| Appendix A - Calendars & Classroom Organizational Charts |
| A1: |
M-DCPS 2008-2009 School Calendar |
| A2: |
Organizational Chart and IEP Due Dates (to be kept in the classroom) 7/29/08 |
| A3: |
Class List (to be sent to Pre-K District Office 3 times per year) 7/29/08 |
| A4: |
Teacher Checklist 7/29/08 |
| A5: |
Organizing Classroom Documents and Record Keeping (THANKS Zilkia and Violet! |
| A6: |
Daily Monitoring Form for Diet/Allergy/Medical Condition - Sample 10/21/08 |
| A7: |
Daily Monitoring Form for Diet/Allergy/Medical Condition - Blank 10/21/08 |
| A8: |
Weekly/Monthly Monitoring Form for Diet/Allergy/Medical Condition - Blank 10/28/08 |
| A9: |
Monthly Monitoring Form for Diet/Allergy/Medical Condition - Blank 10/28/08 |
| |
|
| Appendix B - The IEP Process & ESY Packets |
| B1: |
IEP Forms |
| B2: |
Sample of completed IEP |
| B3: |
Suggested Measurable Goals and Benchmarks |
| B4: |
Suggested Adaptations or Insert D |
| B5: |
Sample Individual Daily Schedule and Therapies |
| B6: |
Priority Educational Needs (PENS) |
| B7: |
Extended School Year (ESY) Packets
|
| |
|
| Appendix C - Program Models |
| C1: |
Referral/Evaluation Process 7/29/08 |
| C2: |
Program Eligibility |
| C3: |
Continuum of Services 7/29/08 |
| C4: |
Program Models 9/8/08 |
| C5: |
Role Model Packet 9/3/08 |
| C6: |
Suggestions for Recruiting Classroom Role Models 9/03/08 |
| C7: |
Assessment Consent Form for Role Model Students (English and Spnish) NEW! 9/3/08 |
| |
|
| Appendix D - ESOL |
| D1: |
ESOL Forms and Assessments |
| D2: |
Description of ESOL Levels |
| D3: |
Prekindergarten ESOL Strategies |
| |
|
| Appendix E - Daily Team Planning & Lesson Plan Forms |
| E1: |
Daily Team Planning Process |
| E2: |
High/Scope Charts for Lesson Plan Book
- Preschool Curriculum Content with Key Developmental Indicators NEW! 7/28/08 (formerly Preschool Key Experiences)
- Preschool Key Developmental Indicators with Codes NEW! 8/20/08 Thanks Deanna!
- Infant/Toddler Key Experiences |
| E3: |
Daily Lesson Plan Forms
_____________________
- Shared Reading / Scope and Sequence
____________________
- VPK Education Standards (for front of lesson plan book)
-
VPK Lesson Plan Explanation (for front of lesson plan book)
_____________________
- Full Day/Half Day (for: Reverse Mainstream full or half-day, Inclusion, EH/SED)
- "Rotation"
_____________________________
- VPK Lesson Plan Explanation for Classrooms for Autism Spectrum Disorder (for front of lesson plan book)
- Program for Children with Autism 
- LEAP
____________________________
- PMH :
Lesson Plan Explanation (for front of Lesson Plan book)
Lesson Plan 1
Lesson Plan 2 |
| E4: |
High/Scope Wheels of Learning |
| E5: |
Substitute Letter |
| |
|
Appendix F - Forms (Can only be accessed from M-DCPS computers) |
| F1: |
IEP Forms
- Individualized Educational Plan - IEP blank form (4953)
- Insert B - Measurable Annual Goals and Benchmarks (5361)
- Insert D - Accommodations/Modifications in the Educational Setting (6132)
- Summary of Procedural Safeguards for Students with Disabilities (6335)
- Parent Resources (6334)
- Notification of Meeting (4851)
- Matrix of Services (5582)
- Informed Notice of IEP/EP Team Recommendation and Parental Consent for Educational Placement in Exceptional Student Education (4959)
- Informed Notice of Proposal or Refusal to Change Evaluation, Identification, Educational Placement, or Free Appropriate Public Education (FAPE) (4877) |
| F2: |
Assessment, Evaluation and Reevaluation Forms
- Observation of Prekindergarten Student Behaviors (4140)
- Informed Notice of Reevaluation Review Meeting and/or Consent for Reevaluation (4958)
- Notice of Intent and Parental/Guardian Consent to Conduct an Evaluation (4961)
- Child Study Team - Re-evaluation Documentation Form (CST-R - 3275)
-NEW! Notice of Intent and ParentalGuardian Consent to Conduct a Screening/Assessment (6279) 10/22/08 |
| F3: |
ESOL Forms and Assessments
- Home Language Survey not available online at this time (5196)
- Home Language Screening Questionnaire (4219)
- Continuum of ESOL Placement Tests - Chart & RLDC Levels B, C, & D (4762)
- Oral Language Proficiency Scale-Revised - Interview with Guidelines - OLPS-R - Level A (5924)
- Individual LEP Student Plan - Elementary ( 4649) |
| F4: |
Medical & Therapy Forms
- Physician's Request for In-School Nursing and/or Respiratory Therapy Services (4560)
- Consent Form for Mutual Exchange of Information (2128)
- Physician's Statement (formerly Report of Medical Examination - 1920)
- Physician's Referral for Physical Therapy Evaluation (2515)
- Physician's Referral for Change in Health Status - Physical and Occupational Therapy (4502) |
| F5: |
Field Trip Forms
- Field Trip Parent Permission Form (4573)
- Field Trip Chaperone List (6802)
- Requisition for Special School Bus (1596) 7/15/08 |
| F6: |
Behavioral Forms
- Anecdotal Record (2480)
- Parental Notice of Physical Restraint Procedures (3446)
- Observation of Prekindergarten Student Behaviors (4140) |
| F7: |
Vision Forms
- Physician's Report of Eye Examination (1665)
- Functional Vision/Educational Assessment (3193) |
| F8: |
Miscellaneous Forms
- Request for Service - School/Classroom Equipment (0400)
- Parent Permission to Photograph/Videotape (6497) |
| |
|
| Appendix G - Professional Development |
| G1: |
Professional Development (PD) Calendar
- Pre-K PD Calendar (List of offered trainings) 8/25/08
- Link to PD Registration Site |
| G2: |
Registration/Temporary Instructor Form for Professional Development, Classroom Observation and Mentoring (replaces old G-2 and G-4) 7/15/08 |
| G3: |
Classroom Assessment Temporary Instructor/Substitute Days Form 7/15/08 |
| |
|
| Appendix H - High/Scope & the Value of Play |
| H1: |
Sample Classroom Design |
| H2: |
The Value of Work Time |
| H3: |
"When A Child Plays in the Areas" posters |
| H4: |
Play is Learning |
| H5: |
Observation Scales
- Children's Art Products
- Beads and Laces
- Children's Block Structures
- Children's Writing Products
- Sequence of Cutting Development
|
| H6: |
Unit Blocks |
| |
|
| Appendix I - Instructional Materials |
| I1: |
Guidelines for the Purchase of Materials and Equipment 7/2/08 |
| I2: |
Suggested Instructional Materials and Equipment 8/27/08 |
| I3: |
Suggested Instructional Materials and Equipment for PMH and Multiply Impaired 8/27/08 |
| I4: |
Master Classroom Materials List (per vendor, item # and price) |
| I5: |
Classroom Inventory of Materials 7/2/08 |
| I6: |
Classroom Inventory of Materials for PMH 7/2/08 |
| |
|
| Appendix J - Assistive Technology |
| J1: |
Overview of Assistive Technology |
| J2: |
"What is Assistive Technology" Flyer - in English - in Spanish |
| J3: |
Pre-K Guide to Considering Assistive Technology |
| J4: |
Pre-K Assistive Technology Implementation Plan (ATIP) 
- Sample #1 (communication, social interaction)
- Sample #2 (communication, organization, attention, play skills)
- Sample #3 (positive behavior support) 7/28/08 |
| J5: |
Assistive Technology Implementation in Pre-K  |
| J6: |
Procedures for Assitive Technology Implementation, Screening/Assessment and Follow-Up |
| J7: |
PRIME Time Fact Sheet (inventory of materials, devices, software and resources on Pre-K PRIME Time vehicle) |
| |
|
| Appendix K - Islands of Possibility - Curriculum Adaptations for Multiply Impaired/PMH |
| K1: |
Islands of Possibility Curriculum Overview
- Program Description
- Power Point: Islands of Possibility Overview 
- Power Point: Islands of Possibility Photo Tour  |
| K2: |
Sample Classroom Design |
| K3: |
Suggested Instructional Materials for PMH |
| K4: |
PMH Lesson Plan  |
| K5: |
Positioning Chart |
| K6: |
PMH Data Recording Sheet 9/4/08 |
| |
|
| Appendix L - Curriculum Adaptations for Children with Visual Impairments |
| L1: |
Suggested Curriculum Adaptations for Working with Children with Visual Impairments |
| L2: |
Vision Forms |
| |
|
| Appendix M - Curriculum Adaptations for Children with Autism |
| M1: |
Definition of Autism |
| M2: |
Elements of a Program for Children with Autism |
| M3: |
Diagram of Autism Spectrum |
| M4: |
Overview of a Program for Children with Autism |
| M5: |
TEACCH Structured Teaching |
| M6: |
Picture Exchange Communication System |
| M7: |
Daily Classroom Schedule |
| M8: |
Program for Children with Autism Daily Lesson Plan |
| M9: |
Work Time Staff Schedule Sample and Blank |
| M10: |
Work Time Rotation Sample and Blank |
| M11: |
Data Collection
- Overview of Data Collection Requirements (from the Autism Program Meeting #1) 
- Data Collection Form (blank)
- Data Collection Forms with Dates for 2008-2009 7/28/08
- Data Collection Sample
|
| M12: |
Progress Report Samples
- For LEAP
- For Programs for Children with Autism |
| M13: |
Internet Resources
- U.M. CARD Center
- National Dissemination Center for Children and Youth with Disabilities
- Asperger Syndrome Coalition of the US
- Asperger Syndrome Education Network
- Autism Research Institute
- Autism Resources
- Autism Society of America
- Online Asperger Syndrome Information and Support
- Patient-Centered Guides on autism
- Yale Child Study Center Developmental Disabilities Clinic
- Indiana Resource Center for Autism |
| M3: |
Home Daily Routine Symbols - #1, #2, #3 |
| |
|
| Appendix N - Positive Behavior Support Strategies |
| N1: |
Suggested Curriculum Adaptations for Working with Children with Challenging Behaviors |
| N2: |
Assistive Technology Implementation Plan (ATIP) - to be completed to determine adaptations/strategies for Positive Behavior Support prior to requesting a Functional Assessment of Behavior (FAB ) |
| N3: |
ATIP Example for Positive Behavior Support strategies 7/28/08 |
| N4: |
Functional Assessment of Behavior (FAB) Procedures |
| N5: |
FAB for Prekindergarten Students |
| N6: |
Positive Behavior Support (PBS) Plan |
| N7: |
Websites for Teachers and Parents on Communication/Behavior  |
| |
|
| Appendix O - Field Trips |
| O1: |
Field Trip Forms |
| O2: |
Completed sample of Requisition for Special School Bus Form with Program Number 7/15/08 |
| O3: |
Suggested Field Trips 7/15/08 Thanks to teachers who gave new suggestions in the 2007-2008 Program Evaluation Survey! |
| |
|
| Appendix P - Schedules & Toilet Training |
| P1: |
Daily Routines
- Sample Classroom Schedules
- Half-Day Program Schedule Poster |
| P2: |
Toilet Training
- Toileting Schedule
- Toileting Sequence |
| P3: |
Diapering and Handwashing |
| P4: |
Toilet Training Letter to Parents |
| |
|
| Appendix Q - Data Collection / Ongoing Monitoring of Progress |
| |
All the following Data Sheets are in Word format so you can customize them to your needs: |
| Q1: |
General Data Sheet (goal/benchmarks, 5 occurrences, prompt level) |
| Q2: |
Assistive Technology Data Sheet (task, tool, 5 occurence/opportunity, AAC prompt hierarchy) |
| Q3: |
Prompt Level Data Sheet (graph style) |
| Q4: |
Weekly Data Sheet (5 occurrence/opportunity, with dates) 7/22/08 |
| Q5: |
Yes/No Data Sheet (with weekly dates) 7/22/08 |
| |
|
| Appendix R - Progress Reports |
| R1: |
Progress Report A |
| R2: |
Progress Report B |
| R3: |
Progress Report for Role Models - English 11/24/08 |
| R4: |
Progress Report for Role Models - Spanish 11/24/08 |
| |
|
| Appendix S - Curriculum Components |
| S1: |
High/Scope - link to the High/Scope homepage |
| S2: |
Building Early Language and Literacy (BELL)
- Link to BELL page
- BELL flyer - in English - in Spanish
- Links to BELL Shared Reading and Phonological Awareness Boardmaker Downloads - symbols, boards and overlays for each BELL Big Book and each poster (32 choice boards "talk" on your computer screen if you have Boardmaker PLUS)
- Shared Reading Book List (for parents) by Dawn Peralta |
| S3: |
Math
- Link to Math page
- Suggested math materials |
| S4: |
LEAP/Social Skills Curriculum
- Link to LEAP page
- LEAP flyer
- Link to Behavioral/Social Boardmaker Downloads page with Social Skills posters and symbols
- LEAP Parent Agreement - English - Spanish
- LEAP "Free Pre-K" Flyer - English - Spanish |
| S5: |
Conscious Discipline
- Link to Conscious Discipline page
- Conscious Discipline flyer - in English - in Spanish
- Link to Behavioral/Social Boardmaker Downloads page with Conscious Discipline boards and symbols |
| |
|
| Appendix T - High/Scope Key Developmental Indicators, Key Experiences, Posters & Key Note Forms |
| T1: |
Preschool
- Curriculum Content with Key Developmental Indicators NEW! 7/28/08 (formerly Preschool Key Experiences)
- Posters NEW! 7/29/08 |
| T2: |
Infant and Toddler
- Key Experiences
- Posters |
| T3: |
Preschool Key Note Form - Word - .pdf |
| T4: |
Infant and Toddler Key Experience Note Form - Word - .pdf |
| T5: |
NEW! Key Note Documentation form (thanks Tropical teachers!) 10/29/08 |
| |
|
| Appendix U - Assessment Requirements & Computer Assessment Charts Reorganized 7/28/08 to reflect changes in required assessments for 2008-2009 |
| U1: |
Review of Assessment Requirements 9/03/08 |
| U2: |
Required Assessments
-
BDI-2 8/20/08
- DECA 8/20/08
- PELI 8/20/08 ( PELI Stages of Writing )
-
PLS4 (Half-Day Speech/Language classes only) 8/20/08 |
| U3: |
Supplemental Assessments 8/20/08
- Early LAP 8/20/08
- Brigance 8/20/08
- Carolina for Infants and Toddlers - version 1, version 2 8/20/08
- Carolina for Preschoolers 8/20/08
- LAP-D 8/20/08
English Age Equivalents for LAP-D Subscales for LAP-D 3rd Edition
Spanish Age Equivalents for LAP-D Subscales for LAP-D 3rd Edition |
| U4: |
Assessment Checklist (handy chart to keep track of student testing - thanks to Dawn Peralta!) NEW! 9/8/09 |
| U-5: |
NEW! Notice of Intent and ParentalGuardian Consent to Conduct a Screening/Assessment (6279) 10/22/08 |
| |
|
| Appendix V - Transition to Kindergarten |
| V1: |
List of Exiting 5 Year Olds |
| V2: |
Kindergarten Transition Information Forms |
| V3: |
Transition Teacher Input |
| |
|
| Appendix W - Program Standards |
| W1: |
Standards for Prekindergarten Program for Children with Disabilities |
| |
|
| Appendix X - Program Monitoring and Technical Assistance |
| X1: |
Prekindergarten Program Review Revised 10/22/08 |
| X2: |
Prekindergarten Technical Assistance Record  |
| X3: |
Prekindergarten Technical Assistance Record for Mentoring  |
| X4: |
Prekindergarten Technical Assistance Record Assistive Technology  |
| X5: |
Mentor/Mentee Call Log  |
| |
|
| Appendix Y - Family Involvement - |
| Y1: |
Power Point : "Welcome to Our School" Open House - choose "save" when downloading in order to edit 
- Presenter Tips
- Increasing Parent Workshop Attendance
- MDCPS Open House Toolkit
-MDCPS Parent Teacher Conference Toolkit |
| Y2: |
Late Arrival Signs
- 8:15
- 8:30
-11:30 |
| Y3: |
Letters to Parents for the Beginning of the Year
- Getting to Know Me booklet for parents NEW! 8/22/08
- Conociendome (Getting to Know Me booklet in Spanish) NEW! 8/22/08
- Get Acquainted Day 
- Beginning of School Letter to Parents
- Bringing Home a Painting Letter to Parents
- Toilet Training Letter to Parents
- Start of the Year Checklist - Spanish - Haitian Creole
- Parent Permission to Photograph/Videotape (6497) |
| Y4: |
Letter to Parents of Items to Send
- Things to Send Letter - Spanish - Haitian Creole
- Snack Letter
- Don't Throw It Away!
- For the Sensory Table - Spanish - Haitian Creole
- We Are Looking For - Spanish |
| Y5: |
Daily Notes Home
- Pre-K News - Spanish - Haitian Creole
- Picture Daily Report - Haitian Creole
- Preschool Home Note |
| Y6: |
Parent Communication Log |
| Y7: |
Parent Workshop Notification |
| Y8: |
M-DCPS Parent Pathway and School Board Rule on Parent Involvement:
-English
-Spanish 9/3/08
-Creole 9/3/08 |
| Y9: |
Shared Reading Book List (for parents) by Dawn Peralta |
| |
|
| Appendix Z - District Personnel/Departments |
| Z1: |
Pre-K Special Education District Staff 9/12/08 |
| Z2: |
District Special Education Staff 9/12/08 |
| Z3: |
Department of Transportation 9/12/08 |
| |
|