Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 2022-2023 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 2023, unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 5 contracts
Samples: Master Contract, Master Contract, Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 20222021-2023 2022 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 2021 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 20232022, unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 3 contracts
Samples: General Agreement, Master Contract, Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 20222020-2023 2021 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 2023201 , unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 2 contracts
Samples: General Agreement, Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 20222019-2023 2020 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 2023201 , unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 1 contract
Samples: Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900no code) EXHIBIT B: 2022-2023 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 2023, unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 1 contract
Samples: Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900no code) EXHIBIT B: 20222023-2023 2024 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 2023 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 20232024, unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)) AGREEMENT TERMS:
Appears in 1 contract
Samples: Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 20222018-2023 2019 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 2023201 , unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 1 contract
Samples: General Agreement
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 20222017-2023 2018 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 2023201 , unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 1 contract
Samples: Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900no code) EXHIBIT B: 20222023-2023 2024 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 2023 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 20232024, unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 1 contract
Samples: Master Contract
Related Services. SERVICE RATE PERIOD Intensive Individual Services (340) Language and Speech (415) Adapted Physical Education (425) Health and Nursing: Specialized Physical Health Care (435) Health and Nursing: Other Services (436) Assistive Technology Services (445) Occupational Therapy (450) Physical Therapy (460) Individual Counseling (510) Counseling and Guidance (515) Parent Counseling (520) Social Work Services (525) Psychological Services (530) Behavior Intervention Services (535) Specialized Services for Low Incidence Disabilities (610) Specialized Deaf and Hard of Hearing (710) Interpreter Services (715) Audiological Services (720) Specialized Vision Services (725) Orientation and Mobility (730) Specialized Orthopedic Services (740) Reader Services (745) Transcription Services (755) Recreation Services, Including Therapeutic (760) College Awareness (820) Work Experience Education (850) Job Coaching (855) Mentoring (860) Travel Training (870) Other Transition Services (890) Other (900) Other (900) EXHIBIT B: 20222024-2023 2025 ISA INDIVIDUAL SERVICES AGREEMENT (ISA) FOR NONPUBLIC, NONSECTARIAN SCHOOL SERVICES (Education Code Sections 56365 et seq.) This agreement is effective on July 1, 2022 2024 or the date student begins attending a nonpublic school or receiving services from a nonpublic agency, if after the date identified, and terminates at 5:00 P.M. on June 30, 20232025, unless sooner terminated as provided in the Master Contract and by applicable law. Local Education Agency Nonpublic School XXX Xxxx Manager: Name Phone Number Pupil Name Sex: M F Grade: (Last) (First) (M.I.) Address City State/Zip DOB Residential Setting: Home Xxxxxx LCI # OTHER Parent/Guardian Phone ( ) ( ) (Residence) (Business) Address City State/Zip (If different from student)
Appears in 1 contract
Samples: Master Contract
