# Profoundd archive — Epstein Files
# Bates number: EFTA01248871
# Title:        THE SCHOOL DISTRICT OF PALM BEACH COUNTY  As
# Dataset:      9
# Pages:        1
# Tags:         epstein, doj, dataset-9
# Source PDF:   https://profoundd.com/epstein-docs/EFTA01248871/download
# Doc viewer:   https://profoundd.com/epstein-docs/EFTA01248871
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# 'ocr-enriched' tag means OCR was applied to scan-only pages.
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=== SUMMARY ===
THE SCHOOL DISTRICT OF PALM BEACH COUNTY As _Elementary School Special Session Registration re of Pa .ame Scho Special Session School Assignment Student's Date of Birth igh Risk Medical Information 1-9 0179 Legal Information on Reco : no yes (Call home school.) Student is on free lunch reduced lunch SPECIAL PROGRAM ASSIGNMENT (Check services needed.) ESOL Intensive ESOL Support ESE (Program) Other TRANSPORTATION Needed: no Z_ yes regular ESE lift) SAC# /O6 C) Special Session Bus # RECOMMENDATION


=== EXTRACTED TEXT ===
THE SCHOOL DISTRICT OF PALM BEACH COUNTY  As 
_Elementary School Special Session Registration 
re of Pa 
.ame Scho 
Special Session School Assignment 
Student's Date of Birth igh Risk Medical Information  1-9 0179 Legal Information on Reco :  no yes (Call home school.) 
Student is on free lunch reduced lunch 
SPECIAL PROGRAM ASSIGNMENT (Check services needed.) 
ESOL Intensive ESOL Support ESE (Program) 
Other 
TRANSPORTATION 
Needed: no Z_ yes regular ESE lift) SAC# /O6 C) Special Session Bus # 
RECOMMENDATION FOR SPECIAL SESSION (Check all that apply.) 
Students in grades K-5 who are in ESOL (LEP students), Dropout Prevention, and those in ESE whose 
IEP includes a recommendation for Special Session. 
_11 Students in grades K-twho receive recommendation from the principal may attend for remediatIon 
purposes only. 
Students in grades 2-5 who received a score in quartile 1 in the reading comprehension and/or 
mathematics concepts and applications on the most recent norm-referenced test 
Students In grades 2-5 who received a score in quartile 2 in the reading comprehension and/or 
mathematics concepts and applications on the most recent norm-referenced test along with the 
recommendation of the principal. 
ftwi Students retained in their current grade level may be eligible for promo' lion of Special Sessign. 
  4k, 5gnalure of Teacher I Dal 4 Signal rk, of Pnnopal / Date rer—Sc 
PAFIENT/GUARDIAN NOTIFICATION 
10 Yes, my child will attend the Special Session (summer school). The information on address and 
telephone numbers is correct or I have noted changes on my copy of the registration form. 
17] No; my child will not attend the Special Session 1stimmer school). 
s  Signature o are / Guardtan - 91/Date 
Attachments to the registration form sent to the Special Session school: 
Parent/guardian copy - signed registration form Copy of completed ESE IEP, If appropriate 
Other information  
To be completed at the conclusion qSpecial Session: 
STUDENT ATTENDANCE RECORD: P&  Days Present 0 Days Absent 
Tea 9r commes: 
dieldC)74e 
Zlefil 
MLa-t I  4 -e- 7 s' Signature of Spada Session Strati,/ / Date 
PEW 0673 FY 95 Reyisio 
WhitalSpecial Sudan Sohoor&4 H eila4ecwI Moms SthoogOffico 0 Days Tardy 
PLACEMENT DECISION 
Made !Wowing Special Session er Promoted 0 Administrative Placement 0 Retained 
/4.7  /  S)-34- sr 
Signature of Home SHwol Principal / Date 
Pinkfrransportatioa GokliParentlGuardian then Name Sdmol 
CONFIDENTIAL MM08-V ZALIS-000032 
3501:725-020 
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