___________________________________________________
(LEA Name)
Special Education
WRITTEN AFFIRMATION OF CONSULTATION
Private School Consulted___________________________________________________
Private School Official_____________________________________________________
Date of Consultation_______________________________________________________
It is affirmed that the private school consultation process included discussion of:
• The child find process and how parentally placed private school children
suspected of having a disability can participate equitably, including how parents,
teachers, and private school officials will be informed of the process;
• The determination of the proportionate amount of Federal funds available to
serve parentally placed private school children with disabilities, including the
determination of how the amount was calculated;
• how the consultation process will operate throughout the school year to ensure
that parentally placed private school children with disabilities identified through
the child find process can meaningfully participate in special education and
related services;
• how, where, and by whom special education and related services will be provided
for parentally placed private school children with disabilities, including a
discussion of types of services, including direct services and alternate service
delivery mechanisms, how such services will be apportioned if funds are
insufficient to serve all children, and how and when these decisions will be made;
and
• how, if the LEA disagrees with the views of the private school officials on the
provision of services or the types of services, whether provided directly or
through a contract, the LEA shall provide to the private school officials a written
explanation of the reasons why the LEA chose not to provide services directly or
through a contract.
______________________________________________ __________________
Signature of Private School Official Date
DRAFT
