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Procedural Checklist for Extended School Year Services (ESY) Please complete the following steps, which are listed in sequential order, to ensure compliance with ESY Eligibility requirements and appropriate
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How to fill out extended school year eligibility

How to fill out extended school year checklist:
01
Start by gathering all the necessary information and materials. This may include previous school year reports, individual education plans (IEPs), medical or therapy records, and any other relevant documentation.
02
Review the checklist thoroughly to understand the specific requirements and sections. Take note of any deadlines or additional forms that may need to be included.
03
Begin by filling out the basic information section, including the student's name, date of birth, and current grade level.
04
Move on to the academic goals section. Here, it is important to identify specific areas of improvement or targets that need to be addressed during the extended school year program. Be as clear and specific as possible.
05
If applicable, complete the section regarding behavioral goals or interventions. This can include strategies or accommodations necessary to support the student's behavior during the extended school year.
06
If there are any health or medical concerns, make sure to accurately document them in the corresponding section. Include any necessary information about medication administration, allergies, or other medical considerations.
07
Review the checklist once again to ensure that all sections have been completed accurately and thoroughly. Double-check for any missing information or errors.
08
Submit the completed checklist to the designated person or department as instructed. Keep a copy for your records.
Who needs extended school year checklist?
01
Students who require additional academic support or have individualized education plans (IEPs) may benefit from an extended school year checklist. It helps to outline specific goals and interventions that will be implemented during the extended school year program.
02
Parents or guardians of students who want to ensure that their child receives the necessary support and accommodations during the extended school year should also use the checklist.
03
School administrators or educators can use the extended school year checklist to accurately assess the needs of each student and provide appropriate resources and interventions during the extended school year program.
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What is extended school year checklist?
The extended school year checklist is a tool used to determine eligibility for additional educational services provided during the summer months for students with disabilities.
Who is required to file extended school year checklist?
The checklist is typically required to be filed by special education teachers or administrators who are responsible for evaluating and recommending services for students with disabilities.
How to fill out extended school year checklist?
To fill out the extended school year checklist, educators must review the student's current Individualized Education Program (IEP), assess the student's needs, and document specific areas where additional support may be necessary during the summer break.
What is the purpose of extended school year checklist?
The purpose of the extended school year checklist is to ensure that students with disabilities receive appropriate educational services beyond the traditional school year to prevent regression in skills.
What information must be reported on extended school year checklist?
The checklist must report information such as the student's current performance levels, specific skill areas requiring support, recommendations for services, and justification for the need for extended school year programming.
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