ࡱ> 798 bjbj I&&iiiii}}}8$}&---zi))ii4Riiйli%T}-R0&:l::i->k,$ ---*---&:---------& /: SAMPLE REQUEST FOR CONSENT TO INVITE AN EARLY INTERVENTION SERVICE COORDINATOR TO AN INITIAL IEP MEETING (Parent) Date: Name Address City, NJ 00000 Dear (parents name): We are beginning to plan for your (sons/daughters) first Individual Education Plan (IEP) meeting. During the meeting, we will be discussing (his/her) transition from early intervention to preschool special education services. We would like to invite the birth to three service coordinator from the New Jersey Early Intervention System to participate in the initial IEP meeting to assist in planning for your (sons/daughters) preschool special education program. Before an early intervention service coordinator may be invited, your written consent is needed. Please complete the form below and return it to your childs school no later than (date) so that we may invite the necessary person(s) to the meeting. An invitation to the meeting will be sent to you to inform you of the date, time and location of the IEP meeting. If you have any questions you may contact me at (phone number). Sincerely, Name, title Name of Agency: List or Description of Agency Services: ____________________ Early Intervention Services Name of Service Coordinator: Address/Email: ____________________ _________________________________________ ___ I give permission to invite a representative from the agency/agencies listed above to my (sons/daughters) IEP meeting. ___ I do not give permission to invite a representative from the agency/agencies listed above to my (sons/daughters) IEP meeting. ____________________________________ _________________ (Signature) (Date)     PU^ksuv}  ! " # & ' 2 9 F \ ˻ٲvg[[[h+FCJOJQJ^JhvohgzCJOJQJ^Jhvoh;u3CJOJQJ^JhvohCJOJQJ^JhvohLwCJOJQJ^JhvohSCJOJQJ^Jhvoh7CJhvoh6>*CJOJQJhvoh>*CJOJQJhvohCJOJQJhvoCJOJQJhLwhgzhvoh Pktuv  Q R ] ^ k l m n  &dP$a$gd5Igd\ ` a j } 2 5 J K  3 @ V \ j k n } ָ֩|p|֚`|||N|"hvoh5I5>*CJOJQJ^Jhvoh *>*CJOJQJ^JhZ MCJOJQJ^Jhvoh5ICJOJQJ^JhvohvoCJOJQJ^Jhvoh *CJOJQJ^Jhvoh#CJOJQJ^JhvohSCJOJQJ^JhvohgzCJOJQJ^Jh#CJOJQJ^Jhvoh;u3CJOJQJ^Jhvoh.CCJOJQJ^J   " 0 2 ysd\X\X\X\XTEh^Zh+FCJOJQJ^Jh+FhH6$jhH6$Uhvoh^ZCJOJQJ^JhvohgzCJOJQJ^J"hvohvo5>*CJOJQJ^J"hvohgz5>*CJOJQJ^JhvoCJOJQJ^JhvohvoCJOJQJ^Jhvoh *CJOJQJ^Jhvoh5ICJOJQJ^JhvohCmCJOJQJ^J"hvoh5I5>*CJOJQJ^J 1 2 s t u yz{hvoh^ZCJOJQJ^JhH6$h+FG 0 00PP&P1F:pz-[/ =!"#$% ^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH D`D Normal1$CJ_HhmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 8>@8 Title$a$ 5OJQJ4@4 ^ZHeader  !4 @4 ^ZFooter  !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$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3ڗP 1Pm \\9Mؓ2aD];Yt\[x]}Wr|]g- eW )6-rCSj id DЇAΜIqbJ#x꺃 6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8 քAV^f Hn- "d>znNJ ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ;%1U٥m;R>QD DcpU'&LE/pm%]8firS4d 7y\`JnίI R3U~7+׸#m qBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCM m<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ptheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]   \    @  @ 0(  B S  ?H0(  :͘[;͘[<͘L[=͘[>*urn:schemas-microsoft-com:office:smarttags PostalCode9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace hZ3&Puv!"#&'|}25JK3@ ++^^nn ""/0&Puv!"#&'|}25JK3@ ++^^nn ""/0"!#" #H6$%q*Q%*0;u37.C=TC+F5IZ Mz-[CmLwTxgzCa8^Z1hvoS" *@X@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA$BCambria Math"h#K$gK$g  !x243QHX ?72!xxSAMPLE REQUEST FOR CONSENTckaufmanmlewisOh+'0  8 D P \hpxSAMPLE REQUEST FOR CONSENT ckaufman Normal.dotmmlewis5Microsoft Office Word@NZ@$T@I@X%T՜.+,D՜.+,L hp  NJDOE  SAMPLE REQUEST FOR CONSENT TitleH0Xpx_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_PreviousAdHocReviewCycleID_ReviewingToolsShownOnceVe Forms to be added to the Web patricia.gray@doe.state.nj.usGray, Patricia` !"#$%&')*+,-./236Root Entry Fйli%T5@1Table:WordDocument ISummaryInformation( DocumentSummaryInformation8(MsoDataStore`i%Tйli%TUVEBJE01HPGWXQ==2`i%Tйli%TItem PropertiesUCompObj y   F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89qRoot Entry FFh51Table:WordDocument ISummaryInformation(  !"#$%&'<;3: E  SAMPLE REQUEST FOR CONSENT Title_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_PreviousAdHocReviewCycleID_ReviewingToolsShownOnceDocumentSummaryInformation8 MsoDataStore`i%Tйli%TUVEBJE01HPGWXQ==2`i%Tйli%TItem tomXml">  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q՜.+,D՜.+,L hp  NJDO