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Kern County Consortium SELPA
Working together for the success of all students!
Contact us!
Greg Rhoten, SELPA Director
Telephone: 661.636.4801
Fax: 661.636.4810
1300 17th Street
City Centre
Bakersfield, CA
93301-4533
Contact us!
Jennifer Acuna, SELPA Coordinator
Telephone: 661.636.4884
Fax: 661.636.4810
1300 17th Street
City Centre
Bakersfield, CA
93301-4533
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Kern County SELPA
Special Education Local Plan Area
Early Start Services Forms
H01: Infant - Initial Contact
(
Rev. 4/07
)
H02: Infant - Parent Notification
(
Rev. 4/07
)
H03: Infant - Parent Rights (short)
(
Rev. 4/07
)
H04: Infant - Assessment Plan
(
Rev. 4/07
)
H05: Infant - Release of Information
(
Rev. 4/07
)
H06: Infant - IFSP - Meeting Notice
(
Rev. 4/07
)
H07: Infant - Individualized Family Service Plan
(
Rev. 4/07
)
H08: Infant - IFSP Ammendment
(
Rev. 4/07
)
H09: Infant - Notification of Placement
(
Rev. 4/07
)
H10: Transition Plan
(
Rev. 4/07
)
H11: Appointment of Educational Representative
(
Rev. 4/07
)
H12: Infant - Family-Child Information
(
Rev. 4/07
)
H13: Infant - Parent Rights
(
Rev. 4/07
)
"H14: Periodic Review Summary"
(
Rev. 2/05
)
H15: Infant - Time Line Extension
(
Rev. 4/07
)
H17: Surrogate Parent Volunteer Agreement
(
Rev. 4/07
)
En Español
H02-S: Infant - Parent Notification
(
Rev. 7/05
)
H03-S: Infant - Parent Rights (short)
(
Rev. 7/05
)
H04-S: Infant - Assessment Plan
(
Rev. 7/05
)
H05-S: Infant - Release of Information
(
Rev. 7/05
)
H06-S: Infant - IFSP - Meeting Notice
(
Rev. 7/05
)
H07-S: Infant - Individualized Family Service Plan
(
Rev. 7/05
)
H08-S: Infant - IFSP Ammendment
(
Rev. 7/05
)
H11-S: Infant - Appointment of Educational Representative
(
Rev. 7/05
)
H12-S: Infant - Family-Child Information
(
Rev. 7/05
)
H13-S: Infant - Parent Rights
(
Rev. 7/05
)
H14-S: Infant - Periodic Summary
(
Rev. 7/05
)
H15-S: Infant - Time Line Extension
(
Rev. 7/05
)
H16-S: Infant - Transition Plan
(
Rev. 7/05
)
H17-S: Surrogate Parent Volunteer Agreement
(
Rev. 7/05
)
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