FSM Education Policies & Procedures

RTI Forms

Summary Record Checklist
Child Assistance Team – Community Referral Form
Child Assistance Team – School Referral Form
Child Assistance Team Meeting – Member Invitation Letter
Child Assistance Team – Parent Invitation Letter
Child Assistance Team – Determination Form
Child Assistance Team – Intervention Plan
Child Assistance Team – Progress Report
Termination of Services Form
Resource type

Statement of Eligibility Category Worksheet

Statement of Eligibility Autism Category Worksheet
Communication Impairment Category Worksheet
Emotional Impairment Category Worksheet
Hearing Impairment Category Worksheet
Mental Retardation Category Worksheet
Orthopedic Impairment Category Worksheet
Specific Learning Disability Impairment Category Worksheet
Traumatic Brain Injury Category Worksheet
Visual Impairment Category Worksheet
Resource type

Special Education Forms

Summary Record Checklist
Child Assistance Team – Community Intake Form
Child Assistance Team – School Intake Form
Child Assistance Team Meeting – Member Invitation Letter
Child Assistance Team – Parent Invitation Letter
Child Assistance Team – Determination Form
Child Assistance Team – Intervention Plan
Child Assistance Team – Progress Report
Pre-Referral Checklist for Communication Impairments
Pre-Referral Checklist for Emotional Disability
Pre-Referral Checklist for Hearing Impairments
Pre-Referral Checklist for Visual Impairments
Pre-Referral Checklist for Specific Learning Disability
Pre-Referral Checklist for Autism Spectrum Disorder
Pre-Referral Checklist for Mental Retardation
Referral for Initial Evaluation
Evaluation Plan
Prior Notice to Initiate Evaluation: Parental Consent
Summary of Evaluation
Statement of Eligibility Determination
Parent Notification
Committee Member Notification
Directions for Completing the IEP Forms
Individualized Education Program
Placement Determination Form
Consent for Initial Provision of Special Education and Related Services
Private School Service Plan
Termination of Services Form
Resource type

Policies/Procedures

FSM Alternate Assessment Guidelines
FSM IDEA Part B Fiscal Management Procedures
FSM IDEA Part B Revised Fiscal Management Procedures
FSM Inventory Development (FSMID)
FSM Continuous Improvement Monitoring System
FSM Policy on Disability
FSM Private School Policy and Procedure
FSM Procedural Safeguard
FSM Special Education Procedural Manual
Resource type
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