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GEI Forms

Introduction

The Kansas State Department of Education, Special Education Services, requires a district developed plan which serves as documentation of local policies, practices, and procedures for Child Find, Screening, General Education Intervention, Referral, Notice and Consent, and Eligibility. As part of the annual LEA Application, sponsoring District USD #333 Concordia and Cooperating Districts USD #108 Washington County, USD #109 Republic County, USD #224 Clifton/Clyde and USD #426 Pike Valley agree to adopt and implement policies which conform to state and federal statutes and regulations regarding special education. These assurances to adopt district policies aligned to federal and state statutes and regulations fulfill the “policy” portion of this requirement. In addition, sponsoring District USD #333 Concordia and Cooperating Districts USD #108 Washington County, USD #109 Republic County, USD #224 Clifton/Clyde and USD #426 Pike Valley adopt the KSDE Special Education Process Handbook requirements regarding “procedures”. Adoption and implementation of practices fulfill the final requirement. The term “practices” refers to how policies and procedures are actually applied.  

Documentation of District Practices is the result of collaborative efforts between general and special education staff, principals, superintendents and parents in meeting this requirement.  The LCNCK appreciates your continued efforts to ensure compliance with IDEA to meet the needs of students with disabilities.

General  Education Intervention Forms

Child Find, Screening, General Education Intervention and Referral, Notice and Consent, and Eligibility Procedures   
Explanation of District practices regarding child find,  screening, general education intervention and referral, notice and consent, and eligibility  procedures. 
                                   

General Education Documentation Form GEI 1 (Print on light blue paper)
Documentation of building level, general interventions is required for students prior to evaluation for special education eligibility. All sections of the blue General Intervention Form must be completed. Include signatures of GEI team members, parent (s) and building principal. 

Observation Checklist for Speech/Language Referral Form  GEI 2 SL
Documentation for speech or language concerns.

Speech Misarticulation Form GEI 3 SL
Documentation for articulation only concerns.

Parent Permission to Participate in Speech Improvement Sessions  GEI 4 SL
Permission form for articulation only speech improvement sessions.

Performance at Significantly Higher Levels Teacher Quest  GEI 5 G

Performance at Significantly Higher Levels Parent Quest  GEI 6 G

Fine-Gross Motor Self Help Questionaire GEI 7 OT

Gross Motor Questionaire  GEI 8 PT

Flow Chart Parent Request for Evaluation  GEI 9
Parent request for an evaluation. 

Parent Interview Academic GEI 10 



 

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LCNCK219 W 7th StreetConcordia, KS  66901

785.243.3294

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