2020-2021 Exemption From Science Test Form
Oregon House Bill 2655, The Student Assessment Bill of Rights, was recently passed into law and went into effect January 1, 2016. Part of this bill allows parents to excuse students from state summative English language arts (ELA) and mathematics tests by completing a state-provided form and submitting the completed form to the student’s school district.

THIS FORM ONLY APPLIES TO THE OSAS SCIENCE ASSESSMENT.

Under Oregon Administrative Rule 581-022-1910, parents may request that their student be exempted from taking the OSAS Online Science Assessment to accommodate a student’s disabilities or religious beliefs. To best support school planning, please complete and submit this form to the school office before the school begins testing.
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Please select the school that the student attends: *
Student's Legal First Name *
Student's Legal Last Name *
Student Grade Level *
I am requesting that my student be exempt from the Oregon State Assessment indicated below for the 2020-21 school year. *
Required
Indicate your reason for requesting this exemption (check any that apply):   *
Required
Please type your first and last name in the space below to confirm that you want to exempt your student from the OSAS Science Assessment for the 2020-2021 school year. *
Typing your name into the signature box indicates your digital signature, which shall be considered as an original signature for the purpose of this form
*Adult students (age 18 and older) may sign on their own behalf and do not require a signature by a parent or guardian.
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