District 75 Forms

District 75 Forms & Files

Teacher Effectiveness	Arts	Autism	Counseling
District 75 General Forms	Health Services	Hearing	Inclusive Education
Interpreting Services	Literacy	Mathematics	Multiple Disabilities
Office of Related & Contractual Services (ORCS)	Physical Therapy	Speech

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Teacher Effectiveness - Great Leaps Forms

Title	Download	Size
Great Leaps - Reading	.pdf	277K
Great Leaps Scoring Guide	.doc	51K
Great Leaps Charting (Student)	.doc	48K
Great Leaps Charting (Teacher)	.doc	114K
Great Leaps to Remember	.doc	31K
Great Leaps Certificate	.doc	89K
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Arts

Title	Download	Size
Permission to Photograph, Film, or Videotape Students	.htm
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Arts - CASTA: Communication and Socialization Through the Arts: A Multidisciplinary Approach for Students with Autism

Title	Download	Size
CASTA Workshop 1	.pdf	331K
CASTA Workshop 2	.pdf	528K
CASTA Workshop 3	.pdf	160K
CASTA Workshop 4	.pdf	175K
CASTA Workshop 5	.pdf	112K
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Arts - CIAE: Creative Integrative Arts Educators Music Theater Curriculum Guide

Title	Download	Size
CIAE Complete Curriculum	.pdf	2.3M
CIAE Documentation and P.R.	.pdf	1.1M
CIAE Drama	.pdf	419K
CIAE Movement	.pdf	153K
CIAE Music	.pdf	176K
CIAE Visual Arts	.pdf	176K
CIAE Writing	.pdf	295K
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Arts - Strategies and Ideas for Music Teachers

Title	Download	Size
Sound and Silence (Go and Stop)	.pdf	39K
Orchestration	.pdf	52K
Dynamics	.pdf	55K
Tempo	.pdf	52K
Pitch	.pdf	41K
Rhythm	.pdf	58K
Stories	.pdf	40K
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Autism

Title	Download	Size
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Counseling

Title	Download	Size
ACS Directory of Borough Commisioners (Revised 5/14/10)	.pdf	48K
ACS Borough Email List LDSS-2221A (revised 11/24/09)	.pdf	21K
ACS - CityWide Managerial Roster 3-2009	.pdf	129K
Anti Bullying Resources	.doc	23K
Behavior Intervention Planning in SESIS	.pdf	75K
Child Abuse Phone Listing	.pdf	24K
Counseling Instructions	.doc	29K
Developmental Disabilities Services Offices (DDSO)	.doc	19K
Educational Neglect Policy	.pdf	639K
Form A: Suicide Prevention Reporting Form	.doc	45K
Functional Behavior Analysis in SESIS	.pdf	89K
IEP Crosswalk	.ppt	4M
Indirect Counseling Service Report (revised)	.doc	92K
Letter to Providers 3/31/2011	.pdf	2M
NYC Clinics 3/21/2011 (See Letter to Providers)	.pdf	100K
Mobile Crisis Team Directory	.pdf	152K
OCGS Daily Log	.doc	97K
Reporting Chart	.doc	87K
Request for Release of Records	.doc	65K
Schedule - Counseling (revised)	.doc	112K
SESIS IEP Refinement	.ppt	1.5M
Sexual Harassment 1	.doc	80K
Sexual Harassment 2	.doc	82K
Sexual Harassment 3	.doc	79K
Sexual Harassment 4	.doc	80K
SOPM 08	.pdf	2M
Suicide Hotline Presentation	.pdf	81K
Suspected Child Abuse or Maltreatment Report LDSS_2221A	.doc	188K
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Counseling - Chancellor's Regulations

Title	Download	Size
A-420 Pupil Behavior & Discipline-Corporal Punishment	.pdf	221K
A-421 Pupil Behavior and Discipline-Verbal Abuse	.pdf	60K
A-740 Pregnant And Parenting Students And Reproductive Health Privacy	.pdf	3M
A-750 Reports of Suspected Child Abuse	.pdf	1.2M
Highlight of CRA-750 The Blue Card (Note: print on blue card stock)	.pdf	1.1M
A-755 Suicide Prevention/ Intervention	.pdf	92K
A-831 Student to Student Sexual Harassment	.pdf	530K
Student to Student Biased Based Harassment, Intimidation and/or Bullying	.pdf	327K
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Counseling - IEP Goals

Title	Download	Size
Goals: Academic and Social Emotional	.hmtl

 

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General

Title	Download	Size
Committee for Special Education (CSE) Contacts	.pdf	22K
Discharge Codes	.pdf	27K
District 75 Academic and Behavioral Interventions	.pdf	107K
District 75 Administrative Handbook	.pdf	901K
District 75 Continuum of Programs and Services	.pdf	215K
DOE Office of Special Education Educator Resources	.htm
Procedures for Emergencies	.doc	80K
The Quality Review: A Reflection	.pdf	175K
SIE Categories	.pdf	24K
Staffing Ratios Defined (e.g., 6:1:1, 12:1:4)	.pdf	21K
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Health Services

Title	Download	Size
Office of School Health Contact Numbers	.pdf	27K
Blood-borne Pathogens Training Slide show	.ppt	424K
Hazard Communication - Right-to-Know	.ppt	242K
Blood-borne Pathogens/Hazard Communications Procedures (see also OOSH)	.pdf	43K
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Hearing Education Services (HES)

Title	Download	Size
Hearing Education Services (HES) Brochure	.doc	376K
	.pdf	227K
HES Audiologists List	.doc	28K
	.pdf	11K
Audiology Brochure	.pdf	229K
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Inclusive Education

Inclusive Education - Articulation

Title	Download	Size
Student Profile	.doc	73K
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Inclusive Education - Best Practices

Title	Download	Size
Matrix of Program Quality Indicators for Students with Disabilities In Inclusive Schools	.doc	33K
Inclusive Environment Checklist	.doc	63K
IEP at a glance	.doc	35K
Teacher's Inclusion To-Do List	.doc	32K
Administrator Guidelines for Developing Inclusive Education	.doc	58K
	.pdf	56K
Principal's Inclusion To-Do List	.doc	43K
	.pdf	22K
SESIS D75 SETSS Recommendation Reference Guide	.pdf	53K
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Inclusive Education - District 75 Inclusive Programs

Title	Download	Size
2011-12 Maps	.pdf	81K
Choice Form	.doc	29K
Directory of New York City Public High Schools with District 75 SETSS Programs 2011-2012	.pdf	1.0M
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Inclusive Education - General Documents

Title	Download	Size
A Day in the Life of Being in Inclusion	.pdf	5K
District 75 PD Calendar 2011-12	.pdf	431K
Funding for Students Receiving District 75 SETSS Supports	.pdf	145K
My Positive Experience with Inclusion	,pdf	123K
SETSS Mandates Form 2011	.doc	15K
Story Told by Marc Mendez	.pdf	55K
What is Inclusion?	.pdf	47K
YAI "Progress in Inclusion" Newsletter August 2011	.pdf	673K
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Interpreting Services

Title	Download	Size
Interpreting Services Brochure	.pdf	120K
Sign Language Interpreter Request Form	.pdf	101K
Sign Language Observation Request Form	.pdf	118K
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Literacy

Title	Download	Size
Boardmaker Literacy Project Rubric	.pdf	226K
Literacy Walkthrough Checklist	.xls	37K
Poetry Presentation (April is Poetry Month)	.pdf	740K
Project-Based & Community-Based Instruction	.pdf	1.2M
Technology-Infused Nonfiction Writing Unit	.doc	2M
What Do You Do When You Get Stuck on A Word?	.ppt	89K
	.pdf	241K
Working with Words 1	.ppt	68K
	.pdf	140K
Working with Words 2	.ppt	67K
	.pdf	140K
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Literacy - Libraries

Title	Download	Size
E-Books	.doc	78K
	.pdf	40K
Information Literacy Agenda	.doc	80K
	.pdf	34K
Self-Evaluation Process for Primary School Libraries	.pdf	172K
Self-Evaluation Process for Secondary School Libraries and Learning Resource Centers	.pdf	161K
TeachingBooks.net Information	.pdf	25K
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Mathematics

Title	Download	Size
Common Core - P-12 Learning Standards in Mathematics	.pdf	634K
2009 Impact Mathematics Course 1	.pdf	104K
2009 Impact Mathematics Course 2	.pdf	61K
2009 Impact Mathematics Course 3	.pdf	120K
Information about Everyday Math Online Games	.doc	41K
Marilyn Burns/Math Solutions	.doc	40K
	.pdf	27K
Math in Focus Flowchart	.ppt	702K
Math in Focus Overview	.ppt	759K
Math Journal Questions	.doc	11K
Math Toolkit Summary	.doc	195K
New High School Curriculum	.doc	40K
	.pdf	20K
Workshop Model	.pdf	13K
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Multiple Disabilities

Title	Download	Size
Classroom Practices for Students with Multiple Disabilities	.doc	37K
	.pdf	24K
Continuum of Programs and Services in District 75	.doc	90K
	.pdf	215K
IndTECH Catalog 2011-12	.pdf	4.2M
Medical Conditions and Their Effects on Learning	.pdf	94K
Promoting Access for 12:1:4 Classrooms	.pdf	353K
Typical 12:1:4 Students	.pdf	111K
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Multiple Disabilities - Brigance Forms

Title	Download	Size
Directions for Assigning Item Codes	.pdf	140K
Sample Coding Activity	.pdf	497K
Activity Sheets: Speech and Language Skills	.pdf	116K
Activity Sheets: General Knowledge and Comprehension	.pdf	143K
Activity Sheets: Basic Math	.pdf	115K
Activity Sheets: Math Grade Placement	.pdf	158K
Activity Sheets: Numbers	.pdf	151K
Activity Sheets: Time-Money	.pdf	158K
Activity Sheets Complete	.pdf	1.4M
Assessment Considerations Checklist	.doc	58K
Brigance Manual - Electronic 2008-2009	.doc	253K
	.pdf	256K
Brigance Manual - Regular 2008-2009	.doc	211K
	.pdf	201K
Brigance Table of Contents	.doc	205K
	.pdf	439K
Labels	.pdf	93K
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Office of Related and Contractual Services (ORCS)

Title	Download	Size
RSA-3 Form - Transportation Reimbursement Voucher Public Transportation, Private Car or Metered Taxi Cab	.doc	100K
RSA-3a Form - Transportation Reimbursement Voucher Private Car Services	.doc	94K
W-9 Form	.pdf	354K
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Physical Therapy & Occupational Therapy - Administration

Title	Download	Size
Orientation Introduction Letter	.pdf	62K
New York City Department of Education Human Resources Contact Info	.pdf	799K
Informational Update Sheet	.pdf	23K
Personal Information Change Form OP-85	.pdf	20K
Change of Address Form	.pdf	71K
Cybershift Timekeeping Directions	.pdf	36K
Health Benefits Form and Instructions	.pdf	83K
OT/PT Salary	.pdf
OT/PT Senior Status Procedures	.zip	465K
RSA Application Form and Instructions	.pdf	213K
Therapist Tuition Reimbursment Instructions	.pdf	33K
Therapist Tuition Reimbursment Form	.pdf	163K
PD19	.pdf	35K
NYC Board of Education Retirement System TDA	.pdf	84K

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Speech Services

Title	Download	Size
Administrative Timeline	.pdf	83K
Agenda - September 2011
Assistive Technology Flowchart for Staff	.pdf	13K
Caregiver Mealtime Interview	.pdf	71K
Classroom Communication Systems	.doc	33K
Clinical Record Book Cover Sheet	.pdf	20K
Collaborative & Class Trip Lesson Plans	.doc	33K
Collaborative Lesson Plan Form	.pdf	67K
Communication Boards Support - Generic Comm Wallet 1	.pdf	337K
Communication Boards Support - Generic Comm Wallet 2	.pdf	224K
Communication Dictionary Information Form	.doc	33K
Contracted Service Parent Letter	.pdf	161K
CSS Communication Profile	.pdf	292K
CSS Speech Evaluation Outline	.pdf	13K
D75 Administrator & SPED Liaison SESIS Training	.pdf	688K
Eating Skills Screening	.pdf	118K
End of Year Procedures	.pdf	70K
End of Year Summary	.pdf	127K
First-Then	.doc	38K
Give Me 20 Main Board (White)	.pdf	52K
IEP Driven Device Provider Survey	.pdf	29K
IEP Refinements Cheat Sheet	.pdf	737K
Interim Service Plan	.pdf	1M
Intervention Plan	.doc	30K
Intervention Plan 2	.doc	31K
Intervention Plan 3	.doc	30K
Intervention Plan 4	.doc	48K
Introducing Chewables	.pdf	26K
Key Questions	.pdf	58K
Mandate Modification/Termination Form	.doc	41K
Mealtime Plan 2011-2012	.doc	28K
Mealtime Plan Checklist	.pdf	75K
Mealtime Plan Form	.doc	28K
Mini Supersymbols	.pdf	301K
ORCS/IVR FAQs	.pdf	187K
Personnel Data Form	.pdf	81K
Professional Log	.doc	37K
Pro-Ed Speech Speech and Language Development Chart	.pdf	106K
Recording a Service in SESIS Job Aid	.pdf	69K
Referring Students for Assistive Technology in SESIS	.pdf	184K
Related Service Provider Schedule	.doc	69K
SESIS Encounter Attendance	.pdf	737K
Steps for Creating a Mealtime Plan	.pdf	205K
Supervisor Locations & Contact Information 2011-12	.pdf	52K
Task Analysis Worksheet	.doc	33K
Transmittal Request	.doc	33K
Viewing & Editing Your Caseload in SESIS	.pdf	28K
Visitation Form	.doc	28K
What I Worked On	.doc	28K
What We Are Working On	.doc	297K

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District 75  |  400 First Avenue, New York, NY 10010  |  (212) 802-1500  |  Contact