Educational Setting, Rev. 7-14

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SHASTA SELPA
OFFER OF FAPE - EDUCATIONAL SETTING
Student Name _____________________
Physical Education
Date of Birth ___/___/________
General
Specially Designed
IEP Date
Other
________________
District of Service _____________________
School of Attendance
Federal Setting
Federal Preschool Setting _____________________
_____________________
All special education services provided at student’s school of residence?
_____________________
Yes
___/___/________
School Type _____________
No (rationale) _________________________
_______% of time student is outside the regular class & extracurricular & non academic activities
_______% of time student is in the regular class & extracurricular & non academic activities
Student will not participate in the regular class and/or extracurricular and/or non academic activities ________________________
because ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
Other Agency Services
California Children’s Services (CCS)
Regional Center
Probation
Department of Rehabilitation
Department of Social Services (DSS)
County Mental Health (CMH)
Other
Promotion Criteria
District
Progress on Goals
Other _________________________________
Parents will be informed of progress
Quarterly
Trimester
Semester
How?
Progress Summary Report
Other __________________
Other _________________________________
ACTIVITIES TO SUPPORT TRANSITION (e.g., preschool to kindergarten, special education and/or NPS to general education class, 7th – 9th grade)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
GRADUATION PLAN (Grade 7 and Higher)
Projected graduation date and/or secondary completion date ___/___/________
To participate in high school curriculum leading to a Diploma
To participate in high school curriculum leading to a Certificate of Completion
Form 7B, Offer of FAPE, Ed Setting, Rev. 7-14
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