forms

Useful Info

Our Forms Page

Various forms, documents, and resources are linked to this page to support our staff in educating our students. Some of the documents on this web page are PDF files and require Adobe Reader. You will need to download Adobe Reader to open PDF files on your computer.

This page was last updated on: 09/17/11 02:38 PM

Compliance Forms, Documents, & Resources:
CECAS Data Entry	CECAS Directions
Checkout Log	Child History Update Form
Compliance Specialist Notification	Consent for Exchange of Information
Confidentiality Agreement	DEC 5 Note Page
DEC 1 forms Prior Notice.doc	DEC 1 forms Prior Notice SPANISH VERSION
Evaluation Results	Exceeding 90-day Timeline
Exceeding 3^rd Birthday Timeline	Justification for Separate Setting
Extended School Year Eligibility Form	IEP Minutes Template REVISED Aug 2011
Inspection Log	Meeting without a Meeting procedures
EC-Manifestation	Meeting Without a Meeting PERMISSION TO AMEND IEP
Meeting without Meeting ltr	Notification to Regular Ed Teacher
Minutes	Prior Written Notice Change in Placement DEC 5a.pdf
NC Wise Data Entry Form	Physician's Report
Request for Additional/Deletion Testing	Project Child Find
Private School Service Plan	Summary of Performance
Status Report	Social History Form
Referral for Evaluation	Social History form SPANISH VERSION
Curriculum Forms, Documents, & Resources:
Co-teaching Lesson Plan	Co-Teaching Models
Data Summary Sheet	IEP Goals Class Roster
IEP Goals Class Roster Guidelines	IEP Weekly Goals Sheet
IEP Goals Class Roster EXAMPLE	IEP Weekly Goals Sheet EXAMPLE
IEP Weekly Goals Sheet Guidelines	Instructional Funds Request
LCPS K-5 EC Resource Lesson Plan REVISED July 2010	LCPS Secondary EC Resource Lesson Plan REVISED July 2010
LCPS Self-Contained Lesson Plan REVISED July 2010	Modified Textbook Order Form
Monthly Math Session Report	Monthly Reading Session Report
Parent Involvement Log	Progress Documentation
Progress Reports K-12	Progress Report PK
Purchase Order	Roster for Math Program 2011-12
Roster for Reading Program 2011-12	Student Progress
Behavior Forms, Documents, & Resources:
ABC Observation	FBA and BIP Review (Step 4)
Classroom Layout	FBA and BIP Procedures
FBA Data Collection (Step 1)	Request for Behavioral Observation / Assistance from Behavior Specialist REVISED 2011
FBA (Step 2)	Restrain/Seclusion forms and procedures
BIP (Step 3)
Student Success Team (SST) Forms, Documents, & Resources:
RE 2 Parental Notification of Screening	Parent Letter
SST Request for Academic/Behavior Support	Consent for Evaluation (ADHD ONLY)
RE 1 forms-1 of 6 Focus of Concern/Screening	RE 1 forms- 2 of 6 Review of Previous Testing
RE 1 forms-3 of 6 Area of Concern	RE 1 forms-4a of 6 Classroom Observation
RE 1 forms-4b of 6 Classroom Observation	RE 1 froms-5a of 6 Intervention planning (R/W)
RE 1 forms-5b of 6 Intervention planning (M/B)	RE 1 forms-6 of 6 Recommendations
RE 1 forms- 5 of 6 example with guiding thoughts	Screenings

504 Forms, Documents, & Resources:
504-1 Referral	504-2 Parent Notification
504-2a Consent for Evaluation	504-2b Consent for Exchange of Info
504-2c Physician's Report	504-3 Eligibility Determination
504-4 Section 504 Plan	504-AR Annual Review
504-C Invitation to Conference	504-CR Coordinator’s Report
504-DC Data Collection (Re-eval)	504-Exit Form
504-R Parent's Rights	504-NCWISE Form
Transitory Impairment Plan	504-Manifestation
Prior Written Notice-Disciplinary Change in Placement
Other Forms, Documents, & Resources
Forms Request	Personal Contact and Telephone Log
Record Exchange 504	Record Exchange AG
Record Exchange EC	Record Exchange SST
Staff Development Request	Regular Education Report for EC Teachers
Time Sheet	Staff Development Process
Sampson Exit Form	Sampson Intake Form
Surrogate Parent Guidelines	Purchase Order
Wal-Mart Request Form	Student Checklist

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