NC 9
Revised 07-12
TRANSFER STUDENT
§ 300.323(e) and § 300.323(f)
Name___________________________________ DOB__________________ Grade_____ Date____________________
Previous School District
Name of School
Address
City
Phone
Building
State
Zip
Fax
SECTION 1 Documents in file from previous district.
Evaluation Report
Date Requested
Date Received
IEP
Date Requested
Date Received
Eligibility Document
Date Requested
Date Received
Other:
Date Requested
Date Received
*If there is a known or suspected disability and an evaluation report is not received within 30 days of enrollment, proceed with
evaluation/reevaluation procedures.
**If an IEP is received at enrollment and there is a delay in accepting or rejecting the previous IEP or if the previous IEP is rejected
and there is a delay in developing a new IEP, the public agency, in consultation with the parent, must provide FAPE to the child,
including services comparable to those described in the previous IEP, until such time as the public agency can convene an IEP team
meeting to develop a new IEP that is consistent with Federal and State law and regulations.
Using the above data determine how to proceed:
No evaluation report, no IEP, and no eligibility document received – complete section 2 only
Evaluation report received but no IEP or eligibility document– complete section 3 only
IEP received but no evaluation report or eligibility document – complete section 4 only
Evaluation report, eligibility document, and IEP received – complete section 5 only
Section 2 No evaluation report, eligibility document, and IEP
1.
Did review of information on enrollment form indicate that the child was receiving or had previously
received Special Education services?
No – continue to parent/student interview.
Yes -provide comparable services, proceed to parent/student interview and continue through section 2.
2.
From parent/student interview, is there any reason to suspect that the child is a child with a disability under
IDEA
No – STOP – Place child in regular education.
Yes -provide comparable services and continue through section 2.
Name and position involved in gathering the above data Date of decision _____/_______/_______
Name
Role
Name
Role
Name
Role
Name
Role
Evaluation procedures initiated:
While providing comparable services, acquire consent to initiate evaluation procedures.
Day district receives consent ___/___/___ End of 25 school days ___/___/___ Eligibility determination and IEP to be completed by ___/___/____
At the determination of eligibility meeting, was the student determined eligible?
Yes – complete the eligibility document, consent for services, and write an IEP
No- Provide parents with prior written notice noting their son/daughter did not meet eligibility criteria.
Section 3 Evaluation Report received with NO IEP or eligibility document
Evaluation Report: Upon enrollment, the resident district reviews the evaluation report. Date reviewed ____/____/____
Does the evaluation report support SD eligibility? (Determine using the evaluation quick reference guide found in the IEP
TA guide and the chart below.)
Category of Disability:________________
List Evaluations Required
-
In report?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Did the evaluation report support disability?
Yes. Complete eligibility document and write IEP.
No. Provide comparable services, acquire consent
to initiate evaluation procedures.
Day district receives consent ___/___/___ End of 25 school days ___/___/___ Eligibility determination and IEP to be completed by ___/___/____
Section 4 IEP received but no evaluation report or eligibility document
Evaluation procedures initiated:
As a team, determine if the current IEP can be implemented as written or amend the current IEP to meet the needs
of the student with the disability. Date of meeting ___/____/____
1.
Does the IEP need to be amended?
Yes. Amend the IEP, complete a prior notice and acquire consent to initiate evaluation procedures.
No. Provide services as stated in the current IEP and begin evaluation procedures with consent.
Day district receives consent ___/___/___ End of 25 school days ___/___/___ Eligibility determination and IEP to be completed by ___/___/____
At the determination of eligibility meeting, was the student determined eligible?
Yes – complete the eligibility document, consent for services, and write an IEP
No- Provide parents with prior written notice noting their son/daughter did not meet eligibility criteria.
Section 5 IEP, Evaluation Report, and Eligibility Document Received At Enrollment
Date reviewed ____/____/____
Does the evaluation report support SD eligibility? (Determine using the evaluation quick reference guide found in the IEP
TA guide and the chart below.)
Category of Disability:________________
(List Evaluations Required)
List Evaluations Required
In report?
Yes
No
Yes
No
Yes
No
Did the evaluation report support disability?
Yes
No
Yes. Continue and review eligibility document and
Yes
No
implement or amend IEP.
Yes
No
No. Acquire consent to initiate evaluation procedures.
Yes
No
If the evaluations support eligibility, accept the eligibility document as written or write a new eligibility document.
As a team, determine if the current IEP can be implemented as written or amend the current IEP to meet the needs
of the student with the disability. Date of meeting ___/____/____
1.
Does the IEP need to be amended?
Yes. Amend the IEP, complete a prior notice and begin evaluation procedures with consent.
No. Accept current IEP, provide services as stated, and send prior written notice documenting
procedure.
***MUST complete new eligibility document for out-of-state transfer students***
***When consent to evaluate is needed for a transfer student, it becomes an initial evaluation***