Get Extended School Year Form - Keystone Learning Services - Kidss Keystonelearning

This guide provides clear and detailed instructions to help users fill out the Extended School Year Form for Keystone Learning Services. Understanding each component of the form will facilitate a smooth completion process, ensuring necessary services are appropriately documented.

Follow the steps to successfully complete the Extended School Year Form.

1. Click ‘Get Form’ button to access the Extended School Year Form and open it in your preferred editing tool.
2. Begin by entering the student’s name, IEP meeting date, school, grade, and case manager information in the designated fields at the top of the form.
3. In the section labeled 'Factors for Team Consideration and Supportive Data', review each factor carefully. For each factor, mark the box to indicate whether Extended School Year Services are deemed necessary based on the provided justification.
4. For the 'Regression/Recoupment' factor, determine if the student is likely to experience substantial skill regression during school breaks. Take note of the guiding questions to assist in making this determination.
5. Next, evaluate the 'Degree and/or Rate of Progress'. Discuss the student’s progress toward their IEP goals and whether continued services are needed to maintain their educational benefit.
6. Review any 'Emerging Skills/Breakthrough Opportunities' in the student's IEP goals. Consider the impact of any breaks in programming on these critical areas.
7. Assess any 'Interfering Behaviors' that may hinder the student’s ability to benefit from their educational program. Mark whether ESY services are required to support positive behavior management.
8. Evaluate the 'Nature and/or Severity of the Disability' to conclude if these factors necessitate the provision of Extended School Year Services to aid in the student’s learning.
9. Finally, check the box for any 'Special Circumstances or Other Factors' that might impede the student’s educational benefit without ESY services.
10. Once all sections are completed, ensure that the document reflects accurate and complete information. Save your changes, and you may choose to download, print, or share the form as needed.

Complete the Extended School Year Form online to ensure your student's educational needs are met.