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BOOKMARKS

 

PROCESSES AND FORMS

ALPHA LISTING OF PROCESSES AND PROCEDURES

PROBLEM SOLVING  NORMS

FREQUENTLY USED TOOLS AND RESOURCES

Special Education and Related Services Manual

Only search the Special Ed Manual

Blank Forms        Sample Forms          Flow Charts      Word Version         PowerPoint icon  PowerPoint

 Preface

 

First section is an overview of major processes of Special Education and appropriate forms

Process Overview   

Preschool – Ages 3 and 4

                                Transition from Infant/Toddler to Preschool

                        Parent letter in Introduction

                       Authorization for Mutual Exchange of Information

                                      Preschool Student Support Team

                             Community Student Support

PreK Center Student Support 

            PreK Center Student Support Process

            PreK Center Student Support Team Process

                                Authorization for Mutual Exchange of Information

       Speech Referral /

       Request for Intervention Assistance

       Invitation to SST Conference

       Intervention Plan for Success

Formal Evaluation and Design

       Social History (optional) /

Preschool to Kindergarten Transition Timelines

 

RTI – Grades K-8

          UNDERSTANDING RTI (brochure)

Instructional Decision Making for Student Success

          Response to Intervention White Paper

          Universal Screening Procedures

Tier  I Checklist

         K-8 PEP /   

Tier II Checklist

    RTI-SST Participants Log

         Parent Invitation to SST Conference (PSM/RtI) /

         RTI-Intervention Plan IIa /

        RTI-Intervention Plan Review IIb /

Tier  III Checklist

         Parent Invitation to SST Conference (PSM/RtI) /

         Define the Problem/Develop the Assessment Plan IIIa&b /

        Analysis of Assessment Plan III c&f /

    Social History /

            Baseline Instructions

         Develop Intervention Plan IIId /

               Progress Monitoring

        Revision of Hypotheses/Intervention IIIe / http://www.nhcs.net/sped/images/0139_word_icon.png

Tier 4 Checklist

Adverse Effect, Specially Designed Instruction & Exclusion Criteria

Conduct additional required screenings and evaluations by category.

Specific Learning Disability Checklist

Other Health Impairment Checklist

Serious Emotional Disability Checklist

Intellectual Disability – Mild Checklist

        Invitation to IDEA Conference (SAMPLE)

        Consent to Consider Entitlement /

        Parent Notice of Refusal / http://www.nhcs.net/sped/images/0139_word_icon.png

Fidelity Documents

   Qualitative Rubric /  

   Quantities Data /

   Walk-through Checklist Observation /

                      Observation Summary /

 

Student Support Team Process

         Request for Intervention Assistance

        Parent Invitation to Student Support Team Conference /

        Intervention Plan for Student Success /  

       SST Participants Log

Parent Consent for Formal Evaluation Proposal

        Parent Consent to Conduct Formal Evaluation /

        Formal Evaluation Design /

Required Screening and Evaluations (Excerpts from 2007 Policies Governing Services for Children with Disabilities)

Autism

Deaf Blindness

Deaf

Developmental Delay

Emotional Disability

Hearing Impairment

Intellectual Disability

Multiple Disabilities

Orthopedic Impairment

Other Health Impaired

Specific Leaning Disability

Speech or Language Impairment

Traumatic Brain In jury

Visual Impairment

         Parent Notice of Refusal /  

 Special Route Transportation

        Transportation Evaluation Form

       Social History (optional) /

 

Individualized Education Program (IEP) Process

  IEP Process Flow Chart

IEP Preparation Checklist    

Invitation to IDEA Conference (SAMPLE)

IEP Amendments and Addendums (Questions & Answers)

Draft IEP Procedures

Sample IEP (Hanover, New)

                                      Student/School

                   Parent/Guardian

                   Meeting and IEP/Reeval

           Purpose of Meeting

IEP Participants

          Present Levels (of Academic Achievement and Functional Performance)

          Special Factors & ESY

           Special Factors

Extended School Year

          Transition and Cessation

Cessation of Services

           Sample Transition IEP Document

          Eval Design

Reevaluation Design

                             Disability and COS (Course of Study)

           Disability Determination

                             Need for Specially Designed Instruction

           Course of Study

                             NC COS Graduation Requirements

          Goals & Objectives

                    Exit Criteria Goals (Examples)
                Progress Reporting               

          Services

          Accommodations

          Testing Participation

          LRE/Participation

          Procedural Safeguards

          Consent & Notes
Sample IEP (IAS)
Sample IEP (IBS)
Sample IEP (ISCS)
Sample IEP (Resource)
Sample IEP (Speech)
Sample IEP (SDA)   

Following is an alphabetized listing of special education services and procedures

Adapted Physical Education

         PE Skills Motor Checklist

    Steps to Intervention Assistance

         Request for Intervention Assistance

 PE for Students in ISCS Programs

 

Assistive Technology

         SETT Framework

Instructions for the SETT Framework Form

 

Cessation of Services

Graduation, Maximum Age

Guidance for Developing a Summary of Performance

Summary of Performance /

 Eligibility      

Traditional Reevaluation

          Psm/RtI Reevaluation

Parent Refusal/Withdrawal of Consent for IEP Services   

 

Consent

      Initial Evaluation Proposal /

       Initial Evaluation Proposal (PSM/RtI) /

Initial IEP Services

Reevaluation

       Disclosure of Student Records (Mutual Exchange of Information)

Refusal Procedures

         

Disability Determination and Need for Specially Designed Instruction

 

Discipline Procedures

 

Extended School Year Services

          Preparation for ESY

          Performance Information Analysis

Determination of Need

Identification of ESY Services

Procedural Safeguards

 

Formal Evaluation  

        Formal Evaluation Design

Required Screening and Evaluations (Excerpts from 2007 Policies Governing Services for Children with Disabilities)

                             Autism

                             Deaf Blindness

                             Deaf

                             Developmental Delay

                             Emotional Disability

                             Hearing Impairment

                             Intellectual Disability

                             Multiple Disabilities

                             Orthopedic Impairment

                             Other Health Impaired

                             Specific Leaning Disability

                             Speech or Language Impairment

                             Traumatic Brain Injury

                             Visual Impairment

 

Home/Hospital Instruction

Home/Hospital Coordination of Services

Questions to Guide Home/Hospital Considerations

Home/Hospital Instructional Services: Overview & Procedures

Section I - Students without IEPs who have IAPs or 504s

Section II - Students with IEPs - Medical

Section III - Students with IEPs - Behavioral/Disciplinary 

Section IV - Pregnant Students

Section V - Students with IEPs who have been Incarcerated

        Request for Home/Hospital Instructional Assistance /

        Physician’s Statement and Mutual Exchange of Information /

        Services Overview & Notice to Parents /

        Services Overview & Notice to Parents (Spanish Version)  /

        Instructional Services Plan /  

 

Independent Educational Evaluation

                 Independent Evaluators

 

Invitation to Conference

         Invitation to IDEA Conference

        Invitation to Student Support Team Conference

        Invitation to Student Support Team Conference (PSM/RTI)

      Invitation to Conference Sample Letter

          La cita para esta conferencia (Invitation to Conference in Spanish)

Required Participants

 

Measurable Annual Goals and Short Term Objectives

 

Parentally Placed Private School Students

 

Participants

 

Positive Behavioral Interventions and Supports

          Processes and Procedures

Procedures Related to Behavior Intervention/Evaluation Process

Procedures Related to Positive Behavioral Supports as part of the Disciplinary Process

Protections for Students Not Yet Identified as Eligible for Special Education

Parent Appeal

Timeline for Expedited Due Process Hearing for Disciplinary Reasons

          Process Tools

        Direction Sheet (PBIS 1)

         Data Collection Tool for Students with Behavior Problems (PBIS 2)

        Frequency Data Sheet (PBIS 3)

        Summary of Behavior Data (PBIS 4)

        Functional Behavioral Assessment  (FBA) /

        PBIS – Functional Behavior Assessment for Students with Autism /

        Behavior Intervention Plan (BIP) /

        Short-Term Suspension Analysis Worksheet

        Change of Placement Suspension Analysis Worksheet

        Manifestation Determination /

Links to Additional Resources

 

Preschool Services

 

Present Levels of Academic Achievement and Functional Performance

 

Progress Reporting

 

Reevaluation

Traditional Reevaluation

       Traditional Reevaluation Flowchart

PSM/RtI Reevaluation

      PSM/RtI Flowchart

Sample A:  Evaluation Design
  High Intensity Behavior
  Low Intensity Academic

  Sample B:  Evaluation Results

  Sample C:  Service Schedule

PowerPoint iconReevaluation Using PSM/RtI Processes, PLAFP, & Exit Criteria

 

Refusal Procedures

School Team Refusal to Evaluate

         Refusal of Parent Evaluation Proposal /

        Refusal of Parent Evaluation Proposal (PSM/RtI) /

Parent Refusal of an Evaluation Proposal

Parent Refusal/Withdrawal of Consent for IEP Services

 

Related Services

Occupational Therapy

        OT-Classroom Strategies/Interventions for PSM Level I

        Occupational Therapy Assessment Chart to Guide Request for Service

        OT-PT Assessment-Service Continuum-SST

Physical Therapy

        OT-PT Assessment-Service Continuum-SST

Speech Language Therapy

NHCS Speech Handbook

Transportation Process

        Transportation Evaluation Form

 

Request for Additional Paraeducator Support Process

          Application for Additional Paraeducator Support /

 

Request for Procedural Review (Central Review Committee)

       Request for Central Review Committee Assistance

 

School Level Transition

          Preschool Transition Timelines

                   Intensive Services

Resource/Speech Services

Transition Timeline for Entering Middle and High School - Resource, IAS-IBS

          Transition Timeline for Entering Middle and High School - SDA & ISCS

        Transition Compliance Check

        Transition Log

 

School to Adult Life Transition  

                   Sample Transition IEP Document

                   Indicator 13 Checklist Form A

 Transition Checklist

 Understanding Measurable Postsecondary Goals

 Measurable Postsecondary Goals Chart

        Post Secondary Goals

        Permission to Invite Agencies to IEP Meetings

 

Section 504 Individual Accommodation Plan (IAP)

        Invitation to 504 Conference

 Administrative Placement Process 

 Evaluation and Initial IAP Process 

         Evaluation and Eligibility Determination

         Data Collection

        Individual Accommodation Plan        

 Notice of Rights

 Grievance Procedures

        Request for Hearing

 Review Process-Exit Process 

 Transfer-Transition Process 

 

Service Schedule

 

Surrogate Parents

 

Transfer Students/School Level Transition 

 

Special Route Transportation

         Transportation Evaluation Form

 PROBLEM SOLVING Model - Response to Instruction (PSM-RTI)

Baseline Instructions

                  Elementary School

Norms

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Growth Rates

Growth Rates

Data Sheets

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Middle School (6-8) 

 

Norms

Siixth Grade

Seventh Grade

Eighth Grade

Growth Rates

Growth Rates                                                       

            Data Sheets

Sixth Grade

Seventh Grade

Eighth Grade

                                                                         

                            

 

Following are frequently used tools and resources 

 

Policies Governing Services for Children with Disabilities

2009 Procedural Safeguards - NHCS Handbook on Parents Rights

2009 Garantías De Procedimiento Manual De Derechos De Los Padres (Spanish version of Procedural Safeguards: Handbook on Parents' Rights)

Definitions

Document Crosswalk

IDEA

Instructional Decision Making for Student Success

Level of Service for Amount of Removal Chart

New Hanover County Schools Student Records Management Manual

North Carolina DPI Guiding Practices

Physical Restraint and Seclusion Guidelines - Greenblatt Act

Rational for Removal

Required Participants Chart

Section 504

Testing Students with Disabilities: NC Testing Program

Transportation of Preschoolers and Children with Disabilities for North Carolina Public Schools, A Guide for the


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