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

Nhia Kou- page 3
7/1999
Revised 8/2004
Page ____ of ___
EXTENDED SCHOOL YEAR FOR ____________________ (I-15)
_____________________ SCHOOL DISTRICT
Does the child require extended school year (ESY) services to receive a free and appropriate
public education (FAPE)?
� Yes � No
If no, explain reasons rejected:
If yes, identify which annual goals, including benchmarks or short term objectives, will be
addressed during ESY:
Goal: To reduce vocal abuse and establish the placement of vocal resonance.
Objective: Reduce tension and increase vocal relaxation 80% of the time with
cueing.
Specify all needed services:
I. Special Education
Voice therapy to reduce vocal tension and increase vocal
relaxation
II. Related services
III. Supplementary aids and services - aids, services, and
other supports provided to or on behalf of the student in
regular education or other educational settings
Parent awareness and basics of reducing vocal abusive
behavior training sessions
IV. Program modifications or supports for school personnel
that will be provided
Frequency/
Amount
2- 30
minute
sessions per
week
2 1-hour
sessions per
week
2- 30
minute
sessions
Location
Speech
Therapy
Room
Community
/Home
Home
Duration
(beginning and
ending dates)
June 8 – July 17
July 22 –
August 31
Before June 8
CESA #9: 1999 Determining ESY Services, Revised 2004 43