Services Plan for Parentally Placed Private School Students
 
Student Name , DOB School
 
The district and the parent/guardian of the student agree that the district has offered the student a free appropriate public education (FAPE) at the IEP meeting held on (see attached). Parents have declined the district’s offer of FAPE and instead have placed the student in the private school at their own expense. The parents agree that the district has no responsibility for the costs of the private school placement.

The Local Education Agency (LEA) will provide special education service(s) as outlined below for the student while enrolled in private school or until the proportionate share of Federal funds have been expended for the current school year.
 

 
Special Education Service Frequency of Service Duration Location Start Date End Date
Pick a date Pick a date
Pick a date Pick a date
Pick a date Pick a date
 

 
Area of Need
 
Present Level
 
Annual Goal
 
Personnel Responsible
 

 
The parents understand in accordance with IDEA 2004, their rights to due process do not apply in the private school setting.
 
Parent     Date    
 
   
 
 
Administrator     Date    
 
   
 
 
Other     Date    
 
   
 
 
Next Annual Review Date   Next Triennial Review Date