ContractResolution Session Agreement • January 23rd, 2013
Contract Type FiledJanuary 23rd, 2013Sample Resolution Session Student Initials: Due Process Hearing Number: School District: Attending School: A. Waiver of the Resolution Session:Having received the Resolution Session Information Sheet, check applicable boxes below, sign and date ⃝ We agree to waive the resolution session; or ⃝ We agree to participate in mediation instead of a resolution session. For the parent(s) or adult student: Print Name: Signature: Date: Print Name: Signature: Date: For the district program: Print Name: Signature (Authorized districtrepresentative): Date: OUTCOME: ⃝ Agreement reached (see below) ⃝ No Agreement reached.(Parent Signature) (District Representative Signature) B. Resolution Session Participants:List all resolution session participants, whether or not an agreement is reached. Name Position/Agency Dates of Participation: C. Resolution Agreement:Complete if the parent(s) and district/program reach an agreement. and agree to the attached document. (Paren