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MANIFESTATION DETERMINATION FORM CAMILLE NORTH SUPERVISORY UNION HYDE PARK, VERMONT Note: To be conducted after the 10th day of suspension and within 10 school days of exceeding 10 days of suspension.
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How to fill out manifestation determination form

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How to fill out a manifestation determination form:

01
Start by gathering all the necessary information, such as the student's name, date of birth, and student identification number.
02
Fill out the student's current academic and behavioral information, including any recent incidents or disciplinary actions.
03
Provide a detailed description of the behavior that led to the manifestation determination review, including the date and location of the incident.
04
Include any relevant observations or statements from witnesses or staff members who were present during the incident.
05
Document any interventions or strategies that were implemented prior to the manifestation determination review.
06
Consult with the student's Individualized Education Program (IEP) team to determine if there is a direct relationship between the student's disability and the behavior in question.
07
Make a decision about whether the behavior was a manifestation of the student's disability. Provide a clear explanation supporting your decision.
08
If it is determined that the behavior was not a manifestation of the student's disability, document the reasons for this determination.
09
Include any recommendations for further interventions or supports that may be needed to address the student's behavioral concerns.
10
Sign and date the manifestation determination form, and ensure that all relevant parties receive a copy.

Who needs a manifestation determination form:

01
School administrators and staff members responsible for conducting manifestation determination reviews.
02
Students with disabilities who have engaged in behavior that may warrant a disciplinary action.
03
The student's parents or guardians, who are typically involved in the manifestation determination review process.
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Manifestation Determination Form is a document that is used to evaluate whether a student's behavior is a result of their disability.
School administrators, teachers, and special education staff are required to file manifestation determination form when a student's behavior raises concerns about their disability.
Manifestation Determination Form should be filled out by providing details about the student, their disability, the behavior in question, and any relevant information regarding the student's education plan.
The purpose of manifestation determination form is to determine if a student's behavior is a manifestation of their disability and to ensure that proper support and services are provided to the student.
Information such as student's name, disability status, description of behavior, impact on learning, and recommendations for support services must be reported on manifestation determination form.
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