Extended School Year Teacher To Do 2017

Purpose of ESY ESY services are designed to maintain skills and behaviors, not to introduce new skills ESY services are not intended to be as intensive as school year services

Extended School Year Forms Forms required for ESY Eligibility: ESY Checklist ESY Summary Profile Data (for eligible students only) Other Pertinent Data, including Related Services (OT, PT, Speech etc.) A copy of these forms should be shared with your Supervisor and District LEA. These forms should be kept with you (the teacher) in a student file if needed for future reference.

Determining Eligibility Eligibility is driven by the following two forms: ESY Checklist ESY Summary Profile Data (alternative data forms are also acceptable, check with IU supervisor) Behavioral concerns can determine eligibility for ESY, contact your supervisor for assistance with this determination.

ESY Checklist Completed for ALL students (only eligible students should be referred to ESY) Items checked with an asterisk indicate possible eligibility for ESY Checklist is available on Sharepoint: https://portal.bucksiu.org/ESY/ESY%20Documents/Forms/AllItems.aspx

Summary Profile Data Form Include data for goals on which the student demonstrated regression; two to three goals are sufficient (please keep in mind there are only 20 ESY instructional days to maintain goals) Attach progress monitoring graphs or other data collection sheets as necessary Summary Profile Data Form is available on Sharepoint https://portal.bucksiu.org/ESY/ESY%20Documents/Forms/AllItems.aspx

Deadline for Determination & other important dates February 28, 2017: eligibility must determined by the IEP team and submitted to LEA for approval by this date. Include Profile Summary Data Form and Checklist Related service providers MUST be afforded the opportunity to participate in determining the eligibility, type, frequency and duration of services needed March 17, 2017: Once approved by LEA, send LEA approval email to IU supervisor (or as soon as LEA makes approval) Revise IEP and ESY Section of IEP to reflect the services to be provided Complete ESY Referral by April 1, 2017

ESY referral form The ESY referral is a web based document (referral official release date will be in mid to late January, 2017) Link to ESY Referral: https://fm13-web.bucksiu.org/fmi/webd/#ESY Step by step instructions available at www.bucksiu.org ESY page and on Sharepoint ESY page

Required for Eligible Students Summary Extended School Year Checklist ESY Summary Profile Data Approval from District LEA All Philadelphia students are required to have a signed NOREP for ESY services Update IEP: Goals to be worked on must be listed in Section VI-D of the IEP IU Referral for ESY services

Required for Non-eligible Students Extended School Year Checklist, for teacher records only If student NOT ELIGIBLE for ESY please update IEP (there is no need to fill out an ESY referral for students who do NOT qualify)

Student Materials District and IU School Year Teachers should provide the following to the ESY teacher: IEP ESY Goals to be maintained Data Collection Sheet Curriculum for number of days of instruction 20 for center based instruction Min of 5 lessons for home based instruction Behavior Plan Health Plan .

ESY move form An ESY Move Form should be completed for student materials and equipment to be moved from current school to ESY location If only one small item is to be moved, please arrange to have items delivered to ESY office by June 9, 2017 Please look for email to be sent in late May, 2017 regarding completing the ESY Move Form

Center-Based ESY: ESY Dates: 2017 ESY 4 days a week: Monday through Thursday Student Hours: 9am to 2:30pm Social Skills Classes: Tues, Wed, Thurs 9am-11:30am: Elementary School (K-6th) 12noon-2:30pm: Middle/High School (7th-12th) *Social Skills Classes will be held at Makefield Elementary and Strayer Middle School only ESY Dates: Wednesday, July 5 to Tuesday, August 8, 2017 June 29, 2017 ESY OPEN HOUSE 11am to 1pm

2017 ESY Locations (Locations may vary depending on programming) Cornwells Elementary and Snyder Middle School serves: Bensalem, Bristol Township, Bristol Borough, Centennial Makefield Elementary School serves: Neshaminy, Pennsbury, Morrisville Strayer Middle School serves: Quakertown, Pennridge, Palisades MBIT- (Transition and Brainsteps only) All districts Everitt Elementary BCIU Student specific programming

ESY Contact information Regina Carpenter, ESY Supervisor For Questions Please Contact: Kelly Housman, ESY Specialist khousman@bucksiu.org 215-348-2940 ext. 1307 Michelle Connor, ESY Program Assistant mconnor@bucksiu.org 215-348-2940 ext. 1311

Teacher Cheat Sheet Fill out ESY checklist and ESY data sheet. By Feb 28, 2017, send email to district LEA with checklist, data and goals to be maintained during ESY (uploaded and attached). Ask for written approval for LEA. If no response contact LEA again in one week Include any requests for RELATED SERVICES. Teacher must contact all related service providers for ESY input. Must collect related service data and recommended service level for ESY. Once LEA approves, forward written approval and revised IEP to IU supervisor by March 17, 2017. Complete ESY Referral Form https://fm13-web.bucksiu.org/fmi/webd/#ESY. Be sure to upload revised IEP with ESY goals, behavior plan, transportation plan, feeding plan, health care plan to ESY Referral Form. Submit Referral by April 1, 2017. Organize student curriculum, Revised IEP and data sheets to be completed by ESY teacher by June 9, 2017 Fill out move form (available mid May)