ADSY COVID Staffing Waiver Request

ADSY COVID Staffing Waiver Request

To meet the Additional Days School Year (ADSY) 180 instructional day requirement, TEA will be granting waivers at the campus level for days that are missed due to low numbers of staff necessary for the operation of schools and for the instruction of students resulting from COVID-19.

TEA will grant up to 5 waiver days for campuses hosting ADSY so that campuses can still meet their 180 instructional day calendar requirement. LEAs will need to submit this form to request a waiver for the campuses needing the waivers and stipulate the staff situation with a clear rationale for the need to not provide in-person instruction due to the impact of COVID-19 on campus staff.

LEAs submitting a request for the ADSY COVID Staffing Waiver must still meet the 75,600 operational minute requirement for all associated campuses.

Date of Request Submission*

Name*

Role*

E-mail*

Phone*

LEA Name*

Select

Description of issue and rationale for request.*

Campus 1 Name*

Please verify correct CDCN when selecting campus.

Select

Date(s) Requesting Waiver

Campus 1 Date 1*

Campus 1 Date 2

Campus 1 Date 3

Campus 1 Date 4

Campus 1 Date 5

Do you need to request a waiver for another campus?*

Select

Campus 2 Name*

Please verify correct CDCN when selecting campus.

Select

Date(s) Requesting Waiver

Campus 2 Date 1*

Campus 2 Date 2

Campus 2 Date 3

Campus 2 Date 4

Campus 2 Date 5

Do you need to request a waiver for another campus?*

Select or enter value

Campus 3 Name*

Please verify correct CDCN when selecting campus.

Select

Date(s) Requesting Waiver

Campus 3 Date 1*

Campus 3 Date 2

Campus 3 Date 3

Campus 3 Date 4

Campus 3 Date 5

Do you need to request a waiver for another campus?*

Select or enter value

Campus 4 Name*

Please verify correct CDCN when selecting campus.

Select

Date(s) Requesting Waiver

Campus 4 Date 1*

Campus 4 Date 2

Campus 4 Date 3

Campus 4 Date 4

Campus 4 Date 5

Do you need to request a waiver for another campus?*

Select or enter value

Campus 5 Name*

Select

Date(s) Requesting Waiver

Campus 5 Date 1*

Campus 5 Date 2

Campus 5 Date 3

Campus 5 Date 4

Campus 5 Date 5

Do you need to request a waiver for another campus?*

Select or enter value

If requesting waiver for more than 5 campuses please attach the excel document below.*

Include the following column headers: LEA name, CDN, Campus Name (Campus 1 Name, Campus 2 Name, etc.), CDCN, Date(s) requesting waiver (Date 1, Date 2, etc.)

Drag and drop files here or

Next Steps:

Thank you for filling out the COVID Staffing Waiver Request form. At this time we need to review your document before we can approve request. We will email you back within 3-5 Business Days after reviewing your application for a decision. Please proceed to filling out the two affirmation statements below.

Please confirm the following statements.

I certify that we will make any necessary adjustments to meet the 75,600 operational minute requirement.*

Select

I certify that the closures are due to COVID staffing concerns.*

Select

I certify that the campus(es) we are requesting a waiver for service PreK-5 students.*

Select

Next Steps:

Thank you for filling out the COVID Staffing Waiver Request form. Unfortunately, at this time we are not able to approve your request due to not meeting the requirements.

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