Grade 9 ESST Student Information

Supporting Documentation Uploaded to ESS Portal

Feeder School

EST-R Teacher(s)
EST-G Teacher(s)

Student Name
FN Band Membership

Please place a bullet “checkmark symbol” in the columns that are applicable.

Type of Plan PLP-A PLP-M

Language Arts
Math
Science
Social Studies
French
Phys Ed
PLP-I (areas of individualization)
Monitored
IBSP
# of PowerSchool incidences (last 3 years)
V-TRA

Please place a bullet “checkmark symbol” and the date in the columns for recent
assessments.

Running Record
WIAT III
Key Math
OCA
Psycho-Educational
Assessment
Other

ESSENTIAL INFORMATION (Please complete each section with information or an N/A)

Specific Diagnosis
Special Mobility
Equipment/Issues
Policy 704 Medical Information /
Meds

Full ______ Shared_______

If “Shared”, on average, how many students are sharing
Current EA Support EA? _____

Work in class all day Yes ____ No ____

If No, % of time in class ______

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Current EA support (Cont’d):
Student requires EA for: □ academic □ behavioral □ both
Has this student had an EA for each year at middle school? Yes □ No □
Applying for grade 9 EA support? Yes □ No □
Self-Care Issues / Toileting
Current Assistive Tech Used as: □ reward □ academic □ communication
□ rarely used □ outdated & needs replacement
Current Special Transportation
Parent/School Communication
Log

AREAS OF CONCERN (Please complete each section with information or an N/A)

Requires individualized transition program
Partial day program? Are they increasing or decreasing
coming to grade 9?
Attendance (list # of days absent for this school year)
Behavior
Alternate Program Placement/Special Project Initiatives
Supervision requirements for Unstructured Times
Social Skills
Safe Place / Down Time
Organization Skills
EAL?
If possible, avoid grouping with:
If possible, group with:

Please place a bullet “checkmark symbol” in the column to indicate current involvement

ASD-W Support Services Involvement

EST-A
ASD-W Psychologist
ASD-W Social Worker
ASD-W SLP
ASD-W School Intervention Worker (SIW).
How often does the SIW work with the student? What does it look like?

APSEA
Other:

Please place a bullet “checkmark symbol” in the column beside the applicable Agencies
and provide Contact Name/Information

Outside Agencies/Contacts
OT
Stan Cassidy Required private
Mental Health
Child & Youth Team CYT / ISD
meetings with:
ISP (Intensive Support Program) □ Resource
Probation □ Guidance
Other:
□ Administration

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