Attachment

Designated Site 504 Coordinator

School ____________________________________________________________

The designated site 504 coordinator* for this site will be:

________________________________________________
Name

________________________________________________
Position

 

My school currently has a

_______ Student Study Team/504 Team

_______ other ________________________________
                                              (specify)

How many students at your site have a 504/Individualized Service Plan (ISP)?

_____________

 

______________________________________________
Principal's signature

 

*The district 504 committee has requested that the site 504 coordinator not be a resource specialist in order to minimize any confusion with the special education process.

Please return this form to:

Sally Tucker
2351 Cardinal Lane, Annex B

no later than: Friday, September 8, 2000