Equitable Participation

Forms Due at the Office of Education AND all Intermediate Units – November 4, 2019

Table 14 Directions:
Please complete every column/category on the sheet. DO NOT LEAVE ANY CATEGORY/FIELD BLANK! Incomplete forms will not be counted. E-mail a copy of the sheet to your local Intermediate Unit and a copy to the Office of Education by November 4, 2019. (If a student transfers into your school after you’ve submitted your list but prior to December 1, and fits the criteria for Child Find, please amend your list and resubmit it to the IU and the Diocesan offices.)
Note: Use the Table 14 Code sheet located on the second tab of the workbook to complete your form.

Disability Categories

• Autism
• Deaf-blindness
• Hearing impairment including deafness
• Emotional disturbance
• Intellectual disability
• Multiple disabilities
• Orthopedic impairment
• Other health impairment, (ADD, ADHD)
• Emotional distrurbance
• Specific learning disability
• Speech or language impairment
• Traumatic brain injury
• Visual impairment (including blindness)

Intermediate Unit Directors of Special Education/IU Contacts:

BCIU14 – Michelle Reichard-Huff

CIU20 – Jacquelyn Bartek

CLIU21 – Deborah Popson

IU29 – Debra Arnold

Equitable Participation – Child Find Form .xls version
Equitable Participation – Child Find Form .xlsx version

Table 14 Codes

Directions for Formatting Title 14 Columns

Birthdate Column

1. Highlight the Birthdate column, right click on the highlighted area and click on Format Cells
2. Select Custom and remove “General”
3. In its place type YYYY-MM-DD in the “Type: box”
4. Click OK
5. Type Date and hit Enter (you can type the date in DD-MM-YYYY and it will auto correct the format)

Grade Column
1. Highlight the Grade Column
2. Right click on the column and then click on Format Cell
3. Select “Custom”
4. Remove General and type in 000 (that is, 3 zeroes)

Don’t forget to save your changes!

Suggested Permission Slip for Parents

→EP Forms for Carbon Lehigh Intermediate Unit 21←

Equitable Participation Agreement For 2018-19

Equitable Participation Referral Process – Revised

Equitable Participation Service Referral Form PD or Materials

EP Referral – Direct or Consultation Services

Equitable Participation Parent Process for Mercy Learning Center

EP Referral – PD Materials 2018-19

Child Find Notices CLIU21

Child Find – FERPA

Special Education Services Notice 2018