RE: Student Name Student ID #
As the parent of the above named student, I have the fundamental and
legal right to direct the upbringing and education of my child.
Therefore, I respectfully and formally request my child not
participate in state testing. This includes, but is not limited to the
-Smarter Balanced Assessment (SBAC) SBAC Pilot, SBAC Field Tests, or
any formative or summative assessment or practice/sample test related
to the Common Core State Standards or used to assess student learning
of the Common Core Standards.
Please do not contact me to try to change my mind about this decision.
Thank you for your cooperation in the matter. Please keep this request
on file in my child’s cumulative fold and make a copy available to the
designated staff person who had the lead responsibility for handling
state assessment refusals.