Department of Curriculum, Instruction and Technology

DO YOU HAVE WHAT YOU NEED FOR COMPLIANCE?

Provides a list of required forms to be submitted with your NCLB application together with links to multiple samples you may copy and use. 

We wish to acknowledge Rose Peppe, who has been working with Nassau BOCES in their response to the NCLB Act,  and to thank the Lawrence School District for allowing us to review their district forms for items 6, 7 and 8 below, and for making them available to others.

Following is a list of required forms to be submitted with your NCLB application.  We have included multiple samples for most categories.  You may select any one form or design your own for each category.

1.   Attestation Forms
(See application 2003-04  p. 23 #5)
Attestation Form (Sample 1)
Attestation Form (Sample 2)
Attestation Form (Sample 3)
Attestation Form (Sample 4) 

2. Parent Notification Letter
(See application 2003-04 p.24 #1)
Parent Notification Letter I
Parent Notification Form
Right to Know Letter from Superintendent
Parents Right to Know Letter from Principal
Notification to Parents - Right to Know

3.   Disclosure Letter -
Not mentioned in 2003-04 application.  However, must still disclose information, but not required to submit a sample letter.  

4.  "Not Highly Qualified" Letter
(See application 2003-04  p. 24 #2B) 
Sample Form 1    
Sample Form 2
Sample Form 3
Sample Form 4

5.   ELL Notification Letter
(See application 2003-04 pp. 21-22 #1-6)
 ..Parent Notification of ELL Sample Form Letter
..Districts prepare these for district specific needs.

6.   Parent Involvement Policy
MUST SUBMIT BY 12/31/03
(See application 2003-04 p.14)

7.   Parent School Compact
(Not required - 2003-04)
School-Parent Compact I
School Parent Compact II

8.   AIS Forms (to track for Program Information Report (PIR) using AIS Forms)
AIS forms help in completion of NCLB applications.  They provide the needed data and type of service. 

a.)  Individual Student Record of AIS
              Kindergarten
               Elementary
               Middle
               High School

b.)  AIS Student Participation Record( E, S, Generic Samples)

c.)  Program Information Report (Building Level)

Back to NCLB Home Page