HomeMy WebLinkAboutOCDSB 942 I Request For The SAL Committee to Renew Supervised Alternative Learning PR.508.CUR: APPENDIX I
REQUEST FOR THE SAL COMMITTEE TO RENEW SUPERVISED
ALTERNATIVE LEARNING
Student’s name: Date of birth:
OEN:
School:
Date of initial SAL approval:
Request for renewal of SAL with no changes to the Supervised Alternative Learning Plan*
Request for renewal of SAL with changes to the Supervised Alternative Learning Plan*
Request for a SAL Committee meeting to review SAL and the Supervised Alternative Learning Plan with
the student and parent present
*Written consent of the parent must be obtained. Supervised Alternative Learning may be renewed for a maximum
of one year without requiring a new SAL application.
Documents submitted:
Supervised Alternative Learning Plan
other documents (e.g., principal’s review, report from primary contact, attendance report)
Principal’s comments:
Principal’s signature: ___________________________ Date: ___________________
Yes No Parent supports renewal of SAL:
Parent’s comments:
I have been consulted on the renewal of SAL and the Supervised Alternative Learning Plan. Parent’s
signature: _____________________________ Date: __________________
Student’s comments:
I have been consulted on the renewal of SAL and the Supervised Alternative Learning Plan.
Student’s signature: ____________________________ Date: __________________
Personal information on this form is collected under the authority of sections 58.5(1) and 265(d) of the Education Act,
R.S.O. 1990, c.E2, as amended, and in accordance with section 29(2) of the Municipal Freedom of Information and
Protection of Privacy Act. It will be used for the purpose of managing student learning and well-being. Questions about
this collection should be directed to the school principal.
OCDSB 942 (April 2018)1