EXTENDED SCHOOL YEAR ESY SERVICES ELIGIBILITY WORKSHEET - seo dc 2026

See details

4.5 out of 5

40 votes

The document is an Extended School Year (ESY) Services Eligibility Worksheet designed to assess a student's need for ESY services based on three criteria: the impact of service breaks on critical skills, the likelihood of significant regression of those skills, and the ability to recoup those skills in a reasonable time. The IEP team must determine eligibility based on these criteria and document their decision accordingly.

Here's how it works

01. Edit your dc seo online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send extended school year eligibility worksheet via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out EXTENDED SCHOOL YEAR ESY SERVICES ELIGIBILITY WORKSHEET - seo dc with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the EXTENDED SCHOOL YEAR ESY SERVICES ELIGIBILITY WORKSHEET in the editor.
Begin by entering the Student Name and Student ID Number at the top of the form. This information is essential for identifying the student.
In Criterion 1, assess whether one or more of the student’s critical skills will be jeopardized by a break in service. Select 'YES' or 'NO' and provide details on the impact if applicable.
Proceed to Criterion 2 to evaluate if there is a likelihood of significant regression of identified critical skills. Again, select 'YES' or 'NO' and note any relevant details.
For Criterion 3, determine if the student can recoup identified critical skills within a reasonable timeframe. Mark your answer and specify the time required for recoupment if necessary.
Finally, indicate the IEP Team's determination regarding eligibility for ESY services and date it appropriately. Ensure all sections are completed before saving your work.

Start using our platform today to easily fill out your forms online for free!

See more EXTENDED SCHOOL YEAR ESY SERVICES ELIGIBILITY WORKSHEET - seo dc versions

We've got more versions of the EXTENDED SCHOOL YEAR ESY SERVICES ELIGIBILITY WORKSHEET - seo dc form. Select the right EXTENDED SCHOOL YEAR ESY SERVICES ELIGIBILITY WORKSHEET - seo dc version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4.5 Satisfied (40 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I create an eSignature on my seo dc from Google Chrome?

Managing your paperwork with DocHub this way is very straightforward after you have downloaded its extension for Google Chrome. Navigate to the Chrome Web Store and set up DocHub - Sign PDF from Gmail to get it. Give our tool access to your Google account, and then open an email containing seo dc as an attachment and point to the file with your cursor - the DocHub extension button will automatically appear there. Click on it to open your document in our editor. Make any required edits, fill out the blanks, and click Sign to create your legally-binding eSignature.

Do I need to install software to edit my seo worksheets?

When you edit your seo worksheets with DocHub, you merely require a steady web connection and virtually any browser installed on your device. No need to set up any third-party software or research tutorials. Just open a tab with DocHub, drag and drop your file, and edit it immediately.

What does ESY mean in special education?

Here are some of its benefits: Prevents docHub Regression: During long breaks from school, students with disabilities may lose critical academic, social, behavioral, communication, or life skills theyve worked hard to acquire. ESY helps maintain these skills through continued instruction and support.

What does IEP mean?

Different types of assessments, such as diagnostic, summative, formative, and benchmark, each play a unique role in supporting students with special needs throughout their educational journey. Understanding these various assessment types helps educators choose the most appropriate tools for their students.

Is an extended school year worth it?

disabilities requires extended school year (ESY) services, IEP teams should collect data. throughout the school year, and particularly over breaks (e.g., winter break, spring break, weekends, etc.). WAC 392-172A-02020 requires that school districts develop ESY eligibility.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Related forms

be ready to get more