Get the free Extended School Year Form - Keystone Learning Services - kidss keystonelearning

! ! ! ! ! ! Keystone! Learning! Services! ! DOCUMENTATION OF NEED FOR EXTENDED SCHOOL YEAR SERVICES! ! Student! Name:! !IEP! Meeting! Date:! ! School:! !! Grade:! Case Manager: !! Dates of ESY: !

How to fill out extended school year form

How to fill out an extended school year form:

1. Start by reviewing the instructions provided with the form. Make sure you understand what information is required and how to properly complete the form.
2. Begin filling out the form by entering your personal details, such as your name, address, and contact information. Ensure that all the information provided is accurate and up-to-date.
3. Next, provide any necessary information about your child, including their name, grade level, and any specific needs or disabilities they may have.
4. Some extended school year forms may require you to indicate the specific services or accommodations that your child requires during the extended school year. Make sure to accurately identify and describe any special education services or supports.
5. If the form asks for it, provide any relevant medical or therapy information for your child. This may include details about their healthcare provider, any medications they are taking, or any additional therapy they are receiving.
6. Double-check all the information you have entered and ensure that it is complete and accurate. Review the form for any errors or omissions before submitting it.
7. Finally, sign and date the form to indicate your agreement with the information provided. If required, make sure to also include your child's signature. Keep a copy of the completed form for your records.

Who needs an extended school year form:

1. Students with disabilities: An extended school year form is typically required for students with disabilities who require educational services and supports beyond the regular school year. This form helps to determine their eligibility and the specific services they require during the extended period.
2. Parents or guardians: Parents or legal guardians of students with disabilities are typically responsible for filling out the extended school year form. It allows them to provide accurate information about their child's needs and request appropriate services.
3. School administrators and special education staff: School administrators and special education staff members are responsible for reviewing and processing the extended school year forms. They use the information provided to assess a student's eligibility and develop an individualized plan for the extended school year services.

For pdfFiller’s FAQs

What is extended school year form?

The extended school year form is a document that allows for students to receive specialized services during school breaks in order to prevent regression of skills.

Who is required to file extended school year form?

The extended school year form is typically filed by students who have Individualized Education Programs (IEPs) that include extended school year services.

How to fill out extended school year form?

The extended school year form is usually completed by the student's special education team, including teachers, therapists, and administrators.

What is the purpose of extended school year form?

The purpose of the extended school year form is to ensure that students with disabilities continue to receive necessary services during breaks in the school year.

What information must be reported on extended school year form?

The extended school year form must include the student's name, IEP goals, the specific services needed during the extended school year, and the duration of services.

Can I sign the extended school year form electronically in Chrome?

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Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your extended school year form by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.

How do I fill out extended school year form on an Android device?

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