The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of Vocational and Educational Services for Individuals with Disabilities
(VESID)
Strategic Evaluation Data Collection, Analysis and Reporting (SEDCAR)
One Commerce Plaza - Room 1613
Albany, NY 12234-0001
SEDCAR - 2
APPROVED PRIVATE SCHOOL NOTICE OF DESIGNATED LOCAL EDUCATION AGENCY FOR IDEA
FUNDS
This form is to be completed by approved private schools located in New York State that provide special education services to students with disabilities pursuant to Article 81 of the Education Law (not including Special Act School Districts). Please designate a local education agency (LEA) from whom to receive IDEA funds for students with disabilities provided special education services pursuant to Article 81 of the Education Law and send the completed form to the address in the letterhead and to the designated LEA, by March 3, 2005.
In order to receive a sub-allocation of IDEA funds for 2005-2006 for students with disabilities who are placed in your school by public school districts, you must also complete a SEDCAR-1 form and send it to each school district that placed students in your program as of December 1, 2004. The SEDCAR-1 form is due to each school district by March 3, 2005.
Instructions: |
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Section 1-Approved Private School Program Information (Non-Special Act School District) |
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(Enter 12-digit SED Code Below) |
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SCHOOL NAME
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ADDRESS
(include building name, room number, or mail stop information)
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CITY | STATE | ZIP |
Section 2- Approved Private School Contact Person for Information | |
NAME/TITLE |
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TELEPHONE (include Area Code) |
FAX |
IMPORTANT NOTE: This form must be received by the State Education Department and by the designated LEA, by March 3, 2005, in order to receive IDEA flow-through sub-allocations for the 2005-2006 school year. |
Section 3: Designed Local Education Agency Information |
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(Enter 12-digit SED Code Below) |
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LOCAL EDUCATION
AGENCY
NAME
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ADDRESS
(include building name, room number, or mail stop information)
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CITY | STATE | ZIP |
Section 4: Status of Designated Local Education Agency |
Please check (3 ) the appropriate cell to indicate the status of the LEA designated by the Approved Special Education Program in Section 3.
(3) | ||
1) |
Continuation - The LEA designated for 2005-2006 was also designated for 2004-2005 |
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2) |
Revision - The LEA designated for 2005-2006 is different than the LEA designated for 2004-2005 |
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3) |
Initial - This is the first year in which an LEA has been designated by this approved special education program (ASEP) |
Certification and Assurances |
The local education agency (LEA) listed in Section 3 is designated by this ASEP to be allocated additional IDEA Section 611 and Section 619 flow-through funds by the State Education Department, based on the December 1, 1998 count of students provided educational services pursuant to Article 81 of the Education Law, as reported to SED in the PD-2 report, adjusted by a population and poverty factor, for appropriate sub-allocation to this ASEP. I understand that the LEA designated in Section 3 will receive such additional IDEA funds for the 2005-06 year, and will continue to receive IDEA allocations for subsequent years, to be sub-allocated to this school, unless a revised form is submitted to SED for the designation of another LEA for the 2006-07 school year.
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Chief Administrative
Officer Must Sign and Date |
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