Get the free ESY Summer Services Referral Form Directions

ESY/Summer Services Referral Form Instructions the following link to access the Referral site: https://esyrequests.cliu.org Use the password and Username issued to your district Special Education

How to fill out esy summer services referral

How to fill out esy summer services referral

1. To fill out an esy summer services referral, follow these steps:
2. Start by downloading the referral form from the official website or obtain a physical copy from the relevant authority.
3. Read all the instructions and requirements mentioned on the form to understand the eligibility criteria for esy summer services.
4. Fill in your personal information accurately, such as your name, address, contact details, and any other required identification information.
5. Provide information about the student who needs esy summer services, including their name, age, school, grade level, and specific disabilities or special needs.
6. Attach any supporting documents or medical records that may be required to support the referral, such as individualized education plans (IEPs) or medical professional assessments.
7. Fill out the sections related to the requested services, including the type of services needed, preferred locations, duration of services required, and any other specific details.
8. Review the completed referral form to ensure all information is accurate and complete.
9. Submit the filled referral form as per the instructions provided. This can be done either by mailing it to the designated address or submitting it online through the official website.
10. Keep a copy of the filled referral form for your records.
11. Wait for a response from the relevant authority regarding the esy summer services referral.

Who needs esy summer services referral?

1. An esy summer services referral is needed by students with disabilities or special needs who require additional educational support during the summer months.
2. These referrals are typically required for students who have an individualized education plan (IEP) or a 504 plan in place, and their educational team has determined that they would benefit from extended school year (ESY) services.
3. ESY services aim to prevent substantial regression and to help students maintain the skills they have acquired throughout the school year.
4. Parents, guardians, or educational professionals involved in the student's educational journey may initiate the esy summer services referral.

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What is esy summer services referral?

The esy summer services referral is a form used to request extended school year services for students with disabilities during the summer.

Who is required to file esy summer services referral?

Parents or guardians of students with disabilities are required to file the esy summer services referral.

How to fill out esy summer services referral?

To fill out the esy summer services referral, parents or guardians must provide information about the student's disability and the services needed.

What is the purpose of esy summer services referral?

The purpose of the esy summer services referral is to ensure that students with disabilities receive the necessary support and services during the summer months to prevent regression of skills.

What information must be reported on esy summer services referral?

The esy summer services referral must include information about the student's disability, the services needed, and any relevant medical or educational documentation.