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- Macomb ISD
- Special Education
Management Services
- August, 2006
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- Required by Federal and State Law
- Begins the Legal Special Education Eligibility Process
- Is Timeline Compliance Driven
- Tracks Initial Referral Outcomes for State Performance Planning Review
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- State has Translated This Form and Other Required Documents
- Provides Notice/Rights/ in Other Languages:
ØAlbanian ØArabic ØHmong
ØSerbo
Croatian ØSpanish ØVietnamese
- To Get One, Google Search:
“Michigan Special Education Forms”
- See: http://www.michigan.gov/mde/
0,1607,7-140-6530_6598-16336--,00.html
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- When sufficient evidence exists that:
- Child believed to have a Suspected Disability
- that makes:
- Child Unable to Benefit from General Education Curriculum
- Despite Prior Interventions Having Been Tried to Improve Child’s
Performance
- Additional Testing Would Require Written Parental Notice and Signed
Consent
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- Building Level Student Assistance Team
- Building Administrator/Counselor
- Building Special Education Team Leader
- Central Special Education Office
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- Provides Legal Notice To Parent
- Begins Legal Special Education Eligibility Determination Process
- Gets Signed Written Parental Consent
- Tracks Initial Referral Outcomes
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- NOT: Internal-To-District Referrals for Additional Evaluations of
Students Already Receiving Special Education Services.
- NOT: New District Move-Ins With Previous Enrollment in Special Education
- NOT: Form 2 Referrals to MISD
- NOT: Part C “Early On” Referral of Children Ages 0-3
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- A NATURAL, ADOPTIVE, or FOSTER parent of a child (unless a foster parent
is prohibited by State law from serving as a parent);
- A GUARDIAN (but not the State if the child is a ward of the State);
- An INDIVIDUAL in the place of a natural or adoptive parent (including a
grandparent, stepparent, or other relative) with whom the child lives,
or an individual who is legally responsible for the child’s welfare;……….
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- A SURROGATE PARENT who has been appointed in accordance with state board
of education policy.
- A FOSTER PARENT if both:
1. The natural parent’s authority to make educational decisions
has been extinguished under state law.
2. The foster parent satisfies ALL of the following:
- Has ongoing, long-term parental relationship with student/youth with a
disability.
- Is willing to make the educational decisions required of parents.
- Has no interest that would conflict with the interests of the student
or youth with a disability.
- The STUDENT/YOUTH who is 18 years of age, if a legal guardian has not
been appointed by appropriate court proceedings.
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- Identifying Information
- Reason for Referral
- Source of Referral
- Notification Language
- Evaluation Review (Optional)
- Evaluation Team Participants
- Evaluation Team Leader
- Notice Components
- Native Language
- Consent Signature
- Timeline Dates/Outcomes
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- Accuracy is Critical, Especially
- Legal Last Name, First Name
- Date of Birth
- Resident District
- Begins Official Special Education Record
- Links To State of Michigan Student ID
- Have Parent Verify This Information
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- Social/Emotional Behavioral
- Learning/Achievement
- Speech/Language
- Delayed Development (Cognitive, ECDD)
- Vision/Hearing
- Physical Health
- Other
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- Building Level Curriculum Review Process (RtI)
- Student Assistance Team
- Child Find/Screening
- School Administrator
- General Ed Teacher
- Parent
- Doctor/Physician/Public Health Dept
- 504 Accommodation Process
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- Your child has been referred for evaluation because he/she is suspected
of having unique needs that may prevent him/her from fully participation
in the general education curriculum.
- This evaluation will be for educational purposes.
- Your input will be requested during the evaluation process.
- The information gained will be used to determine if your child is
eligible for special education and, if so, to plan appropriate programs
and services.
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- An OPTIONAL Process per IDEA
- Identifies Existing Assessments
- Narrows Assessments Still Needed
- See “Evaluation Review” Form
- Review Your Local Policy:
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- Persons Who MAY Evaluate the Child
- Certain Professionals are Required for Specific Suspected Impairments
- Parent Input must be collected
- MET Report with recommendation of Eligibility is required for the first
IEP to determine student’s eligibility.
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- Provide Informed Notification to Parents
- Acquire Signed Parental Consent
- Facilitate/Coordinated MET work.
- Explain Tests to Parents
- Document Parental Agreement to Extension of Initial IEP Timeline
- Schedule/Complete IEP Invitation
- Track Referral Dates and Outcomes
- Other Local Duties?
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- Macomb ISD Parent Handbook, or
- Other Parent Information Supplement
- The Parent Rights/Due Process Document
- Longer State Version, or
- Shorter Condensed-Format Version
- Organizations Available to Help Parents
- Description of Special Education Programs/Services in District/Macomb
County
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- Parent MUST make a Choice:
- I GIVE CONSENT
- I REFUSE CONSENT
- If Parent REFUSES:
- District Not Obligated to Pursue Further
- Be Sure To Thoroughly Document Refusals
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- Informs District of Native Language of Student
- Alerts to Assessment Accommodations
- Alerts to Possible Need for Interpreter.
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- Ask Parent To Check Accuracy of Identifying Student Information
- Ask Parent To Specify Relationship To Student (see “Parent” defined
above)
- Ask Parent To Write Signature Date
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- Maintained by Evaluation Team Leader
- Date Given or Sent
- Parent Signature Date
- Date Consent Received
- IEP Compliance Date
- Initial IEP Held Date
- Extension to Timeline Reason
- Extended IEP Compliance Date
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- Initial Evaluation Consent Form should be Given/Sent To Parent: Within 10
Calendar Days of Receipt of a Referral.
- In Our District, “Referral Date” Means:
__________________________________
- Evaluation Team Leader:
- Records Date When Form was Given/Sent to Parent
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- The Date that an Authorized District Official Got the Signed Initial
Evaluation Consent Form
- Can be Date Stamped
- Recorded In “Date Consent Received” at Bottom of Form.
- My District Starts the 30 School Day Clock using the Date Consent
Received:
- Yes
- No – We Use the “Parent
Signature Date”
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- Target Date of Initial IEP
- 30 School Days = 30 Kids In School Days
- Use Current School Calendar to Calculate Days from RECEIPT of Signed
Parent Consent
- Receipt by: District-Authorized Person, e.g.:
- Bldg Admin
- Spec Ed Dept
- Administrative Designed (SSW,
Psy, etc)
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- May Be Extended
- Must Be Agreed to by:
- Parent
- School District (Administrative
Designee)
- Data Used for Compliance
Reporting
- Document New Agreement Via _____________
- Use New IEP Date on Invitation to Initial IEP
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- Tracks MI Referral Timeline Compliance
- Used by ROSES to calculate days
under or over:
- Initial IEP Target Date, or
- Extended IEP Compliance Date
- Sets Next IEP Date 365 days later
- Sets Next Eval Review Date 3 years later
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- Was Initial IEP held in 30 School Days?
- Reported to State for Compliance
- Possible Outcomes:
- 01 - IEP Held within 30 School Days
- 02 - Child Not Available to Evaluate
- 03 - Child/Family Moved Prior to Initial IEP
- 04 - Parties Agreed to Extend Timeline
- 05 - Evaluation Personnel Unavailable to Complete Evaluation within 30
School Days
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- Results of Referral at Initial IEP
- Reported to State for Compliance
- Initial IEP Outcomes:
- Student Evaluated & ELIGIBLE
- Student Evaluated & INELIGIBLE
- Student Evaluated & ELIGIBLE but Parent Refused Special Ed Services
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- Your Text Here
- Your Text Here
- Your Text Here
- Your Text Here
- Your Text Here
- Your Text Here
- Your Text Here
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- Original To: __________________
- Copy 1 To: __________________
- Copy 2 To: __________________
- Copy 3 To: __________________
- Copy 4 To: __________________
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