2020-2021 State Test Opt-Out Form
House Bill 2655 permits parents and adult students* to annually opt-out of Oregon’s statewide summative tests in English language arts and mathematics by submitting this form to the school the student attends. The school shall provide any student who is exempted from a state test with supervised study time while other students are testing. Visit this link to learn more about House Bill 2655: http://tinyurl.com/OR-HB2655.

To best support school district planning, you are encouraged to submit this form to your child’s school as soon as possible. For students who enroll after the statewide testing window begins on April 13, 2021, you are encouraged to submit the form within 2 weeks of enrollment. This form is only valid for the 2020-21 school year. Parents and adult students are required to submit an opt-out form annually should they wish to be exempted from statewide summative tests.

To opt-out of summative English language arts and/or mathematics state tests, this form must be completed by the parent/guardian or *adult student.

Spanish/Encuesta de idioma español:https://forms.gle/XFGFgB3n9gTYMTfn7
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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 *
Family Request to Opt-Out of the Following Oregon State Assessments *
Required
Please type your first and last name in the space below to confirm that you want to opt your student out of State Testing 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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