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b.

%ile, or

Children scoring at or below

stanine, or (other score)

will

be eligible to participate.

Effective July 20, 1976

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P.L. 81-874

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III. Criteria for Selection of Participants (Cont'd)

C.

Instructional Activities - Handicapped

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Participants
Instrument (test) Utilized

Selection Level
(Il not applicable specify method utilized)

(Cut off) [f not applicable, spedii

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sor

Effective July 20, 1976

94-584 O - 77 - 23

P.L. 81-874

IV.

Instructional Activity Assurances

A. Will a documented individualized prescription be prepared for each

pupil based on the diagnostic process? Yes

No

B.

Will individual file folders be maintained on each pupil containing

his diagnostic and prescriptive data with progress reports on iden

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C. Will each instructional activity in the program be structured dif

ferently than similar instructional activities in the regular schoo:

program? Yes

No

D. Give justification and explanation if 1, 2, or 3 is marked No.

V.

Instructional Activity Objectives

Write an objective for each instructional activity indicating the

progress expected. Separate objectives should be

written for preschool activities and separate objectives for first

grade activities. Objectives for activities in the other grades or groups of grades may be separate or combined. (Please do not include the

instructional objectives teachers are expected to have for the various

skills to be taught.)

Effective July 20, 1976

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