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Student Services WISD Building

Resources and Forms


Contact Information

Pam Mish
Interim Director
994-8100 x 1552
pmish@wash.k12.mi.us

Special Education Resources and Forms

Policy Information

Procedural Safeguards Available To Parents
Of Students With Disabilities

Prosafe.pdf

Parent Handbook
parenthandbook.pdf

The Washtenaw Superintendents' Association Policy Guidelines For Delivering Personalized Services To Students With Specialized Needs
PERSERV402.pdf

Early On

Early On® Manual
EarlyOnManual.pdf
EarlyOnManual.doc

Early On® Authorization to Share Information
EarlyOnAuthorization.pdf
EarlyOnAuthorization.doc

Early On® Consent for Evaluation
EarlyOnConsentEval.pdf
EarlyOnConsentEval.doc

Early On® Exit Summary
EarlyOnExit.pdf
EarlyOnExit.doc

Early On® Washtenaw Coordinated Individual Family Service Plan - Goals/Outcomes/Review
EarlyOnGoalPage.pdf
EarlyOnGoalPage.doc

Early On® Referral Feedback
EarlyOnReferralFeedback.pdf
EarlyOnReferralFeedback.doc

Early On® Inquiry/Referral/Intake Form
EarlyOnReferralIntake.pdf
EarlyOnReferralIntake.doc

Early On® Washtenaw Coordinated Individual Family Service Plan
EarlyOnWashIFSP.pdf
EarlyOnWashIFSP.doc

Michigan Child Outcomes Summary Form (COSF)
MIChildOutcomesSummaryInstructions.pdf
MIChildOutcomesSummary.pdf
MIChildOutcomesSummary.doc

Early On Active Case Feedback Form
EarlyOnActiveCaseFeedback.pdf
EarlyOnActiveCaseFeedback.doc

Special Education Referral Form
SpecialEdReferralForm.pdf
SpecialEdReferralForm.doc

Transition/Work

Agency Resource Directory
Contact information about community agencies and supports - e-mail and phone.
WCTCResourceGuide.doc

WISD - Training Agreement for Paid Work Experience Program
Agreement/plan used when a student is employed as part of their school program.
TAPWEP.pdf
TAPWEP.doc


WISD - Paid Work Experience Evaluation
Documents employment progress as part of their school program.
PaidWorkExp.pdf
PaidWorkExp.doc


WISD - Safety Orientation for Community Occupational Training and Work
Documents safety issues and potential risks of employment and occupational training as part of the student's school program.
SafetyOrientation.pdf
SafetyOrientation.doc


WISD - Record Release and Consent form for paid work
Releases school district from liability for students while they are employed.
ReleaseConsent.pdf


WISD - Non-paid Community Occupational Training Agreement
Agreement/plan used for non-paid occupational training experiences as part of their school program.
OccTrainingAgreement.pdf
OccTrainingAgreement.doc


WISD - Training Agreement for Volunteer Work Experience Program
Agreement/plan used for occupational training in a volunteer/non-profit setting as part of a student's school program.
TAVWEP.pdf
TAVWEP.doc


WISD - SSI - SSDI Fact Sheet regarding Paid work
Latest information on the affect of paid work earning on SSI and SSDI. SSIfact.pdf


GUIDELINES ON SUBMITTING PAY RECEIPTS
For people receiving SSI, here are some guidelines on submitting pay receipts to Social Security. PayreceiptsGuidelines.pdf


2009 Income Tax guide
This authoritative income tax guide has proven invaluable for families and individuals concerned about tax deductions and credits related to the care and support of a child or an adult with an intellectual or developmental disability. http://www.arcmi.org/pdf/TaxGuide%202009.pdf

Curriculum

WISD Student Achievement Standards
Wisd-sacrl.pdf

Service Evaluation & MET Forms

These forms can be found under
Medicaid Referral Forms on the Excent Tera webpage.

Occupational Therapy Referral
Speech and Language Referral


Incident Reports

Documentation of Behavior Incident or Physical Management
behavin.pdf
behavin.doc


Program Change Procedure and Forms

WISD - Student Information Form for Transition to WISD Programs
Information required prior to entering WISD programs.
Student_Info_Form_for_Transition_to_WISD_Programs.doc
Student_Info_Form_for_Transition_to_WISD_Programs.pdf



Other Resources and Forms

MDE - Translations of Selected OSE/EIS Documents
(English | Albanian | Arabic | Hmong | Serbo Croation | Spanish | Vietnamese)
http://www.michigan.gov/mde/ 0,1607,7-140-6530_6598-16336--,00.html

MDE Office of Special Education and Early Intervention Services
MDE-OSE-EIS

OSE-EIS Staff Directory
Staff directory

Medicaid Overview
Resources covered by the School Based Services (SBS) Program
Medicaid_Overview.pdf

Washtenaw Intermediate School District
1819 South Wagner Rd.
P.O. Box 1406
Ann Arbor,MI 48106-1406
PH:(734)994-8100
FX:(734)994-2203
WISD is Washtenaw County's regional education service agency. Together with the school districts of
Ann Arbor, Chelsea, Dexter, Lincoln, Manchester, Milan, Saline, Whitmore Lake, Willow Run, Ypsilanti, and Public School Academies, WISD coordinates and delivers programs and services to continuously improve student achievement.
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