August 22, 2017

OPT-OUT COMMON CORE HIGH STAKES TESTING FORM

This form can be used for privacy and opting out of Common Core high stakes testing.

Instructions and Information on Using the Student Privacy Protection Opt-Out Request Form:

THE OPT OUT FORM MUST BE SUBMITTED EVERY YEAR
1.Fill the form out to indicate that you do not allow your child to take any tests, surveys or assessments or participate in any assignments, projects, analyses evaluations
or surveys not limited solely to proficiency in core academic subjects. Submitting this form for each enrolled child will help protect your child’s and your family’s privacy.
2.You should print out or make two (2) copies of the completed form. Make sure that both copies are signed and dated in ink.
3.Send the Student Privacy Protection Opt-Out Request to the school Principal by
a.Certified Mail Return Receipt Requested,
b.Fax (keep the confirmation sheet),
c.Hand deliver it yourself
4.Keep one copy along with the proof of receipt (certified mail card, fax confirmation, or signatures) for your family and ask that the school keep a copy in your child’s school
records.
Be Vigilant
1.Ask to see your child’s records during the school year in order to see what dataare being collected.
2.Verify that the data is not being sent out of the school district.
3.Educate your children to report to you about surveys, assessments, assignments and other activities which attempt to collect or require personal information not related to school work.

To download or print the form click the arrow to the right in the black square.

For more information please visit: http://www.thomasmore.org/common-core-resource-page/

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