1. Educable Child Application June 2012

2. The application is not current. MSIS number omitted. Placement type not checked. Original signature omitted. Office of Instructional Enhancement and Internal Operations/Office of Special Education 2

3. Inconsistent Date (example: Date of IEP and Eligibility doesn’t match documents submitted). Current IEP indicates placement changes. Transition Plan / Post-Secondary goals not addressed in IEP. Transition Plan/Post Secondary goals not addressed in IEP Out of date documents submitted Office of Instructional Enhancement and Internal Operations/Office of Special Education 3

4. Out-of-date documents. Related services not addressed in IEP. State - funded institutions not contacted. Nearby districts not contacted. Office of Instructional Enhancement and Internal Operations/Office of Special Education 4

5. Agency Representative – A representative of the public agency who –Is qualified to provide, or supervise the provision of, specially designed instruction; –To meet the unique needs of children with disabilities; –Is knowledgeable about the general education curriculum; and –Is knowledgeable about the availability of resources of the public agency. Office of Instructional Enhancement and Internal Operations/Office of Special Education 5

6. DHS Placed Students –A Representative from DHS who is knowledgeable of the child. –DHS signs as Agency Representative AND Parent/Guardian. Office of Instructional Enhancement and Internal Operations/Office of Special Education 6

7. Contact Information Barbara Quarles – Division Director bmquarles@mde.k12.ms.us 601-359-3498 Office of Instructional Enhancement and Internal Operations/Office of Special Education 7