SUPPORTIVE INFORMATION FOR SPECIAL EDUCATION INFORMATION SYSTEM
School Age Page 1 of 2
(A) Race/Ethnicity(C) Entry Code
1 American Indian/Alaskan E01- Student Entry
3 Black or African American
4 Hispanic/Latino
5 White
6 –Multiracial
9 –Asian
10 - Native Hawaiian or Oth Pacific Islander
(B) Grade
B3 – Birth to Three
PS – EI Preschool
KH – Half-day Kindergarten
KF – Full-day Kindergarten
1-12 – Grades (Write Current Grade)
(E) Residency(D) Withdrawal Codes
ResidentWD01- Student Left School without transferring or dropped out
Foster ChildWD02 – Student Transferred to another Public Local Educating Agency (LEA)
Institutionalized, Group Homes, PRRIsWD03 – Student Transferred to a Private or Nonpublic School or out of the state
Living w/Adult Other than Parent of PA, or Out of the United States
Ward of StateWD04 – Student Fulfilled Graduation Requirements
Out of State StudentWD05 – Student Changes School or Grade Level within Local Education (LEA)
WD06 – Student Deceased
WD07 – Student Exited Due to Maximum Age & Completed All Goals (Sp. Ed. Student)
WD08 – Student Exited Due to Maximum Age & did Not Complete Goals (Sp. Ed. Student)
WD09 – Student Enrolled but did not Show
(F) SCHOOL DISTRICT ABBREVIATION(G)Funding Code(Eligibility)
Admiral Peary AVT - APVTNorthern Bedford - NBCACT 89
Altoona - ALTNorthern Cambria - NCGIFT - Gifted
Altoona Area VT - ACTCNorth Star - NSIDEA
Bedford - BPenn Cambria - PCNC – Not Countable
Bedford-Everett VT - BEVTPortage - P
Bellwood-Antis - BARichland - Ri
Berlin Bros. - BBRockwood - Ro
BlacklickValley - BVSalisbury-Elk Lick - SEL
CambriaHeights - CHShade-Central City - SCC
Central Cambria - CCShanksville-Stoneycreek - SS
Chestnut Ridge - CRSomerset – S
Claysburg-Kimmel - CKSomerset County AVT - SCAVT
Conemaugh Township - CTSpring Cove - SC
ConemaughValley - CVTurkeyfoot - TV
Everett - ETussey Mountain - TM
Ferndale - FTyrone - T
Forest Hills - FHWestmont Hilltop - WH
Greater Johnstown - GJWilliamsburg Community - WC
Gr. Johnstown AVT - GJCTCWindber - W
Hollidaysburg - HIntermediate Unit - IU
HOPE for Hyndman Ch-HHCSCentral Pa Digital Learning Foundation - CPDLS
Meyersdale - M
(H) DISABILITY CATEGORY
NT/TB - Traumatic Brain InjurySPL - Speech or Language Impairment
D/HI - Hearing Impairment including Deafness VI/B - Visual Impairment including Blindness
LD - Specific Learning DisabilityDF/BL - Deaf-Blindness
GIFT – Gifted Without DisabilityMULT - Multiple Disabilities
ID – Intellectual Disability (MR)AUT - Autism
OI - Orthopedic ImpairmentOHI - Other Health Impairments
SED -Emotional DisturbanceREG – Regular Education
Page 2 of 2
(J) Transition (Multiple Choices possible)
(Blank)Student is Less Than 14 or 16 depending on date of IEP/Gifted without disability
PSPost Secondary Education/Training Outcome
EEmployment Outcome
ILIndependent LivingOutcome, if appropriate
(K) EDUCATIONAL ENVIRONMENT (School-Age)(Q) Planned Participation PSSA/PASA
80-100 Inside the regular class 80% or more of the dayA – Not in Grade 3,4,5,6,7,8,11
40-79Inside regular class no more that 79% of dayB – Participation in PSSA
no less that 40% of the dayC – Participation in PSSA with Accommodations
0-39Inside regular class less than 40% of the dayD – PSSA - Modified
PUB/ResPublic Separate Facility (Residential)E – PSSA – Modified with Accommodations
PRI/ResOther Private Facility (Residential)F – PASA
HOSP/HBHospital/Home BoundG – Religious Exemption
PUB/N-NonPublic Separate Facility (Non Residential)H – Limited English Proficiency(LEP) Exemption
O-O-SOut-Of-State Facility
INST/HOMEInstruction In The Home
PRI/NonOther Private Separate Facility (Non Residential)
ADULT/CFCorrectional Facility
APS/NonApproved Private School (Non-Residential)
APS/ResApproved Private School (Residential)
(L) TYPE OF SUPPORT(M) Type of Services
LS - Learning PS - Physical ITIN - Itinerant
LSS - Life Skills VIS - Blind & Visually ImpairedFT - Full-Time
MDS - Multiple Disabilities GS - Gifted GIFT - Gifted
ES -Emotional AUT - AutisticSUP - Supplemental
HIS - Deaf or Hearing ImpairedSLS - Speech & Language
Alt Ed- Alternative EducationREG- Regular Education
(N) RELATED SERVICES/SUPPLEMENTARY AIDS & SERVICES (I) Reason for Exiting Special Education
TRAM - TransportationTRED -Transferred to Regular Education.
AUD - Audiological ServicesGRAD - Graduated with Reg. HS Diploma
PSYC - Psychological ServiceGED - Received GED and/or Certificate
PT - Physical TherapyMAC - Reached Maximum Age (Age 21)
OC - Occupational TherapyDIED - Deceased
CBI - Community Based InstructionMovedC Moved, Known to be Continuing
COUN - Counseling ServicesDROP - Dropped Out
INTE - InterpreterRFEN–Referral- Not Eligible
MCD - Medical ServicesMOPA - Moved Out of PA
MENT - Mental Health Services Prov. By other than IU/SD
ORMO - Orientation & Mobility
OTHR - Other
HLTH - School Health Services
SOCI - Social Work Services(R) PCG Disability
PRCT - Parent Counseling, TrainingNA – Not Applicable
RHG - Readers, Helpers, GuidesBVI – Blind/Visual Impairment
SPCH - Speech & Language Pathology/TherapyVL/VI – Low Vision/Visually Impaired
ADPE - Adaptive Physical EducationDEAF - Deafness
BEHM - Behavior Intervention ProgramHI- Hearing Impaired
ASTD - Assistive Technology Devices & Services
ENR - Enrichment & Advancement
REHB - Rehabilitation Counseling
VOED - Vocational Education
ESY - Extended School Year Programs
TRSV - Transition Services
(P)Neighborhood School
1Attending
2Not Attending Required Sp. Ed. Services
3Not Attending Other Reason(Revised 3-8-16)
Z:\SIS Supportive Information Sheet.doc