DOCUMENTS AND FORMS

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. 
 

Student Eligibility Checklist PK4-2

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. 
 

Student Eligibility Checklist Grades 3-5 

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.
 

Student Eligibility Checklist Grades 6-8 

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.