Certification of Request for Exemption from the Accountability Assessment Requirement to Receive a Regular High School Diploma

Oct 10, 2026

Uploaded by Kyle

Certification form requesting exemption from the state’s final accountability assessment requirement to receive a regular high school diploma. District administrators certify the specific student’s exemption request and acknowledge limits of the exemption, including expectations that accountability assessment remains part of public education and cannot be used to exclude students based on demographic groups. The form also warns that excessive requests or apparent demographic exclusion may trigger additional monitoring, reporting, corrective action, or future denial. It requires district commitment to provide supporting documentation and includes signature lines and submission instructions via ISBE Attachment Manager or confidential fax.

LanguageEnglish

CategoryExam

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Exemption Certification Declarations

Limitations and Accountability Expectations

District Commitment and Supporting Documentation

Signatures and Printed Names

Submission Instructions

Use your "Mouse" or "Tab" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click Print button. Certification of Request for Exemption from the Accountability Assessment Requirement to Receive a Regular High School Diploma I certify that is requesting exemption of the (District Name and RCDTs number) requirement to have taken the state's final accountability assessment in order to receive a regular high school diploma for . (Student's First and Last Name, Student SIS ID) I understand that the granting of this exemption: • Is limited to the student listed in this request, and applicable to no others; • Maintains the expectation that all students take the state’s final accountability assessment as a regular part of their public school education and as a requirement to receive a regular high school diploma; • May not be used to exclude students of a particular demographic group from accountability; and • May cause the district to be subject to additional monitoring, reporting, and/or corrective action, up to and including denial of future requests, if the volume of requests is excessive or if the exemption process appears tobe excluding students of a particular demographic group from accountability. I certify that the district will provide any and all additional documentation requested to support this exemption and comply with any corrective action to ensure full district participation in accountability. Date Date | Digital or Original Signature of Home School District Superintendent/Authorized Administrator | | --- | | Printed Name | | Digital or Original Signature of Home High School Principal | Printed Name Submit this Certification of Request form along with the Exemption Request form (Excel file) and any additional supporting documentation using the ISBE Attachment Manager tool. Select "Diploma Exemption" from the "ISBE eMail Name" dropdown menu. If you are unable to submit the files electronically, please label as "confidential" and fax to 217-782-6097. DO NOT email directly to ISBE staff, as these forms contain personally-identifiable information.

FAQs

What does this certification form request an exemption for?

It requests exemption from the requirement to have taken the state’s final accountability assessment in order to receive a regular high school diploma.

What limitations apply to the exemption being requested?

The exemption is limited to the named student, it preserves the expectation that all students take the state’s final accountability assessment, and it cannot be used to exclude students from accountability based on demographic group.

How must supporting documents and the form be submitted?

Submit this certification together with the Exemption Request form and any supporting documentation using the ISBE Attachment Manager tool, selecting “Diploma Exemption” in the “ISBE eMail Name” dropdown; if electronic submission is not possible, label items confidential and fax to 217-782-6097. Do not email ISBE staff directly.

Oct 10, 2026

Uploaded by Kyle