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)

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