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Vocational and Educational Services for Individuals with Disabilities (VESID)
Special Education and Vocational Rehabilitation Services

APPLICATION FOR ALTERNATIVE EDUCATIONAL PROGRAMS
AND SERVICES PURSUANT TO SECTION 116.4

PDF Format for printing

Overview and Intent

        The granting of approval for alternative educational programs and services pursuant to section 116.4 of the Regulations of the Commissioner of Education is intended for homes or facilities that provide educational programs and services provided by any State department or agency or political subdivision to populations that are small in number and either transient or confined in lieu of the requirements of section 116.3 of this Part. 

Regulatory Requirements

        Pursuant to section 116.4, the Commissioner may grant approval for alternative educational programs and services in lieu of the requirements of section 116.3 of this Part.

Application Procedures
 

        The application includes the following components:

1.    Cover Page (Attachment A)

2.    Application Narrative that includes:

ü              Justification for the need to provide programs and services pursuant to section 116.4 in lieu of section 116.3 of this Part;

ü              Specific details of the alternative educational program and services proposed, which include the subject areas as required by section 3204 of the Education Law and Part 100;

ü              Description of the instructional time provided each school day and that the total is not less than three hours of instruction, and that it excludes time provided for lunch, transportation and, for students with disabilities, related services as defined in section 200.1(qq); and

ü         Documentation that instructional personnel are certified teachers and provide instruction pursuant to Part 80. 

  

Submit the application to:

New York State Education Department
            VESID/SEQA
            One Commerce Plaza, Room 1623
            Albany, New York 12234

ATTACHMENT A

 

COVER PAGE 

APPLICATION FOR ALTERNATIVE EDUCATIONAL PROGRAMS
AND SERVICES PURSUANT TO SECTION 116.4

 

Facility Name   ______________________________________________________________                  

Facility Address _____________________________________________________________

Facility Address _____________________________________________________________ 

Name of Person Completing this Form  ___________________________________________

Title  ______________________________________________________________________

Telephone Number  ___________________________________________________________

Effective Start Date ___________________________________________________________

Effective End Date  ___________________________________________________________

  

For Department Use Only

                     Application Approved:             o  Date:  ____________________

                     Application Denied:                  o Date:  ____________________

Reasons for Denial: _______________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

 

 

Please forward the application to:

New York State Education Department
VESID/SEQA
One Commerce Plaza, Room 1623
Albany, NY   12234