| |
2009-10 NPS/NPA Information and Forms
This page provides information and required forms related to Non-Public School (NPS) and Non-Public Agency (NPA) services during the 2009-10 school year. For more information about the documents on this page, contact Ruth Petroff, rpetroff@scoe.org or (707) 524-2708.
Contacts, definitions, and rates
Contract master and exhibits
| |
Master Contract for SELPA-Approved NPS/As (pdf) revised 6/1/09
Exhibit A, Individual Service Agreement Form (doc)
-- Exhibit A as Word template (dot)
-- Exhibit A, Instructions (doc)
Exhibit B, Least Restrictive Environment Checklist (xls)
Exhibit C, Statement of Certifications/Credentials (doc) revised 6/1/09
Exhibit D, SCOE Exit Form (dot) revised 12/09
Exhibit E, Daily Attendance Record (xls)
Exhibit F, Related Service Register (xls) revised 10/14/09
Exhibit G, Attendance Register, Preschool (doc)
Exhibit H, Fingerprint Clearance Form (dot)
Exhibit I, LEA Addresses for Notices and Invoices (xls)
Exhibit J, Invoice Form (xls)
-- Exhibit J, SCOE Invoice (xls)
Exhibit K, School Calendar (xls)
Exhibit L, Behavioral Emergency Report (dot) revised 9/21/09
-- Exhibit L as a PDF document (pdf) revised 9/21/09
-- Exhibit L, Instructions (doc)
Exhibit M, Suspension/ Expulsion Data (doc)
-- Exhibit M as a PDF document (pdf)
Exhibit N, Completion of Graduation Requirements (doc)
Exhibit O, Functional Analysis Assessment Report (doc) |
ISA Directions
ISA forms for Non-Public Agency (NPA) contractors
ISA froms for Non-Public School (NPS) contractors
| |
Forms are provided as Word templates (dot)
Anova Center for Education (ACE)
Cypress School
Greenacre Homes
Greenacre Homes--3632 LCI
Greenhouse Academy
Greenhouse Academy--3632 LCI
Journey High School
Journey High School--3632 LCI
Larry Simmons High, Family Life Center
Larry Simmons High, Family Life Center--3632 LCI
Lattice Educational Services
Lattice Educational Services--3632 LCI
New Directions Adolescent Services, Compass
New Directions Adolescent Services, Venture
New Horizon School
North Valley School, Deaf
North Valley School, Hearing Day
North Valley School, Hearing--3632 LCI
Plumfield Academy
Plumfield Academy--3632 LCI
Rincon School
Rincon School--3632 LCI
Sierra School, ED Class revised 9/30/09, new address
Sierra School, ED/BD Class revised 9/30/09, new address
UHS School Cotati, Autism
UHS School Cotati, ED Program
UHS School Cotati, SH Program |
NPS calendars
Out-of-county NPS/A contract
| |
LEA Master Contract for out-of-county NPS/As (doc)
-- Instructions for Completing the LEA Contract (doc)
Exhibit A, Individual Service Agreement Form (doc)
-- Exhibit A as Word template (dot)
-- Exhibit A, Instructions (doc)
Exhibit B, Least Restrictive Environment Checklist (xls)
Exhibit C, Statement of Certifications and Credentials (doc)
Exhibit E, Daily Attendance Record (xls)
Exhibit F, Related Service Register (xls)
Exhibit G, Attendance Register, Preschool (doc)
Exhibit H, Fingerprint Clearance Form (doc)
Exhibit J, Invoice Form (xls)
Exhibit L, Behavioral Emergency Report (doc)
-- Exhibit L, Instructions (doc)
Exhibit M, Suspension/ Expulsion Data (doc)
Exhibit O, Functional Analysis Assessment Report (doc) |
|
