Climate Survey Non-Participant Form

Instructions

District Name: *

School Name: *

Name of person filling out this form: *

Email address: *

Student Information

Please fill in the information for every student that did not participate. Click "add" to input information for additional students who did not complete the student climate survey.

Student WISER ID: *

Reason for non-participation: *

Student exited on or before November 6, 2020 (must be reported as exited prior to this date on the WDE684)

Student is placed elsewhere

Student is a virtual education student (must be based on approved definition under W.S. 21-13-330(f)(v))

Student is expelled but receiving services

Student is homebound (must be based on approved definition under W.S. 21-4-402(a))Student is homebound (must be based on approved definition under W.S. 21-4-402(a))

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Wyoming Department of Education

The Official Website of Wyoming's State Education Department

Climate Survey Non-Participant Form

Student Information