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Forms for Transition

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Click the title to get a description of a form and citation, or click the PDF/Word icon to directly download the file:

Form Title PDF Word
Transition from 0-3 Program to Preschool Program
Selecting a Preschool or Child Care For Your Child PDF icon Word icon
Interagency Agreement for Special Education Preschool Services PDF icon  

0-3 Program Transition Timeline: Blank

PDF icon  
0-3 Program Transition Timeline: Sample PDF icon  
Outcome Plan: Blank PDF icon Word icon
Outcome Plan: Sample PDF icon  
Parent Permission for Referral PDF icon  
Parents’ Questions to Consider Before the 90 Day Notification Meeting PDF icon Word icon
90 Day Meeting Summary PDF icon  
Transportation Checklist PDF icon  
Evaluation of Early Intervention Transition Practices Checklist PDF icon  
Transition from Preschool to Kindergarten
Transition Checklist PDF icon Word icon
Child Summary Form PDF icon Word icon
Student Transition Plan PDF icon Word icon
Program-At-A-Glance PDF icon Word icon
Classroom Checklist for Teachers PDF icon Word icon
Parent Inventory PDF icon Word icon
Transitional Passport PDF icon  

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Transition from 0-3 Program to Preschool Program


Selecting a Preschool or Child Care For Your Child PDF icon Word icon


A checklist that may help families select a preschool or child care for their child. Check items on list which are most important to families when visiting settings to assist in determing preschool or child care program.

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Interagency Agreement for Special Education Preschool Services PDF icon


An example of an interagency agreement on responsibility sharing, timeline, procedures, etc. for special education preschool services.


The forms above are from:


Stroup, V. & Cripe, J. W. (1997). Collaborative Community Agreements. In J. Bates, & J. Keating., The Preschool Inclusion Manual, Unpublished master’s thesis, University of Kansas, Lawrence, KS.

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0-3 Program Transition Timelines ( PDF icon Blank / PDF icon Sample )


An example of the timeline of activities that are important for transition from a 0-3 program (i.e., Part C) to preschool program (i.e., Part B). Such activities will include scheduling the 90-day meeting and conducting a comprehensive evaluation.

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Outcome Plan (PDF icon Word iconBlank / PDF icon Sample)


An example of an "Outcome Plan" that states outcomes to be accomplished. Lists needed activities to accomplish those outcomes, and describes how the transition will be evaluated.

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Parent Permission for Referral PDF icon

Designed for families to give permission for referral of their child to begin the evaluation process. Permission form also allows a release of appropriate information to the local education agency for the purpose of transition planning.

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Parents’ Questions to Consider Before the 90 Day Notification Meeting PDF icon Word icon


A list of questions that families may want to ask at the 90-day meeting where a child's transition planning will be developed. It may help families to prepare themselves for the meeting by planning questions to ask.

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90 Day Meeting Summary PDF icon


An example of a 90-day meeting summary in which all the transition team members (e.g., family of the child, sending/receiving agency staff, etc.) can check if they complete what they plan to do.


Forms above are from:


Cripe, J. W. & Stroup, V. (1997) Supporting families and children in transition to inclusive placements. In J. Bates,. & J. Keating, The Preschool Inclusion Manual, Unpublished master’s thesis, University of Kansas, Lawrence, KS.

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Transportation Checklist PDF icon


Stroup, V. & Cripe, J. W. (1997). Collaborative community agreements. In J. Bates, & J. Keating; The Preschool Inclusion Manual, Unpublished master’s thesis, University of Kansas, Lawrence, KS.


A checklist that will help families make sure their child is safely transported to and from the school or center.

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Evaluation of Early Intervention Transition Practices Checklist PDF icon


This form is also included in "Circle of Inclusion Guidelines: Planning for Transition"


An example of a checklist that may be used by a transition team to evaluate if transition planning activities are comprehensive, collaborative, and continuous.

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Transition from Preschool Program to Kindergarten


Transition Checklist PDF icon Word icon


An example of a timeline for a sending and receiving transition team. Activities to be completed monthly are listed.

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Child Summary Form PDF icon Word icon


This is a form that covers basic child-related information such as phone numbers, birthday, address, and names of family members, so that team members have an easy access to pertinent information.

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Student Transition Plan PDF icon Word icon


This helps to identify current, summer, and next year's placement for a child as well as identifying those transition team members to be included in the process.

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Program-At-A-Glance PDF icon Word icon


This provides space for a quick summary of a child’s IEP and student profile including student strengths, likes, and needs.

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Classroom Checklist for Teachers PDF icon Word icon


This provides a series of questions that will guide observations on environmental features and routines in a classroom. It will assist in making placement decisions and in gaining information regarding the student’s transition needs as well as in planning adaptations in the classroom environment to promote the child’s full participation.

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Parent Inventory PDF icon Word icon


This will assist in obtaining parent(s)’ input about their child and identify their support needs. It also provides the parent(s) with opportunities to express their preference on parent/teacher communication style and on the contents of information they would like to receive.

 


The forms above are from:


Keating, J. (1997). Transitioning from inclusive early childhood programs to kindergarten. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.

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Transitional Passport PDF icon

This is developed by the Bright Futures Preschool.


This is a part of the transition process used at the Bright Futures Preschool. Read about the whole procedure of the transition process here.

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Copyright © 2002, University of Kansas, Circle of Inclusion Project. Permission for reproduction of these materials for non-profit use with proper citation is granted. Please send your comments and questions to questions@circleofinclusion.org