Red Clay Consolidated School District

NOTICE OF MEETING- SECTION 504

Date:

Student Name: ID: School:

Dear Mr./Mrs./Ms.______

Parent/Guardian/Surrogate/Adult Student

The district invites you to attend and participate in a Section 504 Meeting to discuss your child’s educational needs. The meeting is scheduled for (date) at (location). The time for this meeting is (time). If you need to reschedule, please call to arrange a mutually convenient date, time, or location for this meeting.

The purpose of this meeting is to:

___ Determine your child’s initial or continued eligibility under Section 504

___ Develop, review, and/or revise your child’s 504 Plan

___ Review your child’s progress

___ Conduct an evaluation or re-evaluation of your child

___ Develop a functional behavior assessment and/or behavior support plan

___ Determine whether a recent behavioral incident was a manifestation of your

child’s disability

___ Consider dismissing your child from a Section 504 Plan

___ Other:

The following people have been asked to attend this meeting:

Section504 Coordinator: / Nurse:
Teacher: / Administrator:
Teacher: / Other:
Teacher: / Other:
Teacher: / Other:

If you wish any other individual(s) to attend this meeting with you, we would appreciate it if you would call at least 48 hours prior to the meeting.

Included with this Invitation is a copy of your Section 504 Parent/Student Rights.

Sincerely,

Section 504 Coordinator:______Phone:______

Printed Name

PARENT MEETING SECTION 504 RESPONSE FORM

Student Name: ID: School:

Section 504 Meeting Date/Time:

Please check one:

Yes, I/we will attend the Section 504 Meeting at the scheduled date, time, and place.
Yes, I/we will be able to participate in the Section 504 Meeting at the scheduled date and time, but request to participate by telephone.
No, I/we will not be able to attend the Section 504 Meeting at the scheduled date and time, and request the meeting be rescheduled.
I/we would like my/our child to attend the Section 504 Meeting.

Signature:______Date:______

Parent/Guardian/Surrogate/Adult Student

Signature:______Date:______

Parent/Guardian/Surrogate/Adult Student

Form Feb 2017