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SECTION 504 STUDENT REFERRAL Date School Students Name: Grade Date of Birth Parents/Guardians Names Address Email Address Phone NumbersWork Home Cell Primary Language Spoken at home() English() Other
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How to fill out section504studentreferraldoc

01
To fill out the Section 504 Student Referral Document, follow these steps:
02
Start by opening the document in a word processing software or a PDF reader.
03
Fill in the appropriate fields, such as the student's name, date of birth, and grade level.
04
Provide the student's contact information, including their address, phone number, and email.
05
Indicate the reason for referring the student for Section 504 evaluation, including any specific concerns or observations.
06
Include relevant documentation or evidence that supports the need for a Section 504 evaluation, such as medical reports or previous assessments.
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If applicable, provide information about any accommodations or services that have already been implemented for the student.
08
Sign and date the document to certify its accuracy and completeness.
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Submit the completed Section 504 Student Referral Document to the appropriate school personnel or the Section 504 coordinator.
10
Keep a copy of the document for your records.

Who needs section504studentreferraldoc?

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Section 504 Student Referral Document is needed for students who require evaluation for eligibility under Section 504 of the Rehabilitation Act of 1973. This act provides protection against discrimination for students with disabilities who may not qualify for special education services but still require reasonable accommodations or supports in a regular educational setting. If a student exhibits academic, behavioral, or physical difficulties that impede their ability to fully participate in their educational program, a Section 504 evaluation may be warranted. This referral document is used to initiate the evaluation process and determine eligibility for Section 504 services.
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Section504studentreferraldoc is a document used to refer a student for evaluation under Section 504 of the Rehabilitation Act of 1973.
School officials, such as teachers, counselors, or administrators, are typically required to file section504studentreferraldoc for students who may benefit from accommodations or services under Section 504.
Section504studentreferraldoc should be filled out with the student's information, the reason for the referral, any relevant documentation or assessments, and parent or guardian consent.
The purpose of section504studentreferraldoc is to formally request an evaluation to determine if a student qualifies for accommodations or services under Section 504.
Information such as the student's name, grade level, disability or condition, specific concerns or needs, parent or guardian contact information, and any relevant documentation.
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