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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. 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After completing last field, save document to hard drive to make future updates or click Print button.   \nCertification of Request for Exemption from the Accountability Assessment Requirement to Receive a Regular High School Diploma  \nI certify that   is requesting exemption of the  \n(District Name and RCDTs number)  \nrequirement to have taken the state's final accountability assessment in order to receive a regular high  \nschool diploma for  .  \n(Student's First and Last Name, Student SIS ID)  \nI understand that the granting of this exemption:  \n• Is limited to the student listed in this request, and applicable to no others;  \n• 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;  \n• May not be used to exclude students of a particular demographic group from accountability; and  \n• 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.  \nI 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.  \nDate  \nDate  \n\n| Digital or Original Signature of Home School District Superintendent/Authorized Administrator |\n| --- |\n| Printed Name |\n| Digital or Original Signature of Home High School Principal |\n\nPrinted Name  \nSubmit 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.  \nDO NOT email directly to ISBE staff, as these forms contain personally-identifiable information.","cbCait2XY7KDcvxV","https://ap.wps.com/l/cbCait2XY7KDcvxV","pdf",241430,"English","# Exemption Certification Declarations\n## Limitations and Accountability Expectations\n## District Commitment and Supporting Documentation\n# Signatures and Printed Names\n# Submission Instructions","[{\"question\":\"What does this certification form request an exemption for?\",\"answer\":\"It requests exemption from the requirement to have taken the state’s final accountability assessment in order to receive a regular high school diploma.\"},{\"question\":\"What limitations apply to the exemption being requested?\",\"answer\":\"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.\"},{\"question\":\"How must supporting documents and the form be submitted?\",\"answer\":\"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.\"}]","Certification of Request for Exemption from the Accountability Assessment Requirement to Receive a Regular High School Diploma | PDF",1791599673]