Documentation of Private School Consultation
(Duplicate as needed) Each public school district participating in the project must complete this form to demonstrate it has consulted with every private school located in the district. Consultation with private school representatives must address whether the private school will participate; the level of participation; what services will be offered; how, where and when services will be provided; and how the services will be assessed. Name of Public School District__________________________________ [ ] No private schools are located within the area served by the high-need local educational agency.
Name of Private School Contact Name Contact Address and Phone Number Amount Budgeted for School “X” for Not Participating Signature of Private School Official or Representative
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