Student Support Services

UPDATED 504 FORMS
504 Parent Rights Form
Form 1 - Invitation Form for Students with Medical Conditions
Form 2 - 504 Meeting Invitation Form
Form 3 - Consent for Evaluation
Form 4 - Eligibility Form
Form 5 - 504 Accommodation Determination
Form 6 - Accommodation Plan
Form 7 - Consent for Re-Evaluation
Form 8 - Notice of Section 504 MDR
Form 9 - Manifestation Determination Review
Form 10 - Parental Refusal Revocation of Consent
Form 11 - Discontinuation of Services Notification
 504 Students Referred to Alternative School Placements
504 Review of Testing Accommodations
504 Accountability Form
Release of Information: Exchange Form 
5 Key Changes Since ADAAA 2008

504 Best Practices  

Homebound
Homebound Contract
504 Homebound Educational Services

Homebound Packet

It is the mission of Iredell-Statesville Schools to rigorously challenge all students to achieve their academic potential and to lead productive and rewarding lives. We will achieve this mission with the support of parents, staff, and the community. Iredell-Statesville Schools believes that every student can learn and deserves rich classroom instruction. The district realizes that some circumstances arise where homebound instruction is necessary in place of attending regular school. With that being said, many studies have been performed on school attendance and student achievement, and the results are not surprising "...student test performance is better when class attendance is better and students with better attendance demonstrate more knowledge of the course materials" (Ledman and Kamuche, 2002).

It needs to be recognized that the student will get the best education while being at school and not at home. The homebound program is one way Iredell-Statesville Schools is attempting to meet the educational needs of all its students. If a student is expected to miss school no more than (2) two weeks (high school) or (4) four weeks (elementary or middle school), the school site should manage assignments, this would not be considered homebound. The expectation is for students, that would be eligible, to receive homebound on an "as needed basis". If a student is expected to miss more than the allotted time, she/he would be eligible for homebound services by completing the appropriate referral form. If the student is a student with an Individualized Education Program (IEP), please contact the Coordinator of Disability Services at ADR. If homebound services will last more than 12 weeks, a new homebound referral form will need to be completed upon re-evaluation by the supervising physician. The school team will review the continued need for homebound every 30 days. If the student has an IEP, the IEP Team will review the need for continued homebound services through the IEP process. Information that is needed to enroll your student in the homebound program is found in the Homebound Packet. Please make sure that all forms are complete or delays in the processing may occur.

To download the entire packet, click below.Homebound PacketTo view or download particular forms, see the individual links below.

HB Form 1 Homebound Service Instruction
HB Form 2 Parent Authorization for Homebound Services Instruction
HB Form 3 Physicians Referral for Homebound Services Instruction
HB Form 4 Physicians Referral for OBGYN Diagnosis
HB Form 5 Psychiatrists Referral for Homebound Services Instruction
HB Form 6 Homebound Teacher
HB Form 7 Class Assignments From HB Teacher
HB Form 8 Survival Guide for Teachers
HB Form 9 Summary of Progress NOT FOR Exceptional Children with an IEP
HB Form 10 Teachers of Homebound Students
HB Form 11 Home Visit Record Attendance Log
HB Form 12 Homebound Review

MTSS is a multi-tiered framework which promotes school improvement through engaging, research-based academic and behavioral practices. NC MTSS employs a systems approach using data-driven problem-solving to maximize growth for all. ISS has a continually growing model of support for behavior which includes research-based best practice solutions. 

For district behavior support please contact Jessica Smith at jessica_mack@iss.k12.nc.us 

Behavior Resources

MTSS Wiki- for MTSS Behavior Documents:

http://issstudentservices.pbworks.com/w/page/82822711/MTSS 

18-19 ARC Application

Social Work Referral

18-19 ARC Application
Bullying Safety Plan
Death of a Student
Grant Process
Information Release and Exchange Form
Medically Fragile Criteria
Medically Fragile Form
Notification of Long Term Suspension English Version - Spanish Version
SAP Evaluation Instrument
Social Worker Job Description
Truancy Court Process

Perfect Attendance Process

1. Data Managers will pull Perfect Attendance list by June 20.

2. Each Data Manager will contact their school photography vendor and fax/email their Perfect Attendance List

3. School Photography Vendor will match the list with student pictures and create student card. This card will contain the student name, Iredell Statesville Schools, student picture and school year.

4. School Photography Vendor will return Perfect Attendance Cards to each school by July 15.

5. The District will send a Connect Ed to students that the Perfect Attendance Cards are available for pick up at each school after August 1.

6. Cards that are not picked up will be distributed the first week of school.

7. If a students Picture is not on the School Picture Vendor CD, the School Picture Vendor will make a card without the picture.

8. Students will be allowed to use Perfect Attendance Cards at sports events at any ISS School as well as any Art and Theater event within I-SS

FAQ’s

Tardies/Lates:

To be eligible for Perfect Attendance, a student can have no more than the following number of tardies/lates:

Elementary/Middle: no more than 10 lates or early dismissals

High School: Must be present at least ½ of the school day every day

Replacement Cards:

Replacement cards will be $5. Student Services will make replacement cards and have them available upon request from schools. Schools will collect $5 from the student. Supply a receipt, and place a label on the card with the student’s name.

Stealing/Tampering with a Perfect Attendance Card:

If a student is caught stealing or tampering with a perfect attendance card, the gatekeeper will confiscate the card, and send the card to Student Services. Student Services will notify the school that the child attends.

Seniors:

If a Senior achieved Perfect Attendance, they will still receive a Perfect Attendance Card. You can either mail their cards to the home address or provide notification that the card is available for pick up at the school.

6th Grade/9th Grade Students:

Perfect Attendance Cards will be distributed from the last school attended. If a child received Perfect Attendance in 5th grade, the Elementary School last attended will send that card to the feeder middle school if it hasn’t been picked up by the start of school

Transfer Students:

For students who transfer to ISS in the middle of the school year, they must have perfect attendance in ISS and perfect attendance must be verified with the previous school.

Student Assistance Program

Student Assistance Program is a an extension of the school counseling program.  The goal of the program is to enhance the student's educational experience by providing intervention and support to students experiencing a variety of personal problems..

Problems are a part of life. During the time that children are in middle/high school, they will be faced with many issues-maybe a drop in grades, boyfriend/girlfriend problems, an eating disorder, anger, pressure to smoke or drink-or any other difficulty common to teens.

Student Assistance Programs train the staff at each school to recognize the signs of these problems.  When a teacher sees a student displaying possible signs, he/she passes the information to the school's SAP Coordinator who is a trained mental health professional.

The SAP Coordinator has an extensively trained CORE team that follows up on the problem by gathering information confidentially.  If it is needed, a CORE Team member, who may be a teacher, counselor, or school nurse, will casually talk to the student to see if there is any way they can help or to begin to identify the problem.  Then recommendations for assistance are made.

If the student seems to need additional assistance, CORE Team members may meet with the student and parents.  A referral to an in-school support group, counseling, or an outside agency may be made.  The SAP Team is dedicated to doing what it takes to get the student back on track.

Counselor/SAP Referral Form

Bully Safety Plan

New Threat Assessment Protocol from Dewey G. Cornell & University of Virginia

Transient or Substantive Threat

Threat Assessment Decision Tree

Full Virginia Threat Assessment Guidelines VSTAG

Form to complete when completing a Threat Assessment:

New Threat Assessment Protocol

MTSS Attendance & Truancy Process Checklist

SSET Materials

Behavior Referral

School Based Therapy Referral Link:

Referral Link

For Crisis/Threat Assessments- please contact Jeanna on the Hotline.  Jeanna will then immediately reach out to the Crisis therapist to alert them to the crisis and arrange for the crisis worker to go to the school. Below are the contact numbers. Remember this is for students at Tier 3. 

O (704) 832-2217 | F 1-844-226-8856

C (704) 437-9585 | Toll Free: 844-226-8855

As the substance use coordinator for Iredell Statesville School District I will be offering substance abuse assessments to students at no cost in accordance with the 5-day reduction policy. I received my Master’s in Counseling and Community Psychology with a certificate in Forensic psychology.  I am currently a Licensed Clinical Addiction Specialist (LCAS) in the state of North Carolina.   Along with assessments, I can also provide community referrals for treatment, consultation, program implementation, training and education, as well as any additional assistance that a student may need in regards to substance use.

In order to refer a student for an assessment please complete the SAS Referral Form and have the student and their parent and/or guardian to sign the release of information. This is an option available for students if they choose or they can elect an independent substance use provider. Students will be responsible for transportation to the Pressly School to complete the assessment.

Please feel free to contact me at michelle_wigley@iss.k12.nc.us if more information or guidance is needed.

SAS Assessment Referral Packet

SA 5 Day Policy Guide

Find help in our area here: 

https://www.help.org/drug-and-alcohol-rehab-centers-in-north-carolina/