Ga. Comp. R. & Regs. 160-1-3-.02 app (160-1-3) A
CONTENTS CHECKLIST FOR STUDENT WAIVER
REQUESTS
STUDENT: _______________________________________
SCHOOL: _____________________ SYSTEM: _____________________
Please check the following items that are included in the packet of information.
_____ Student Identification, including name, address, date of birth, parents' names
_____ Superintendent's Recommendation
_____ Petitioner's request
_____ rule/requirement being waived
_____ justification/rationale
_____ offered in lieu of requirement
_____ how waiver will serve purpose of requirement
_____ permission for staff to review and discuss records
_____ School Records
_____ official student transcript
_____ current schedule/status
_____ program of study
_____ attendance records
_____ Individual Score Reports on all GHSGT
_____ Student Support Records
_____ Accommodations in general curriculum (if any)
_____ Individual Accommodation Plan (SST or 504)
_____ Special Education Records (if applicable)
_____ evaluation reports (including language/speech, assistive technology, etc., as appropriate)
_____ eligibility reports
_____ individual education plans (last 3 years including current and transition plan)
_____ classroom modifications
_____ test modifications
_____ Remediation activities
_____ offered by school
_____ participation by student
Ga. Comp. R. & Regs. R. 160-1-3-.02 app (160-1-3) A