ࡱ > 4 7 3 n bjbj @& # J Y Y Y Y Y m m m 8 $ $ m f h j j j j j j + D j Y j Y Y F Y Y h h mF m " T 0 Y j j : SAMPLE WRITTEN NOTICE FOLLOWING AN INITIAL EVALUATION -
STUDENT IS ELIGIBILE
Date
Name
Address
City, NJ ZIP CODE
Dear:
The purpose of this letter is to notify you that the (DISTRICT NAME) has completed the initial evaluation of your child, (NAME OF CHILD), and conducted an eligibility meeting on (DATE). At the meeting the following relevant information was reviewed:
_____ Assessments
_____ Other evaluative data (teacher reports, student work samples, etc.)
_____ Student records
As a result, it was determined that your child is eligible for special education and related services because:
_____ s/he has a disability that corresponds to one or more of the disabilities defined in N.J.A.C. 6A:14-3.5(c)1-14;
_____ the disability adversely affects his/her classroom performance; and
_____ s/he needs special education and related services.
Other options (if any) that were discussed and the reasons they were rejected:
Any other course of action to be taken on behalf of the student:
Please note, in accordance with 34 CFR 300.503(a) and N.J.A.C. 6A:14-2.3(f), if the district is proposing or refusing to initiate or change your child' eligibility status, you may review this decision for 15 days from receipt of this notice. After that time it becomes effective unless you initiate mediation or a due process hearing with the New Jersey Department of Education, Office of Special Education Programs (OSEP). Please refer to the Parental Rights in Special Education (PRISE) booklet for further information regarding mediation and due process.
PROCEDURAL SAFEGUARDS STATEMENT:
As the parent of a student, or as an adult student, who has been determined not eligible for special education and related services, you have rights regarding the identification, evaluation, classification, the development of an IEP, placement and the provision of a free appropriate public education under the New Jersey Administrative Code for Special Education, N.J.A.C. 6A:14. A description of these rights, which are called procedural safeguards, is contained in the document, Parental Rights in Special Education (PRISE). This document is published by the New Jersey Department of Education.
A copy of PRISE is provided to you one time per year and upon referral for an initial evaluation, when you request a due process hearing or complaint investigation and when a disciplinary action that constitutes a change of placement is initiated. In addition you may request a copy by contacting (NAME OF DISTRICT PERSONNEL) at (PHONE NUMBER).
For help in understanding your rights, you may contact any of the following:
(NAME OF SCHOOL DISTRICT REPRESENTATIVE) (PHONE NUMBER)
Statewide Parent Advocacy Network (SPAN) 1-800-654-7726
Disability Rights New Jersey 1-800-922-7233 (In NJ only)
The New Jersey Department of Education through
the (NAME) County Office, (NAME OF COUNTY
SUPERVISOR OF CHILD STUDY) (PHONE NUMBER)
If you have any questions regarding this notice, please contact me.
Sincerely,
(NAME OF DISTRICT PERSONNEL)
(POSITION)
(PHONE NUMBER)
Sample Notice - Revised 2013
Initial Evaluation - Eligible
L M N P T U V [ \ e w 3 7 z { ~ &
)
Ǻw㑄ㄺjjjjjw hH/ hp OJ QJ ^J hH/ h OJ QJ ^J hH/ h b{ OJ QJ ^J hH/ h) 5OJ QJ ^J hH/ hq 5OJ QJ ^J hH/ h"mC OJ QJ ^J hH/ hL OJ QJ ^J hH/ hz* 5OJ QJ ^J hH/ h 5OJ QJ ^J hH/ h b{ 5OJ QJ ^J hH/ hL 5OJ QJ ^J & 8 M N O P U V \ e w x { | f
g
$d a$gd) d gdL $d a$gdp )
F
h
n
s
x
& + . 4 = > h i 0 J 7
9
- . 0 P 5 = > Y ̲̤̗̿{mmm hH/ hS& 6OJ QJ ^J hH/ hS& 5OJ QJ ^J hH/ hp 5OJ QJ ^J hH/ hS& OJ QJ ^J hH/ h 6OJ QJ ^J hH/ h OJ QJ ^J hH/ h OJ QJ ^J hH/ h OJ QJ ^J hH/ hp OJ QJ ^J hH/ h b{ OJ QJ ^J hH/ hQ; OJ QJ ^J *
, - g h i . 0 Q R T U $d a$gdS& d gdL V | ? C U } # $ & ' ) * , - / K 好~ h.!, CJ OJ QJ ^J aJ h j h UhH/ hL OJ QJ ^J hH/ hC* 5OJ QJ ^J hH/ OJ QJ ^J hH/ hC* OJ QJ ^J hH/ h) OJ QJ ^J hH/ hS& 5OJ QJ ^J hH/ h) 5OJ QJ ^J hH/ hS& OJ QJ ^J , : d ! " # % & ( d gdQ; d gdL $d a$gdS& ( ) + , . / L j k l m n d gdL d gdQ; K L ^ i j k m n Ÿ hH/ hL OJ QJ ^J h hQ; h&6 h= CJ OJ QJ ^J aJ h&6 h"t9 CJ OJ QJ ^J aJ h&6 hQ; CJ OJ QJ ^J aJ > PP&P 1h:p{. / =!"#$% j 6 6 6 6 6 6 6 6 6 v v v v v v v v v 6 6 6 6 6 6 > 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 h H 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 2 0 @ P ` p 2 ( 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 0 @ P ` p 8 X V ~ OJ PJ QJ _HmH nH sH tH J ` J z* N o r m a l d CJ _HaJ mH sH tH D A D
D e f a u l t P a r a g r a p h F o n t R i R 0 T a b l e N o r m a l 4
l 4 a ( k (
0 N o L i s t > > Q; 0 H e a d e r d H$ . . Q; 0 H e a d e r C h a r > @ > Q; 0 F o o t e r d H$ . !. Q; 0 F o o t e r C h a r R 2R Q; 0 B a l l o o n T e x t d CJ OJ QJ ^J aJ N AN Q; 0 B a l l o o n T e x t C h a r CJ OJ QJ ^J aJ PK ! [Content_Types].xmlj0Eжr(Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi} ;~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭? PK ! ֧ 6 _rels/.relsj0 }Q%v/C/} (h"O
= C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_ 6LR7`0̞O,En7Lib/Se е PK ! ky theme/theme/themeManager.xml M
@}w7c(Ebˮ CAǠҟ7՛K
Y,
e.|,H ,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+&
8 PK ! P theme/theme/theme1.xmlYOo6w toc'vuر-Mn iP@I}úama[إ4:l ЯGRX^6؊>$ !)O^rC$y@ /yH*)UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSe bORD۫qu gZo~ٺlAplxpT0+[}`j zA V2Fi@qv֬5\|ʜ̭NleXd sjcs7f
W+Ն7` g ȘJj|h(KD-
dXiJ؇(x$( :;˹! I_TS 1?E ??ZBΪmU/ ?~xY'y5g&/ɋ>GMGeD3Vq%'#q$8K )fw 9:ĵ
x}rxwr:\TZaG*y8IjbRc|XŻǿI
u3KGnD 1NIBs
RuK>V.E L+M2#'fi ~V vl{u8z H
* :( W ☕
~JTe\O*tHGHY }KNP*ݾ˦ TѼ9/#A7qZ $*c?qUnwN%Oi4 =3ڗP
1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g-
eW
)6-rC Sj
id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q% p%m&]caS l=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f
Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ .uχYC6OMf3or$5N HT[XF64T,ќM0E)`#5XY`פ ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R 3U~7+#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vp IYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07% < ҍ PK !
ѐ ' theme/theme/_rels/themeManager.xml.relsM
0wooӺ&݈Э5
6?$Q
,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{ P8g/ ]QAsم(#L[ PK- ! [Content_Types].xmlPK- ! ֧ 6 + _rels/.relsPK- ! ky theme/theme/themeManager.xmlPK- ! P theme/theme/theme1.xmlPK- !
ѐ ' theme/theme/_rels/themeManager.xml.relsPK ]
n & I I I L )
K n
( n L # A A @ 0 (
B
S ? # % & ( ) + , . / l o p w 4 8 : = # % & ( ) + , . / l o 3 3 3 3 3 & A0 z* &6 7 U S& .!, H/ Z3 c7 "t9 Q; "mC _J '%O <0` Fc` 0Hb Gg b{ q 3 p = C* L D ( {. : ) # % @ n X @ U n k n o w n G * Ax T i m e s N e w R o m a n 5 S y m b o l 3. * Cx A r i a l 7. @ C a l i b r i 5" T a h o m a A C a m b r i a M a t h " h O
gO
g5z T
T
n 20 2 HX $P L 2 ! x x k e h l i n g d m o o r e Oh +'0 0 x
( kehling Normal.dotm dmoore 2 Microsoft Office Word @ F# @ ^d B@ b(mF@ b(mF T
՜. +,0 h p
NJDOE Title
! " $ % & ' ( ) * , - . / 0 1 2 5 6 9 R o o t E n t r y F mF8 1 T a b l e W o r d D o c u m e n t @& S u m m a r y I n f o r m a t i o n ( # D o c u m e n t S u m m a r y I n f o r m a t i o n 8 + M s o D a t a S t o r e p
mFmF C U U Z U 2 D L O = = 2 p
mFmF I t e m
P r o p e r t i e s U C o m p O b j
y
F' Microsoft Office Word 97-2003 Document
MSWordDoc Word.Document.8 9q