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Extended School Year Services (ESY) - The Special Education Team

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Invitation to the IEP<br />

Meeting<br />

(I-9)<br />

Cover Sheet<br />

(I-2)<br />

Assessment & Eligibility<br />

(I-3, I-4, I-5)<br />

Present Level of<br />

<strong>Education</strong>al Performance<br />

(PLOEP)<br />

Goals & Objectives/<br />

Benchmarks<br />

IEP Service Needs<br />

(I-9 through I-14)<br />

Placement<br />

(I-16 or I-17)<br />

( ) refers to DPI<br />

Form numbers<br />

<strong>ESY</strong> AND THE IEP PROCESS:<br />

Steps to Follow<br />

Consideration of<br />

<strong>ESY</strong> requested<br />

by any IEP team<br />

member<br />

Explain reasons<br />

and continue IEP<br />

process<br />

**from Determining<br />

<strong>ESY</strong> <strong>Services</strong>, CESA<br />

#9, 1999/2004<br />

Figures 1 & 2<br />

see pages 4-7<br />

Factors to<br />

Consider**<br />

NO YES<br />

7/1999<br />

Revised 8/2004<br />

Complete (I-15)<br />

Identify goals/objectives<br />

to be addressed in <strong>ESY</strong><br />

based on present IEP<br />

(I-12, I-14)<br />

Identify amount,<br />

frequency, location<br />

and duration of <strong>ESY</strong><br />

CESA #9: 1999 Determining <strong>ESY</strong> <strong>Services</strong>, Revised 2004 9

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