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ESE / Student Services

Attendance Forms

Educational Planning Team Recommendation--Attendance Intervention--STU-819-007

STU-819-007 - Educational Planning Team Recommendation Form--Attendance Intervention.pdf 159.63 KB (Last Modified on October 2, 2018)

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Notice for Child to Attend School - STU-2223-011

This is the Spanish version of the Skyward "Notice for Child to Attend School" form.

STU-2223-011 - Notice for Child to Attend School in Espanol.pdf 93.73 KB (Last Modified on January 9, 2023)

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Parent-Guardian Contact Log - by Attendance Officer - STU-2223-004 (Word).pdf

STU-2223-004 - Parent-Guardian Contact Log - by Attendance Officer-WORD.docx 25.69 KB (Last Modified on September 8, 2022)

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Parent-Guardian Contact Log - By School - STU-2223-005 (Word)

STU-2223-005 - Parent-Guardian Contact Log - By School-WORD.docx 24.27 KB (Last Modified on September 8, 2022)

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SARB Introduction Form

SARB Introduction Form - Revised 9-19-18.pdf 72.45 KB (Last Modified on September 24, 2018)

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SARB Overview Process.pdf

STU-819-006 - SARB Overview Process.pdf 154.88 KB (Last Modified on September 20, 2018)

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SARB Procedures Form.pdf

SARB-Procedure-Form.pdf 34.937 KB (Last Modified on March 16, 2018)

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Student Attendance Plan--STU-819-008.pdf

STU-819-008 - Student Attendance Plan.pdf 28.78 KB (Last Modified on October 2, 2018)

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Student Check IN - STU-122-003.pdf

STU-122-003 - Student Check IN.pdf 181.18 KB (Last Modified on March 17, 2021)

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Student Check OUT - STU-122-004.pdf

STU-122-004 - Student Check OUT.pdf 183.16 KB (Last Modified on March 17, 2021)

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Truancy Affidavit for Parental Prosecution (Elem)-STU-819-009.pdf

STU-819-009 - Truancy Affidavit for Parental Prosecution - Elementary.pdf 271.4 KB (Last Modified on April 18, 2023)

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Truancy Intervention Documentation (Middle-High)--STU-819-010.pdf

STU-819-010 - Truancy Intervention Documentation Middle-High.pdf 243.74 KB (Last Modified on April 21, 2023)

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Truancy Petition Checklist--STU-819-011.pdf

STU-819-011 - Truancy Petition Checklist.pdf 123.46 KB (Last Modified on October 2, 2018)

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Attendance Letter Template (Word Document)

Attendance Letter Template.docx 14.23 KB (Last Modified on April 13, 2023)

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Truancy Petition Parent Letter Template.doc

Truancy Petition Parent Letter Template.doc 23.5 KB (Last Modified on April 13, 2023)

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Discipline Forms

Alternative Learning Center Referral Form - STU-718-010.pdf

STU-718-010 - Alternative Learning Center Referral Form.pdf 165.94 KB (Last Modified on October 29, 2021)

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Alternative Placement Checklist - STU-920-009.pdf

STU-920-009 - Alternative Placement Checklist.pdf 242.51 KB (Last Modified on August 9, 2023)

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Bullying Complaint Report Form - Spanish - STU-920-016.pdf

Spanish Version

STU-920-016 - Bullying Complaint Report Form - Spanish.pdf 172.33 KB (Last Modified on March 30, 2023)

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Bullying Complaint Report Form--STU-920-016.pdf

STU-920-016 - Bullying Complaint Report Form.pdf 169.46 KB (Last Modified on September 20, 2019)

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Character Counts Center - Admission Checklist--STU-2223-002.pdf

STU-2223-002 - Character Counts Admission Checklist.pdf 305.43 KB (Last Modified on Wednesday at 8:56 AM)

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Discipline Referral Form--STU-718-006.pdf

STU-718-006---Discipline-Referral-Form.pdf 56.018 KB (Last Modified on March 16, 2018)

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Felony Transfer Attachment - STU-2324-001

STU-2324-001 - Felony Transfer Attachment.pdf 158.74 KB (Last Modified on September 13, 2023)

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Law Enforcement Notification of Student Arrest - STU-819-012.pdf

STU-819-012 - Law Enforcement Notification of Student Arrest.pdf 81.3 KB (Last Modified on October 2, 2018)

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School Bus Suspension - STU-920-001.pdf

STU-920-001 - School Bus Suspension.pdf 237.57 KB (Last Modified on March 16, 2021)

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Student Disciplinary Log - STU-920-003.pdf

STU-920-003 - Student Disciplinary Log.pdf 113.35 KB (Last Modified on July 2, 2019)

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Suspension Reduction Alternative/Application Form--STU-920-006.pdf

STU-920-006 - Suspension Reduction Alternative-Application Form.pdf 84.46 KB (Last Modified on July 2, 2019)

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Witness Statement--STU-718-007.pdf

STU-718-007---Witness-Statement.pdf 41.107 KB (Last Modified on March 16, 2018)

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Driving Privilege-Related Forms & Links

Hardship Waiver Hearing - STU-2223-005

STU-2223-005 - Hardship Waiver Hearing.pdf 180.45 KB (Last Modified on September 20, 2022)

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Status Letter (to be printed on school letterhead)

STU-2223-006 - Status Letter.pdf 143.08 KB (Last Modified on September 20, 2022)

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Ten Day Attendance Letter

STU-2223-007 - Ten Day Attendance Letter.pdf 183.06 KB (Last Modified on September 20, 2022)

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ESE Eligibility

Documentation of Staffing/Notice of Eligibility--ESE-920-010.pdf

ESE-920-010 - Documentation of Staffing - Notice of Eligibility.pdf 357.68 KB (Last Modified on August 11, 2023)

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Information for Parents on Funding Levels at Initial ESE Placement, ESE-819-009

ESE-819-009 - Information for Parents on Funding Levels at Initial ESE Placement.pdf 226.59 KB (Last Modified on December 8, 2022)

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Informed Notice and Consent for Initial Placement - ESE-819-003.pdf

ESE-819-003 - Informed Notice and Consent for Initial Placement.pdf 316.94 KB (Last Modified on August 21, 2019)

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Informed Notice and Consent for Initial Placement - Pre-Kindergarten--ESE-920-014.pdf

ESE-920-014 - Informed Notice and Consent for Initial Placement - Pre-K.pdf 317.44 KB (Last Modified on August 23, 2019)

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Informed Notice of Ineligibility - Pre-K - ESE-920-016.pdf

ESE-920-016 - Informed Notice of Ineligibility - Pre-K.pdf 289.74 KB (Last Modified on September 9, 2019)

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Informed Notice of Ineligibility--ESE-920-013.pdf

ESE-920-013 - Informed Notice of Ineligibiltity.pdf 292.97 KB (Last Modified on August 22, 2019)

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Informed Notice/Change of Placement or Dismissal--ESE-920-012.pdf

ESE-920-012 - Informed Notice-Change of Placement or Dismissal.pdf 355.28 KB (Last Modified on February 27, 2020)

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Initial Consideration for Access Points Instruction and Statewide, . . . - /ESE-122-003.pdf

ESE-122-003 - ACPS Team ACCESS_FSAA Checklist.pdf 281.49 KB (Last Modified on October 5, 2021)

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Multidisciplinary Evaluation Team Report to Consider Developmental Delay Eligibility - ESE-2324-002

ESE-2324-002 - Multidisciplinary Team Report-Developmental Delay Eligibility.pdf 222.32 KB (Last Modified on March 27, 2023)

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Multidisciplinary Evaluation Team Written Report for SLD and LI-ESE-920-008

ESE-920-008 - Multidisciplinary Evaluation Team Written Report for SLD and LI A.pdf 469.07 KB (Last Modified on December 6, 2019)

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Multidisciplinary Team Report/Students w-Intellectual Disabilities--ESE-920-002

ESE-920-002 - Multidisciplinary Team Report-Students w Intell Disabilities A.pdf 300.24 KB (Last Modified on January 29, 2020)

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ESE Evaluation/Re-Evaluation

Eye Medical Report - ESE-021-004.pdf

ESE-021-004 - Eye Medical Report.pdf 305.83 KB (Last Modified on October 8, 2020)

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Informed Notice and Consent for Initial Evaluation--ESE-021-001.pdf

ESE-021-001 - Informed Notice and Consent for Initial Evaluation.pdf 179.46 KB (Last Modified on April 28, 2020)

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Informed Notice and Consent for Re-Evaluation--ESE-920-011.pdf

ESE-920-011 - Informed Notice and Consent for Re-evaluation.pdf 239.32 KB (Last Modified on January 31, 2023)

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Language Evaluation Report--ESE-819-030.pdf

ESE-819-030 - Language Evaluation Report.pdf 89.74 KB (Last Modified on December 12, 2018)

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Parent Input IEP-EP-SP - ESE-819-011.pdf

ESE-819-011 - Parent Input IEP-EP-SP.pdf 160.79 KB (Last Modified on August 29, 2019)

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Physicians Report--ESE-2223-001.pdf

ESE-2223-001 - Physicians Report.pdf 196.65 KB (Last Modified on October 27, 2022)

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Pragmatic Language Evaluation Report--ESE-819-010.pdf

ESE-819-010 - Pragmatic Language Evaluation Report.pdf 265.33 KB (Last Modified on October 30, 2018)

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Referral Checklist for Re-Evaluation (Change-Add Program) ESE-718-003.pdf

ESE-718-003 - Referral Checklist for Re-Evaluation - Change-Add Program.pdf 423.4 KB (Last Modified on March 2, 2022)

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Referral Checklist for Reevaluation--Current Program Only - ESE-718-004.pdf

ESE-718-004 - Referral Checklist for Re-Evaluation--Current Program Only.pdf 298.34 KB (Last Modified on February 24, 2022)

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Results of Re-Evaluation Needs Review - ESE-2324-001.pdf

ESE-2324-001- Results of Re-Evaluation Needs Review.pdf 264.12 KB (Last Modified on March 9, 2023)

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Social/Developmental History--ESE-2223-002.pdf

ESE-2223-002 - Social-Developmental History.pdf 322.12 KB (Last Modified on September 2, 2022)

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Speech Evaluation Report--ESE-819-014.pdf

ESE-819-014 - Speech Evaluation Report.pdf 643.21 KB (Last Modified on October 30, 2018)

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ESE Forms - General

Admission Checklist Supplement for ESE Students

ESE-819-018 - Horizon Center Admission Checklist Supplement for ESE Students.pdf 177.13 KB (Last Modified on September 16, 2022)

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Consent to Invite Agencies--ESE-819-013.pdf

ESE-819-013 - Consent to Invite Agencies.pdf 53.6 KB (Last Modified on October 25, 2018)

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Curriculum-Based Vocational Assessment (CBVA) Rating Form--ESE-819-015.pdf

ESE-819-015 - Curriculum-Based Vocational Assessment CBVA Rating Form.pdf 154.76 KB (Last Modified on October 30, 2018)

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District Program Referral Packet--ESE-819-016.pdf

ESE-819-016 - District Program Referral Packet.pdf 575.44 KB (Last Modified on March 11, 2019)

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ESE Transfer Student Verification--ESE-819-017.pdf

ESE-819-017 - ESE Transfer Student Verification.pdf 240.55 KB (Last Modified on August 18, 2023)

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Guidelines for Consideration of Paraprofessional Support Services - ESE-819-001.pdf

ESE-810-001 - Guidelines for Consideration of Paraprofessional Support Services.pdf 615.56 KB (Last Modified on October 7, 2020)

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IEP-EP Data Entry Form--ESE-819-029.pdf

ESE-819-029 - IEP-EP Data Entry Form.pdf 333.5 KB (Last Modified on September 6, 2022)

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IEP/EP Provisions for Times of Emergency or Instructional Disruption at School - ESE-021-050

ESE-021-050 - IEP-EP Provisions for Times of Emergency or Interruption to School.pdf 185.73 KB (Last Modified on August 25, 2020)

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Interagency Release of Information-Records--ESE-920-015.pdf

ESE-920-015 - Interagency Release of Information-Records.pdf 184.45 KB (Last Modified on August 30, 2022)

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Manifestation Determination--ESE-819-027.pdf

ESE-819-027 - Manifestation Determination.pdf 319.99 KB (Last Modified on October 27, 2022)

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Notice of Restraint-Seclusion - ESE-718-002.pdf

ESE-718-002---Notice-of-Restraint-Seclusion.pdf 61.552 KB (Last Modified on March 16, 2018)

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Occupational Therapy Assessment--ESE-718-008.pdf

ESE-718-008---Occupational-Therapy-Assessment.pdf 138.522 KB (Last Modified on March 16, 2018)

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Parental Consent for Medicaid Reimbursement - ESE-021-003

ESE-021-003 - Parental Consent for Medicaid Reimbursement.pdf 186.35 KB (Last Modified on October 6, 2020)

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Parental Consent for Medicaid Reimbursement - Espanol - ESE-021-003

ESE-021-003 - Parental Consent for Medicaid Reimbursement-Espanol.pdf 154.56 KB (Last Modified on October 1, 2021)

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PEER Back-up IEP Meeting Notice

ESE-021-005 - PEER Back-up IEP Meeting Notice.pdf 275.91 KB (Last Modified on January 26, 2021)

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Plan of Care - ESE-718-007.pdf

ESE-718-007---Plan-of-Care.pdf 49.038 KB (Last Modified on March 16, 2018)

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Procedures for Collaboration of Public Private Instructional Personnel ESE-920-017

ESE-920-017 - Procedures for Collaboation of Public Private Personnel Agreement.pdf 250.61 KB (Last Modified on September 9, 2019)

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Summary of Performance--ESE-819-023.pdf

ESE-819-023 - Summary of Performance.pdf 189.02 KB (Last Modified on August 27, 2019)

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Transfer of Rights at Age of Majority-Description of Rights 17 - ESE-920-019.pdf

ESE-920-019 - Transfer of Rigths at Age of Majority-Descirption of Rights 17.pdf 189.24 KB (Last Modified on February 2, 2021)

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Transfer of Rights at Age of Majority-Parent Notification 18 - ESE-920-018.pdf

ESE-920-018 - Transfer of Rights at Age of Majority-Parent Notification 18 A.pdf 172.71 KB (Last Modified on November 6, 2019)

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Transfer of Rights at Age of Majority-Student Notification 18 - ESE-920-020.pdf

ESE-920-020 - Transfer of Rights at Age of Majority-Student Notification 18 A.pdf 153.24 KB (Last Modified on November 6, 2019)

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Waiver of State Standardized Assessment--ESE-021-002.pdf

ESE-021-002 - Waiver of State Standardized Assessment.pdf 262.93 KB (Last Modified on April 28, 2020)

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ESE Hospital Homebound

Homebound/Hospital Assignment Log--ESE-920-006.pdf

ESE-920-006 - Homebound-Hospital Assignment Log.pdf 139.96 KB (Last Modified on August 7, 2019)

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Homebound/Hospital Grade Report--ESE-920-005.pdf

ESE-920-005 - Homebound-Hospital Grade Report.pdf 142.88 KB (Last Modified on August 6, 2019)

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Homebound/Hospital Status of Exit or Withdrawal--ESE-920--007.pdf

ESE-920-007 - Homebound-Hospital Status of Exit or Withdrawal.pdf 146.09 KB (Last Modified on August 6, 2019)

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Hospital-Homebound Medical Certificate - ESE-718-009.pdf

ESE-718-009 - Hospital-Homebound Medical Certificate.pdf 258.56 KB (Last Modified on May 3, 2018)

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Physician's Report for Re-entry of Student to School--ESE-819-026.pdf

ESE-819-026 - Physicians Report for Re-entry of Student to School.pdf 26.64 KB (Last Modified on November 14, 2018)

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Student-Parent Agreement for Hospital Homebound Services - ESE-718-010.pdf

ESE-718-010---Student-Parent-Agreement-for-Hospital-Homebound-Services.pdf 132.728 KB (Last Modified on March 16, 2018)

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ESE Transition / CBVE

On-the-Job Training Agreement w/Student and Parent Agreement--ESE-920-004.pdf

ESE-920-004 - Career Placement - On the Job Training.pdf 190.54 KB (Last Modified on July 18, 2019)

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Transition Assessment (Ages 11-13) Form A - ESE-2324-004

ESE-2324-004 - Transition Assessment--Ages 11-13--Form A.pdf 188.73 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 11-13) Form B - ESE-2324-005

ESE-2324-005 - Transition Assessment--Ages 11-13--Form B.pdf 174.02 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 11-13) Form C - ESE-2324-006

ESE-2324-006 - Transition Assessment--Ages 11-13--Form C.pdf 135.75 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 14-16) Form A - ESE-2324-007

ESE-2324-007 - Transition Assessment--Ages 14-16--Form A.pdf 162.94 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 14-16) Form B - ESE-2324-008

ESE-2324-008 - Transition Assessment--Ages 14-16--Form B.pdf 137.35 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 14-16) Form C - ESE-2324-009

ESE-2324-009 - Transition Assessment--Ages 14-16--Form C.pdf 187.84 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 16+) Form A - ESE-2324-010

ESE-2324-010 - Transition Assessment--Ages 16 Plus--Form A.pdf 139 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 16+) Form B - ESE-2324-011

ESE-2324-011 - Transition Assessment--Ages 16 Plus--Form B.pdf 140.08 KB (Last Modified on July 7, 2023)

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Transition Assessment (Ages 16+) Form C - ESE-2324-012

ESE-2324-012 - Transition Assessment--Ages 16 Plus--Form C.pdf 157.15 KB (Last Modified on July 7, 2023)

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Gifted EP

Educational Plan for Gifted-EP - ESE-819-007.pdf

ESE-819-007 - Educational Plan for Gifted - EP.pdf 236.17 KB (Last Modified on September 21, 2018)

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Gifted Consultation-Support Facilitation--ESE-819-006.pdf

ESE-819-006 - Gifted Consultation-Support Facilitation.pdf 125.51 KB (Last Modified on August 27, 2020)

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Gifted Referral Forms

Checklist for Gifted Referrals--STU-819-014.pdf

STU-819-014 - Checklist for Gifted Referrals.pdf 51.2 KB (Last Modified on October 5, 2018)

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Checklist of Gifted Characteristics--ESE-819-005.pdf

ESE-819-005 - Checklist of Gifted Characteristics A.pdf 106.7 KB (Last Modified on December 6, 2019)

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Educational Screening Record--STU-819-013.pdf

STU-819-013 - Educational Screening Record.pdf 287.4 KB (Last Modified on August 23, 2019)

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Gifted Pre-Referral Data Summary Sheet--ESE-819-008.pdf

ESE-819-008 - Gifted Pre-Referral Data Summary Sheet.pdf 121.48 KB (Last Modified on October 23, 2018)

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Invitation to Educational Planning Conference - Gifted - ESE-819-002.pdf

ESE-819-002 - Invitation to Educational Planning Conference - Gifted.pdf 155.72 KB (Last Modified on September 11, 2018)

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Parent Consent for Gifted Program Screening and Pre-Referral--STU-819-016.pdf

STU-819-016 - Parent Consent for Gifted Program Screening and Pre-Referral.pdf 41.23 KB (Last Modified on October 5, 2018)

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Plan B Gifted Eligibility Determination Form - ESE-920-001.pdf

ESE-920-001 - Plan B Gifted Eligibility Determination Form.pdf 242.56 KB (Last Modified on July 16, 2019)

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Plan B Student Nomination and Environmental Indicator--STU-819-015.pdf

STU-819-015 - Plan B Student Nomination and Environmental Indicator Form.pdf 59.75 KB (Last Modified on October 5, 2018)

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Screening Checklist of Student Characteristics--ESE-819-004.pdf

ESE-819-004 - Screening Checklist of Student Characteristics.pdf 284.57 KB (Last Modified on September 21, 2018)

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McKay Scholarship

Letter of Intent to Participate in McKay Scholarship, ESE-122-002.pdf

ESE-122-002 - Letter of Intent to Participate in McKay Scholarship.pdf 320.49 KB (Last Modified on August 9, 2021)

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Pre-Referral Forms

Anecdotal Observation Form--STU-819-026.pdf

STU-819-026 - Anecdotal Observation.pdf 182.05 KB (Last Modified on July 20, 2020)

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Behavior Intervention Plan-BIP--STU-819-003.pdf

STU-819-003 - Behavior Intervention Plan - BIP.pdf 321.6 KB (Last Modified on September 11, 2018)

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Classroom Observation Record--STU-819-025.pdf

STU-819-025 - Classroom Observation Record.pdf 99.78 KB (Last Modified on August 31, 2022)

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Educational Planning Team Recommendation Form--STU-819-024.pdf

STU-819-024 - Educational Planning Team Recommendaton Form.pdf 165.32 KB (Last Modified on October 10, 2018)

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Educational Screening Record - Link

Educational Screen Record - STU-819-013

(Last Modified about a minute ago)

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Functional Behavioral Assessment-FBA--STU-819-002.pdf

STU-819-002 - Functional Behavior Assessment - FBA.pdf 412.22 KB (Last Modified on February 13, 2020)

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Hours of Academic Intervention Worksheet--STU-819-023.pdf

STU-819-023 - Hours of Academic Intervention Worksheet.pdf 118.66 KB (Last Modified on October 10, 2018)

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Monitoring Problem and Replacement Behavior Observation Form 2 - STU-819-022.pdf

STU-819-022 - Monitoring Problem and Replacement Behavior Observation Form--Form 2.pdf 90.86 KB (Last Modified on October 24, 2018)

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Monitoring Problem and Replacement Behavior Observation Form-1--STU-819-021.pdf

STU-819-021 - Monitoring Problem and Replacement Behavior Observation Form--Form 1.pdf 47.16 KB (Last Modified on October 9, 2018)

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Parent Information for Students Receiving Intensive Interventions

Parent_Info_for_Students_Receiving_Tier_3.pdf 247.16 KB (Last Modified on February 24, 2019)

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Parent Notice of Educational Planning Team Meeting - STU-122-005.pdf

STU-122-005 - Parent Notice of Educational Planning Team Meeting.pdf 106.23 KB (Last Modified on April 6, 2021)

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Pre-K Educational Planning Team Screening Record--STU-819-020.pdf

STU-819-020 - Pre-K Educational Planning Team Screening Record.pdf 89.7 KB (Last Modified on October 9, 2018)

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Private and Home School Educational Screening Record - ESE-2324-003

ESE-2324-003 - Private and Home School Educational Screening Record.pdf 182.18 KB (Last Modified on March 29, 2023)

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Progress Monitoring Data Worksheet--STU-819-019.pdf

STU-819-019 - Progress Monitoring Data Worksheet.pdf 88.49 KB (Last Modified on October 9, 2018)

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Record of Academic Intervention--STU-819-018.pdf

STU-819-018 - Record of Academic Intervention.pdf 114.69 KB (Last Modified on October 9, 2018)

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Record of Behavior Intervention--STU-718-002.pdf

STU-718-002 - Record of Behavioral Intervention.pdf 181.2 KB (Last Modified on July 20, 2020)

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Referral Checklist for Initial Speech Evaluation - ESE-819-028.pdf

ESE-819-028 - Referral Checklist for Initial Speech Evaluation.pdf 89.09 KB (Last Modified on February 24, 2022)

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Referral Checklist for New Evaluation (Disabilities) - STU-819-017.pdf

STU-819-017 - Referral Checklist for New Evaluation - Disabilities.pdf 359.2 KB (Last Modified on September 1, 2022)

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Section 504 Forms

Manifestation Determination Form - Section 504--STU-819-027.pdf

STU-819-027 - Manifestation Determination Form - Section 504.pdf 35.2 KB (Last Modified on October 10, 2018)

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Notice and Consent for Initial Section 504 Evaluation - STU-021-001.pdf

STU-021-001 - Notice and Consent for Initial Section 504 Evaluation.pdf 162.07 KB (Last Modified on November 19, 2021)

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Notice to Parent: Rights Afforded by Section 504 of the Rehabilitation Act of 1973-STU-122-006.pdf

STU-122-006 - Page Two Only-Rights Afforded by Section 504 Committee Meeting.pdf 164.07 KB (Last Modified on February 23, 2023)

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Parent Notice of Section 504 Committee Meeting--STU-122-006.pdf

STU-122-006 - Parent Notice of Section 504 Committee Meeting.pdf 256.21 KB (Last Modified on February 23, 2023)

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Section 504 - Eligibility Form--STU-920-007.pdf

STU-920-007 - Section 504-Eligibility Form.pdf 267.2 KB (Last Modified on July 9, 2019)

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Section 504 - Reevaluation--STU-920-008.pdf

STU-920-008 - Section 504 Reevaluation Form.pdf 177.01 KB (Last Modified on July 9, 2019)

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Section 504 Accommodation Plan--STU-920-015.pdf

STU-920-015 - Section 504 Accommodation Plan.pdf 363.63 KB (Last Modified on July 15, 2019)

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Student Records Forms

Educational Records Disclosure/Request Log--STU-819-028.pdf

STU-819-028 - Educational Records Disclosure-Request Log.pdf 220.46 KB (Last Modified on October 10, 2018)

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Emergency Contact Form--STU-920-014.pdf

STU-920-014 - Emergency Contact Form.pdf 260.06 KB (Last Modified on February 1, 2021)

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Notarized Affidavit of Birth Information--STU-920-005.pdf

STU-920-005 - Notarized Affidavit of Birth Information.pdf 164.57 KB (Last Modified on July 2, 2019)

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Records Transfer Form - STU-920-004.pdf

STU-920-004 - Records Transfer Form.pdf 245.02 KB (Last Modified on June 13, 2022)

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Release of Student Information Between Agencies - STU-021-012.pdf

STU-021-012 - Release of Student Information Between Agencies.pdf 194.37 KB (Last Modified on July 15, 2021)

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Release of Student Education Record Form to ACPS - STU-819-030.pdf

STU-819-030 - Release of Student Education Record Form to Alachua County.pdf 185.66 KB (Last Modified on February 3, 2021)

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Student Services Forms - General

ACCEL 18 Credit Standard Diploma Option Agreement--STU-819-032.pdf

STU-819-032 - ACCEL 18 Credit Standard Diploma Option Agreement.pdf 35.67 KB (Last Modified on October 11, 2018)

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Assurance to Parents of Rights for Parental Input at Meetings--STU-819-033.pdf

STU-819-033 - Assurance to Parents of Rights for Parental Input at Meetings.pdf 52.13 KB (Last Modified on October 11, 2018)

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Community Service Registration--Volunteer Service Record, STU-920-017

STU-920-017 - Community Service Registration--Volunteer Service Record.pdf 230.27 KB (Last Modified on January 10, 2023)

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Consent for Services - STU-2223-008

STU-2223-008 - Consent for Services.pdf 211.04 KB (Last Modified on October 18, 2022)

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Crisis Response Team - STU-021-008.pdf

STU-021-008 - Crisis Response Team.pdf 204.8 KB (Last Modified on September 1, 2020)

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Dual Enrollment Application for the University of Florida - STU-920-012.pdf

STU-920-012 - Dual Enrollment Application for the UF.pdf 230.63 KB (Last Modified on July 10, 2019)

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Early Warning System Educational Planning Team Recommendation-STU-920-011.pdf

STU-920-011 - Early Warning System Educational Planning Team Recommendation.pdf 285.51 KB (Last Modified on July 10, 2019)

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Hope Scholarship Notification Form (State Form)

HopeNotificationForm 2022-23.pdf 113.55 KB (Last Modified on September 6, 2022)

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Industry Certification Substitution Consent Form - STU-920-010.pdf

STU-920-010 - Industry Certification Substitution Consent Form.pdf 149.7 KB (Last Modified on July 10, 2019)

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McKinney-Vento Residency Questionnaire - STU-2223-009.pdf

STU-2223-009 - McKinney-Vento Residency Questionnaire.pdf 253.34 KB (Last Modified on October 12, 2022)

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McKinney-Vento Residency Questionnaire -- Español - STU-2223-009

STU-2223-009 - McKinney-Vento Residency Questionnaire -- Spanish.pdf 287.24 KB (Last Modified on October 12, 2022)

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Mental Health Interventions Referral Form - STU-819-039.pdf

STU-819-039 - Mental Health Interventions Referral form.pdf 71.37 KB (Last Modified on December 10, 2018)

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Notice of Intent to Withdraw from Traditional School - STU-819-005.pdf

STU-819-005 - Notice of Intent to Withdraw from Traditional School.pdf 154.55 KB (Last Modified on October 31, 2019)

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Paid Work Guidelines & Work Hours Log - STU-2223-010

STU-2223-010 - Paid Work Guidelines and Work Hours Log.pdf 247.35 KB (Last Modified on September 15, 2023)

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Record of Meeting--STU-819-034.pdf

STU-819-034 - Record of Meeting.pdf 38.51 KB (Last Modified on October 11, 2018)

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Referral for Mental Health Counseling Services Form - STU-920-002.pdf

STU-920-002 - Referral for Mental Health Counseling Services Form.pdf 252.65 KB (Last Modified on May 19, 2022)

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Release of Student to Outside Agency--STU-819-035.pdf

STU-819-035 - Release of Student to Outside Agency.pdf 84.71 KB (Last Modified on October 11, 2018)

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Student Grievance Form--STU-819-036.pdf

STU-819-036 - Student Grievance Form 1.pdf 131.32 KB (Last Modified on September 22, 2022)

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Student Injury Report - STU-718-008.pdf

STU-718-008---Student-Injury-Report.pdf 65.47 KB (Last Modified on March 16, 2018)

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Suicide Prevention Forms

Columbia-Suicide Severity Rating Scale (C-SSRS) - STU-2223-001

STU-2223-001 Columbia-Suicide Severity Rating Scale.pdf 326.61 KB (Last Modified on September 26, 2022)

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Crisis Prevention Protocol

Crisis Prevention Protocol.pdf 105.21 KB (Last Modified on December 9, 2021)

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Parent/Guardian Plan of Action - STU-021-003.pdf

STU-021-003 - Parent-Guardian Plan of Action.pdf 145.7 KB (Last Modified on April 23, 2020)

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Report of Suicide Risk--STU-021-002.pdf

STU-021-002 - Report of Suicide Risk.pdf 268.43 KB (Last Modified on May 4, 2022)

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Student Re-Entry Plan - STU-021-004.pdf

STU-021-004 - Student ReEntry Plan.pdf 156.8 KB (Last Modified on April 23, 2020)

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Student Safety Plan - STU-021-005.pdf

STU-021-005 - Student Safety Plan.pdf 188.29 KB (Last Modified on April 23, 2020)

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TAP (Teenage Parenting)

Admission Application w/Student-Parent/Guardian Agreement, STU-122-001

STU-122-001 - TAP Admission Application w-Student-Parent-Guardian Agreement.pdf 251.04 KB (Last Modified on March 17, 2021)

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Health Policies Acknowledgement - STU-122-002.pdf

STU-122-002 - Health Policies Acknowledgement.pdf 213.48 KB (Last Modified on March 17, 2021)

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Title IX

Formal Appeal of Title IX Decision - STU-021-011.pdf

STU-021-011 - Formal Appeal of Title IX Decision.pdf 147.76 KB (Last Modified on November 4, 2020)

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Formal Complaint of Sexual Misconduct - Title IX - STU-021-009.pdf

STU-021-009 - Formal Complaint of Sexual Misconduct - Title IX.pdf 134.88 KB (Last Modified on November 4, 2020)

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Notice of Investigation for Student on Student Sexual Misconduct-Title IX - STU-021-010.pdf

STU-021-010 - Notice of Investigation for Student on Student Sexual Misconduct - Title IX.pdf 167.41 KB (Last Modified on November 4, 2020)

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Title IX Report of Sexual Misconduct - STU-718-001.pdf

STU-718-001 - Title IX Report of Sexual Misconduct.pdf 386.55 KB (Last Modified on November 4, 2020)

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