1. Extended School Year Teacher To Do 2016

2. 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

3. 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)

4. 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)

5. 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/For ms/AllItems.aspx https://portal.bucksiu.org/ESY/ESY%20Documents/For ms/AllItems.aspx

8. Summary Profile Data Form  Include data for all goals on which the student demonstrated regression  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/AllIte ms.aspx https://portal.bucksiu.org/ESY/ESY%20Documents/Forms/AllIte ms.aspx

10. Deadline for Determination  ESY eligibility must be discussed with and determined by the IEP team by February 28, 2016 and submitted to LEA for approval by February 28, 2016.  Related service providers MUST be afforded the opportunity to participate in determining the eligibility, type, frequency and duration of services needed

11. Deadline for Determination (cont.)  If data supports ESY eligibility, provide all appropriate data information, checklist and goals to be worked on during ESY to LEA via email by Feb 28, 2016.  Once approved, send LEA approval email to IU supervisor by March 14, 2016 (or as soon as LEA makes approval)  Revise IEP to reflect the services to be provided  Complete ESY Referral by April 1, 2016

12. The ESY referral is a web based document Link to ESY Referral:https://fm13- web.bucksiu.org/fmi/webd/#ESYhttps://fm13- web.bucksiu.org/fmi/webd/#ESY Step by step instructions available at www.bucksiu.org ESY page and on Sharepoint ESY pagewww.bucksiu.org

13. Required for Eligible Students Summary  Extended School Year Checklist  ESY Summary Profile Data  Approval from District LEA  Update IEP: Goals to be worked on must be listed in Section VI-D of the IEP  IU Referral for ESY services

14. 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)

15. 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 19 for center based instruction Min of 5 lessons for home based instruction Behavior Plan Health Plan 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 8, 2016

16. 2016 ESY  Center-based ESY: 4 days a week: Monday through Thursday Student Hours: 9am to 2:30pm Social Skills Classes: Tues, Wed, Thurs 9a-11:30a: Elementary School (K-6th) 12n-2:30p: Middle/High School (7 th -12 th )  ESY dates: July 5 to August 4, 2016 June 25, 2015 ESY OPEN HOUSE 11am to 1pm

17. 2016 ESY Locations Cornwells Elementary and Snyder Middle School Bensalem, Bristol Township, Bristol Boro, Centennial Quarry Hill Elementary Neshaminy, Pennsbury, Morrisville MBIT- Transition and Brainsteps only All districts Everitt Elementary BCIU Student specific programming Strayer Middle School Quakertown, Pennridge, Palisades

18. ESY Contact information Regina Carpenter, ESY Supervisor FOR QUESTIONS CONTACT: Kelly Housman, ESY Coordinator khousman@bucksiu.org 215-348-2940 ext 1307 Michelle Connor, ESY Program Assistant mconnor@bucksiu.org 215-348-2940 ext 1311

19. Teacher Cheat Sheet 1)Fill out ESY checklist and ESY data sheet. 2)By Feb 28, 2016, 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. 3)Once LEA approves, forward written approval and revised IEP to IU supervisor by March 14, 2016. 4)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.https://fm13-web.bucksiu.org/fmi/webd/#ESY 5)Submit Referral by April 1, 2016. 6)Organize student curriculum, Revised IEP and data sheets to be completed by ESY teacher by June 12, 2016 7)Fill out move form (available mid May)