CJOJQJaJh}SCJOJQJaJheeh}SCJOJQJaJh}SCJOJQJaJheeh}S5CJOJQJaJ-jh}S>*CJOJQJUaJmHnHu"jh}S>*CJOJQJUaJ.jvh|CBh}S>*CJOJQJUaJ   ʵʵʇʵkʇʵOʵʵ7jFhQlh}S5B*CJOJQJUaJph7jhQlh}S5B*CJOJQJUaJph"h}S5B*CJOJQJaJph7j^hQlh}S5B*CJOJQJUaJph(h9nh}S5B*CJOJQJaJph1jh9nh}S5B*CJOJQJUaJph7jhQlh}S5B*CJOJQJUaJph  `   ʵzgLzg7zg(h=|h}S5B*CJOJQJaJph4j.hQlh}SB*CJOJQJUaJph%h=|h}SB*CJOJQJaJph.jh=|h}SB*CJOJQJUaJph%h8h}SB*CJOJQJaJphh}SB*CJOJQJaJph(h9nh}S5B*CJOJQJaJph1jh9nh}S5B*CJOJQJUaJph7jhQlh}S5B*CJOJQJUaJph     . / = > ? @ U V W X f g h i ͺͺͺxͺ]ͺxM:%h}S5>*B*CJOJQJaJphh}SB*CJOJQJaJph4jhQlh}SB*CJOJQJUaJph"h}S5B*CJOJQJaJph4jhQlh}SB*CJOJQJUaJph(h=|h}S5B*CJOJQJaJph%h=|h}SB*CJOJQJaJph.jh=|h}SB*CJOJQJUaJph4jhQlh}SB*CJOJQJUaJph   bdfz|~vxۀeOۀ+h=|h}S5>*B*CJOJQJaJph4jh8h}SB*CJOJQJUaJph%h}S5>*B*CJOJQJaJph%heeh}SB*CJOJQJaJph3jh}SB*CJOJQJUaJmHnHphu4jh8h}SB*CJOJQJUaJphh}SB*CJOJQJaJph(jh}SB*CJOJQJUaJphv*fkd"$$Ifl|)) t04 l4a $Ifgd}Sfkdr$$Ifl|)) t04 l4a02FHJTVXZDFжУГxжУГ]жУJ%h8h}SB*CJOJQJaJph4jh8h}SB*CJOJQJUaJph4jh8h}SB*CJOJQJUaJphh}SB*CJOJQJaJph%h}S5>*B*CJOJQJaJph3jh}SB*CJOJQJUaJmHnHphu(jh}SB*CJOJQJUaJph4jhh8h}SB*CJOJQJUaJphv0Xfkd$$Ifl|)) t04 l4a $Ifgd}SXZ*fkd2$$Ifl|)) t04 l4a $Ifgd}Sfkd$$Ifl|)) t04 l4aDF=?@BCEFHIJKY{  dgd}S$a$gd}S$&d@&Pa$gd}S $@&a$gd}S P!gd}Sgd}SFH\^`jlnp׻sW7jd hgh}S>*B*CJOJQJUaJph7jhgh}S>*B*CJOJQJUaJphh}SB*CJOJQJaJph6jh}S>*B*CJOJQJUaJmHnHphu7jxhgh}S>*B*CJOJQJUaJph"h}S>*B*CJOJQJaJph+jh}S>*B*CJOJQJUaJph<=>@ACDFGK{ͱ͜yqmqmqmqmcVFm:h}SCJOJQJaJh~[h}S5CJOJQJaJh}S5CJOJQJaJhxuh}S5CJh}Sjh}SU%h8h}SB*CJOJQJaJphh}SB*CJOJQJaJph(hgh}S>*B*CJOJQJaJph6jh}S>*B*CJOJQJUaJmHnHphu+jh}S>*B*CJOJQJUaJph7j hgh}S>*B*CJOJQJUaJph%h8h}SB*CJOJQJaJphh}Shnh}SCJOJQJaJgd}S&1h:p}S/ =!`"`#`$`%vDText14tD Text8tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDeCheck1tD,Text9D$$If!vh5)#v):Vl t5)jD,D$$If!vh5)#v):Vl t5)jDD$$If!vh5)#v):Vl t5)jDD$$If!vh5)#v):Vl t5)jDD$$If!vh5)#v):Vl t5)vDText10vDText11vDText13vDText12H@H Normal CJOJQJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j =| Table Grid7:V04@4 Header  !4 @4 Footer  !H"H *) Balloon TextCJOJQJ^JaJ : z s` EF+,_st < J X z 0@0@00PP@0@0@00PP0PP@0@00PP0PP@00PP0TP0PP0TP@0@0 @0lt@0@0 @0 @0@0 @0 @0@00PP0PP@B0R @0P @0P @0P @:0:@S0T@0X TVhjlo  F vX s .>Wg1=C#)_kq FFG$G$G$G$G$G$G$G$G$FFFFFFFFFText14Text8Check1Text9Text10Text11Text13Text12t  1D*_r < gqs LW1D*_r < ::EF+,st< > A D G z 33333@cL @@@@@@@(@UnknownGTimes New Roman5Symbol3 ArialA Arial Narrow]@Palatino LinotypePalatino5 Tahoma"hHFHFԦzpăͱ``24d\ < ;3qHX ?0STATE SELPA TEMPLATE Joyce Cabral Kelly Brooks Oh+'0 ,8 X d p |'STATE SELPA TEMPLATEJoyce CabralSELPA--27.dotKelly Brooks2Microsoft Word 11.5.5@@p@ g@ gzp ՜.+,0 hp  'SCCOE\  STATE SELPA TEMPLATE Title  !"#$%'()*+,-.012345689:;<=>ARoot Entry FgCData 1Table&oWordDocument(:SummaryInformation(/DocumentSummaryInformation87CompObjXObjectPoolgg FMicrosoft Word DocumentNB6WWord.Document.8