Special Education ISEE
UPDATE FORM
Child's name as it appears in PowerSchool
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First Name
Middle Name
Last Name
Idaho State Student ID (EDUID)
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PowerSchool Student ID
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Grade Level
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Start Date of Special Education Services
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Exit Date (If the student is inactive, the date they left special education)
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Exit Reason
Please Select
Graduate - Met Regular Requirements
Graduate - Met Reduced Requirements
Certificate of Completion/Attendance
Reached Maximum Age
Dropped Out
Transfer to Another Education Environment
No Longer Eligible for Program
Deceased
Revoked Consent
Service School ID
*
Please Select
Early Childhood Center - 1416
Cottonwood 1437
Farnsworth Middle 1446
Harwood Elementary 0723
Jefferson Elementary 0725
Jefferson High 1143
Midway Elementary 0724
Rigby High 0114
Rigby Middle 1358
Roberts Elementary 0726
South Fork Elementary 1110
Case Manager
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Primary Exceptionality
*
Please Select
01 - Learning Disability
02 - Intellectual Disability
03 - Gifted/Talented
04 - Speech Impairment
05 - Language Impairment
06 - Emotional Behavioral Disorder
07 - Health Impairment
08 - Orthopedic Impairment
10 - Deaf or Hard of Hearing
11 - Visual Impairment
12 - Deaf-Blindness
13 - Multiple Disabilities
14 - Developmental Delay
15 - Autism Spectrum Disorder
16 - Traumatic Brain Injury
Additional Information
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