school age admissions procedure · therapy, occupational therapy, physical therapy, auditory...
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School Age Admissions Procedure Parent Tours Our school‐age program focuses on the relationship between language development and academic instruction. Language learning ability is the cornerstone of all areas of academic learning. Parents are invited to tour our classrooms and observe our unique program including our transdisciplinary curriculum. These tours are held monthly. Please contact the school to arrange participation in our tours: (516) 609‐2000, ext. 317 Application Process Candidates for admission will be considered after the following have been received:
A completed application form.
Psychological, Neuropsychological or Psychoeducational Evaluation (K‐2 within 1 year, 3rd and above within 2 years)
Speech/Language Evaluation(Recent)
Recent school reports; please include copies of report cards
Current IEP
Teacher Report Form (provided on our website, WWW.TIEGERMAN.ORG)
Other relevant evaluations/reports (Occupational Therapy, Physical Therapy, Neurological Report, Psychiatric Evaluation)
A $175.00 non‐refundable check. Upon receipt of the complete application, the packet will be reviewed by the Admissions Committee. Please note that our admissions procedure is time intensive. Professionals from TIEGERMAN provide their expertise in reviewing all applications. Selection for classroom screening is based upon this review and determination of appropriate openings. Students are accepted when an appropriate opening becomes available for the following year. Since TIEGERMAN utilizes a rolling admissions policy, parents are notified throughout the year. For an application, please contact TIEGERMAN Admissions Department by:
Telephone: (516) 609‐2000, ext. 323 Fax: (516) 609‐2017 or visit our website
WWW.TIEGERMAN.ORG
TIEGERMAN
Elementary School Program
Approved for Grades K-8 by
The New York State Education Department
Teaching the Extraordinary
Experts in Language and Communication Development www.tiegerman.org
100 Glen Cove Avenue Glen Cove, NY 11542
Phone: 516-609-2000 Fax: 516-609-2014
E-mail: [email protected]
ADMISSIONS
Parents who are interested in visiting our program or applying for admission should contact Admissions at 516.609.2000, ext. 323 to acquire the appropriate application for each of Tiegerman’s programs.
RESOURCES
Visit us on the Web to get information on our programs, admissions, school involvement, school calendar, special events, and to visit some of our classroom pages.
Please also find us on Facebook and become a fan to follow all the special events and updates that happen at Tiegerman.
FAMILY INVOLVEMENT Tiegerman believes in the power of the family and encourages parents to participate in our monthly parent training programs led by highly trained professionals. We are thrilled when families are active in our Science Fair, Art Show, Grandparents/Special Friends Day, Poem in a Pocket Day, book fair, career day and our many performances throughout the course of the year. All parents are encouraged to join our Parent Teacher Friends Association (PTFA).
SOCIALIZATION PROGRAM We focus on socialization not only during designated periods but throughout the entire school day. Tiegerman reinforces skills related to greeting, verbal turn-taking, interacting with peers and adults and self-esteem.
BEYOND THE CLASSROOM We focus on the whole child. We enhance our students’ experiences through activities, which have included visits from Sparky (NY Islanders mascot), the Apollo Theater and choral presentations at Islanders and Mets games. Students learn about the environment and their community by hosting visits from various community organizations, guest authors of children’s books, and even a Guinness World Book inductee.
www.tiegerman.org
RELATED SERVICES
Related services, such
as speech & language
therapy, occupational
therapy, physical therapy,
auditory training, and
counseling services are
intensive and highly
individualized to meet the needs
of each student. Speech-language
pathologists have specialized
training to work with children who
have neurological disorders, such as
apraxia and central auditory
processing disorders (CAPD).
Tiegerman offers the Fast ForWord*
program for students which develops
and strengthens memory, attention,
processing rate, and sequencing.
Enrichment of these skills results in
improved critical thinking as well as
reading skills, such as phonological
awareness, phonemic awareness, fluency,
vocabulary, comprehension, decoding,
syntax, and grammar.
iPads are used by our speech language
pathologists and occupational therapists to
target students’ individual goals.
*Fast ForWord must be listed on the student’s IEP
PROGRAM OVERVIEW
Intensive, 12-month educational programming provided between the hours of 8:30 a.m. -3 p.m. with 5 1/2 hours of instruction.
Approved to serve students with Speech and/or Language Impairment, Autism, Learning Disability, Other Health Impairment, Intellectual Disability, Emotional Disturbance, Hearing Impairment and Traumatic Brain Injury.
Self-contained classrooms structured as language laboratories with 12 students, 2 certified special education teachers and 2 teaching assistants (12:2:2).
Transdisciplinary model focused on the development of language and dedicated to the enhancement of each child’s social, emotional, cognitive and language development.
ENRICHMENT
All students participate in a variety of enrichment instruction throughout the school day, such as computer instruction, music, and art.
Tiegerman is also committed to incorporating state of the art technology to enhance classroom instruction in order to increase student learning. Promethean boards and iPads are used by classroom teachers to extend learning beyond the classroom, and increase student achievement and digital literacy.
Students participate in clubs each week which may include the following: sports, party games, puzzles, arts & crafts, yoga, board games, comic/cartoon making, etc.
TIEGERMAN HISTORY Tiegerman (formally known as SLCD) opened in 1985 as one of the first programs of its kind in New York State, providing intensive language immersion and educational programming for preschool students. Tiegerman has expanded to serve students in grades K-12 from Long Island and New York City and remains one of the few specialized schools in the nation for children with language and autism spectrum disorders.
MISSION The Tiegerman mission of “teaching the extraordinary” reflects the organization’s goal to substantively transform the lives of individuals with special needs from preschool throughout adulthood. We are committed to providing an enduring opportunity for exceptional instruction, education and support to ensure that children and adults achieve their potential in life. We believe that each individual is extraordinary and through our extraordinary efforts they will achieve a more independent and successful future.
CURRICULUM Tiegerman’s curriculum and instructional programs are aligned with New York State and Common Core Learning Standards. In order for our students to access the general education curriculum, instruction is language-enriched and differentiated to address the strengths and weaknesses of each individual student. Students are actively engaged in learning through multisensory, hands-on activities designed to meet the unique needs of each learner as outlined in his/her IEP. Tiegerman’s intense student-to-teacher ratio allows for the provision of individualized instruction that is critical to helping our students achieve high academic standards and learning expectations.
T E A C H I N G T H E E X T R A O R D I N A R Y
EXPERTS IN LANGUAGE AND COMMUNICATION DEVELOPMENT
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SCHOOLAGEAPPLICATION
Applicant’s name: __________________________________________________________________ First Middle Last
Date of Birth: __________________
Address: ___________________________________________________________________ Address Apt. #
___________________________________________________________________ City State Zip
Telephone #: ________________________ Cell #:________________________
Applicant is interested in attending for the following semester: Fall: ________
Year
Summer: _________ Year
Have you attended a Tiegerman Parent Tour? _______ If yes, When _____________
Please submit a recent photograph of the applicant and a non‐refundable fee of $175.00. Please make checks out to Tiegerman. Reports and evaluations to be sent are detailed in the Admissions Procedure form. Submit this application with report and evaluations to: Tiegerman Admissions Dept. 100 Glen Cove Avenue Glen Cove, NY 11542
Reports and evaluations to be sent are detailed in the Admissions Procedure form. Tiegerman admits students of any race, religion, national and ethnic origin. It does not discriminate on the basis of race, religion, national and ethnic origin, or sexual orientation in the administration of its educational policies & admissions policies. Tiegerman will not accept students who receive related services outside of the school day through the Related Service Authorization (RSA) process.
Signature of Parent: _____________________________Date:_______________________
Male
Female
T E A C H I N G T H E E X T R A O R D I N A R Y
EXPERTS IN LANGUAGE AND COMMUNICATION DEVELOPMENT
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Father's Name: _____________________________________________________________________________ Address (if different from page 1): ______________________________________________________________ Email Address: __________________________________ Cell #:______________________________________ Occupation and Title: ______________________________________Employer:__________________________
Employer Address: _______________________________________________ Telephone:__________________ College(s) attended: ______________________________________________ Degree/Date: ________________ Secondary School: ________________________________________________Degree/Date: ________________ Mother’s Name: ____________________________________________________________________________ Address (if Different from Page 1):______________________________________________________________ Email Address: _______________________________ Cell#:_________________________________________ Occupation and Title: ______________________________________Employer:__________________________ Employer Address: _____________________________________ Phone #:______________________________ College(s) attended: _____________________________________________Degree/ Date: _________________ Secondary School: _______________________________________________ Degree/Date: _________________ Please check all that apply: _______ Father or Mother deceased ______Parents separated ______Parents divorced _______ Single parent ______ Child is adopted If parents are separated or divorced: a) Who is the child's legal guardian? ____________________________________________________________ b) To whom should correspondence be sent? _____________________________________________________ Child lives with (check all that apply): ________ Father______ Mother______ Stepfather________ Stepmother Other‐ relationship __________________________________________________________________________
T E A C H I N G T H E E X T R A O R D I N A R Y
EXPERTS IN LANGUAGE AND COMMUNICATION DEVELOPMENT
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Names of Sisters and Brothers: Age: Present school/occupation
________________________ ________ ___________________________________ ________________________ ________ ___________________________________ ________________________ ________ ___________________________________ ________________________ ________ ___________________________________
If there are additional members in the household other than Parents and siblings, what is there relationship to the
Applicant? ____________________________________________________________________________________
Primary Language of the child: ____________________________________________________________________
Primary Language spoken in the home: _____________________________________________________________
Applicant’s district: _____________________________________________________________________________
District contact person & contact information:
_____________________________________________________________________________________________
Applicant’s current school: _______________________________________________________________________
Previous school: _______________________________________________________________________________
Your child’s Current grade? __________________
What grade will your child be entering in September? ________________
Has your Child ever been suspended from school? ________________
If Yes, when and why?___________________________________________________________________________
_____________________________________________________________________________________________
Has your child been enrolled in a preschool program? ________________ When? ___________________________
What Program? ________________________________________________________________________________
Describe your child’s school experience:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
T E A C H I N G T H E E X T R A O R D I N A R Y
EXPERTS IN LANGUAGE AND COMMUNICATION DEVELOPMENT
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Please check all that apply:
Has your child been under the care or received any of the following professional evaluations? Please indicate the evaluation:
Audiologist ________ Psychologist ________
Speech/Language Pathologist ________ Occupational Therapist ________
Otolaryngologist (ENT) ________ Physical Therapist ________
Neurologist ________ Psychiatrist ________
Neuropsychologist ________ Ophthalmologist ________
Other: ________________________________________________________________
Why was your child seen? ____________________________________________________________________
__________________________________________________________________________________________
Please check the appropriate column which may apply to your child:
YES NO YES NO
1. Anemia ______ _____ 10. Endocrine/hormonal ______ _____ 2. Allergies ______ _____ 11. Hyperactivity ______ _____ 3. Asthma ______ _____ 12. Sleeping Problems ______ _____ 4. Fainting ______ _____ 13. Vision Problems ______ _____ 5. Epilepsy ______ _____ 14. Wears Glasses ______ _____ 6. Convulsions ______ _____ 15. Hearing Problems ______ _____ 7. Migraine Headaches ______ _____ 16. Uses Hearing Device ______ _____ 8. Heart Problems ______ _____ 17. Physical Problems ______ _____ 9. Kidney Problems ______ _____ 18. Uses Orthopedic Device ______ _____ 19. Other: _______________________________
T E A C H I N G T H E E X T R A O R D I N A R Y
EXPERTS IN LANGUAGE AND COMMUNICATION DEVELOPMENT
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Current Medications: Medication: Dosage:
________________________________________________________
________________________________________________________
________________________________________________________
How long has your child used medication(s)? ________________________________________________________
_____________________________________________________________________________________________
Does your child have any limitations or health problem of which the school should be aware of:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
What do you believe are your child’s greatest strengths?_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ What do you believe are your child’s greatest challenages?_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________
How did you hear about Tiegerman? ________________________________________________________________
Please comment briefly on your reasons for wanting to attend Tiegerman:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Please initial: This allows Tiegerman to send future emails concerning our school. ___________
Request for Release of Information Dear Parent: Please complete this section and send it to and all professionals who work with your child. (This form can be photocopied.) Your child’s application will be reviewed when all the reports are received. I give ____________________________________ permission to release information (Name)
regarding my child, _________________________, to TIEGERMAN. Signature: ______________________________ Date: _____________________ Name: (please print) ___________________________________________________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - To the School or Professional: The parents/guardians of the above‐named child have applied for admission to TIEGERMAN. Please send the following information, where applicable, to the address or fax number below:
Recent evaluations/progress reports from the Speech/Language Pathologist, Psychologist, and Educator/Teacher.
If applicable, recent reports from the Neurologist, Occupational Therapist, Psychiatrist, Physical Therapist, et.al.
Current IEP and goals.
Attention: Admissions Office TIEGERMAN
100 Glen Cove Avenue Glen Cove, New York 11542 Fax: (516) 609‐2017
tiegerman Admissions and Evaluations Center
100 Glen Cove Avenue, Glen Cove, NY 11542 Tel: (516) 609-2000 ● Fax (516) 609-2017
www.tiegerman.org
TEACHER REPORT FORM
Parents: Please fill out information and give this form to your child’s current teacher along with a stamped
envelope addressed to or fax forms to:
TIEGERMAN – Admissions 100 Glen Cove Ave.
Glen Cove, NY 11542 Fax# 516-609-2017
Student’s Name ______________________________________ DOB __________________ Current Grade _______________________ Applying for Grade ______________________ I give permission for _______________________________________ to complete this form. Parent’s Signature______________________________________ Date_________________
To be Completed by Teacher: Thank you for taking time to complete this form. It provides us with information that is helping in our decision making. We value your input and your observations of the student. Teacher’s Name __________________________________________________Date____________________ School Name _____________________________________________ Phone No.______________________ School Address____________________________________________ Class Staffing Ratio: _____________ Check any that apply or describe student overall and estimate percentage of day. Activity/Attention _______ hyperactive/fidgety/restless _______ appropriate _______ lethargic/tired _______ listens to instruction _______ follows directions _______ difficulty following directions _______ stays on task _______ easily distracted _______ needs constant support _______ can work independently _______ completes homework assignments
Relationship with _______ cooperative Adults/Teachers _______ withdrawn _______ seeks attention _______ needs individual attention _______ refuses to follow instructions Relationship with _______ works/plays alone Peers _______ participates in group activities _______ interacts well with others _______ has occasional problems _______ relates poorly _______ engages in aggressive behaviors Please Comment ____________________________________________________________
__________________________________________________________________________
__________________________________________________________________________ Academic
1. Reading Level: Instructional ________ Decoding ________ Comprehension _______ How is the student functioning in your class?_________________________________
______________________________________________________________________
______________________________________________________________________
2. Math Level: Instructional _______ Computation _______ Problem Solving ________
How is the student functioning in your class?__________________________________
______________________________________________________________________
______________________________________________________________________
3. Writing Skills:
How is the student functioning in your class?__________________________________
______________________________________________________________________
______________________________________________________________________
4. Describe transitions from activity to activity?__________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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5. Describe student’s ability to: (a) focus on tasks_________________________________
_______________________________________________________________________
(b) complete assignments __________________________________________________
_______________________________________________________________________
6. Please comment on student’s strengths and weaknesses.___________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7. Describe the student’s behavioral challenges.___________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8. Are there concerns about student’s attendance or promptness?______________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
9. Does the student demonstrate age appropriate daily living skills? ___________________
If not, please explain: ______________________________________________________
________________________________________________________________________
________________________________________________________________________
10. Is there any other information about this student that would be helpful for us to know? ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Thank you for your cooperation. Please return this form to:
TIEGERMAN Office of Admissions
100 Glen Cove Ave., Glen Cove, NY 11542 Fax (516) 609-2017