Extended School Year Eligibility Worksheet

Extended School Year Eligibility Worksheet. Student: Student Name DOB: 00 / 00 / 2000. School: School Name Grade: Grade. Primary Area of Eligibility: Secondary Area of Eligibility: (if applicable) Date of IEP meeting when ESY Eligibility Worksheet was completed: 00 / 00 / 2000. I. ESY Eligibility Determination . After consideration of applicable data, the IEP Team has determined: • The ... ................
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