| | Yr 01 | Yr 01 | Yr 02 | Yr 02 | Yr 03 | Yr 04 |
| Item Description | 1985 F | 1986 S | 1986 F | 1987 S | 1988 S | 1989 S |
| Cohort 1 | 1st grade | 1st grade | 2nd grade | 2nd grade | 3rd grade | 4th grade |
| Cohort 2 | | | 1st grade | 1st grade | 2nd grade | 3rd grade |
| Cohort 3 | | | | | | |
| Cohort 4 | | | | | | |
|
| Part III - Child Service Items: | | | | | | |
| Education: | | | | | | |
| - Is Child Receiving Service Now | | | | CSIED122 | CSIED132 | |
| - Should Child Receive Additional Service | | | | CSIED222 | CSIED232 | |
| - Urgency | | | | CSIED322 | CSIED332 | |
| Tutoring, Aide, Resourse Teachers, High I: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIED142 |
| - Should Child Receive Additional Service | | | | | | CSIED242 |
| - Urgency | | | | | | CSIED342 |
| Screening for Special Ed. Services: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIED442 |
| - Should Child Receive Additional Service | | | | | | CSIED542 |
| - Urgency | | | | | | CSIED642 |
| Special Ed. Services Diag.&Prescrip.: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIED742 |
| - Should Child Receive Additional Service | | | | | | CSIED842 |
| - Urgency | | | | | | CSIED942 |
| Classes for Gifted and Talented: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIEDA42 |
| - Should Child Receive Additional Service | | | | | | CSIEDB42 |
| - Urgency | | | | | | CSIEDC42 |
| Health: | | | | | | |
| - Is Child Receiving Service Now | | | | CSIHE122 | CSIHE132 | |
| - Should Child Receive Additional Service | | | | CSIHE222 | CSIHE232 | |
| - Urgency | | | | CSIHE322 | CSIHE332 | |
| Speech, Hearing, Vision Services: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIHE142 |
| - Should Child Receive Additional Service | | | | | | CSIHE242 |
| - Urgency | | | | | | CSIHE342 |
| Meds. for Hyperactivity/Attn. Problems: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIHE442 |
| - Should Child Receive Additional Service | | | | | | CSIHE542 |
| - Urgency | | | | | | CSIHE642 |
| Other Medications (Specify): | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIHE742 |
| - Should Child Receive Additional Service | | | | | | CSIHE842 |
| - Urgency | | | | | | CSIHE942 |
| Other Health Services: | | | | | | |
| - Is Child Receiving Service Now | | | | | | CSIHEA42 |
| - Should Child Receive Additional Service | | | | | | CSIHEB42 |
| - Urgency | | | | | | CSIHEC42 |
| Child Counseling: | | | | | | |
| - Is Child Receiving Service Now | | | | CSICC122 | CSICC132 | CSICC142 |
| - Should Child Receive Additional Service | | | | CSICC222 | CSICC232 | CSICC242 |
| - Urgency | | | | CSICC322 | CSICC332 | CSICC342 |
| Family Services: | | | | | | |
| - Is Child Receiving Service Now | | | | CSIFM122 | CSIFM132 | CSIFM142 |
| - Should Child Receive Additional Service | | | | CSIFM222 | CSIFM232 | CSIFM242 |
| - Urgency | | | | CSIFM322 | CSIFM332 | CSIFM342 |
| Special Teacher at School for Reading/Math: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Tutoring Program/Services: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Special Program for Learning, Attendance, Behavior Problems: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
