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Statewide Assessment Exemption Form

New Hampshire State Assessment Opt Out

ILSD Statewide Assessment Exemption Form

Pursuant to RSA 193-C:6 parents/legal guardians are able to exempt their public school student from taking statewide assessments by submitting this form to the school of student record. Advance notice of an exemption will assist the school in the administration of the assessment(s). The submission of this form is required by law. The school shall provide an appropriate alternative educational activity for the time period during which the assessment is administered. The alternative activity shall be agreed upon by the school district and the parent/legal guardian of the student. This form will be maintained by the school. The name of the parent/legal guardian and any specific reasons disclosed to school officials for the objection to the assessment shall not be public information and shall be excluded from access under RSA 91-A.

CLICK HERE  to access the electronic form

CLICK HERE to access the google document

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