DOCUMENTS AND FORMS

Campus Eligibility Roster
The Campus Eligibility Roster must be completed and submitted to the district to be eligible for equitable services.  Private nonprofit schools must have students who:
  • are enrolled who reside in HISD's attendance boundaries and
  • live within the attendance area/zone of a Title I, Part A public school.

 

Student Eligibility Service Roster - Sample
This is a sample document providing instructions for completing the Student Eligibility Service Roster.

 

Student Eligibility Service Roster
The Student Eligibility Service Roster contains all the necessary information to recommend a student for services. This roster is submitted electronically to HISD and the program supervisor for Catapult Learning.  In order to verify student eligibility, the requested supporting documentation (individual student test reports and/or Student Eligibility Checklist) must be sent via U.S. mail.  The Student Eligibility Service Roster requires the principal's original signature, and therefore, must be sent via U.S. mail. 

 
The Student Eligibility Checklist evaluates the academic performance of the student in grades PK4-2.  This checklist requires the principal's original signature, and therefore, must be sent via U.S. mail, professional delivery, or hand delivery. 
 
The Student Eligibility Checklist evaluates the academic performance of the student in grades 3-5.  This checklist requires the principal's original signature, and therefore, must be sent via U.S. mail, professional delivery, or hand delivery.
 
The Student Eligibility Checklist evaluates the academic performance of the student in grades 6-8.  This checklist requires the principal's original signature, and therefore, must be sent via U.S. mail, professional delivery, or hand delivery.
 
Student Eligibility Checklist 2024-2025 - Grades 9-12
The Student Eligibility Checklist evaluates the academic performance of the student in grades 9-12.  This checklist requires the principal's original signature, and therefore, must be sent via U.S. mail, professional delivery, or hand delivery.
 
This document captures data about the students receiving Title I instructional services at the PNP school.  HISD reports this to TEA at the end of the academic school year in the ESSA Consolidated Compliance Report.