Changes to the 2019‐2020 Certificate Of Eligibility
FL ID&R Office ‐ June, 2018
Changes to the 20192020 Certificate Of Eligibility FL ID&R - - PowerPoint PPT Presentation
Changes to the 20192020 Certificate Of Eligibility FL ID&R Office June, 2018 Objectives Review changes to the 201920 COE Important COE completion reminders 2 Changes to the 20192020 Certificate of Eligibility (COE)
FL ID&R Office ‐ June, 2018
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Changes to the 2019‐2020 Certificate of Eligibility (COE)
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6/26/2019 Add a footer 8
Red “new” banner depicts new changes. Blue “reminder” banner depicts important reminders.
District/Agency: _________________ District COE # __________________
Enter the corresponding LEA/LOA. Include if the district uses a particular COE numbering system. Mark the corresponding school year. Mark the re‐certification box only if the COE is a re‐certification COE. Make sure the re‐certification is done on a copy of the original COE.
9 Changes to the 2019‐2020 Certificate of Eligibility (COE)
#1 Current Parent/Guardian 1 & 2 – who the child(ren) reside with in the current location. ……• For out‐of‐school youth (OSY) draw a dash (‐) or N/A #1 (Current Parent/Guardian 1/2) #2 Current address – where the children currently reside. #3 Telephone – Check the box only if the phone number provided is a mobile number. Include area codes. Make sure there are no blank fields.
SECTION I: FAMILY DATA
Current Parent Guardian 2:(Last Name, First Name)
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City State Zip
Changes to the 2019‐2020 Certificate of Eligibility (COE)
SECTION II: CHILD DATA
Last Name 1 Last Name 2 First Name Middle Name Suffix Sex MM/DD/YY Age MB Code City State Country School Gr. 1. 2. 3. 4. 5.
Went from 16 fields to 14. Removed Hispanic and Race questions. #10 Verification Code – Record the two (2) digits that correspond. #14 Child/Family Data Comments – Write ONLY comments that pertain to health conditions, non eligible children in the household, additional phone numbers and
13 Changes to the 2019‐2020 Certificate of Eligibility (COE)
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REMINDER: Section III of the COE can be broken up into two parts. This will ensure that recruiters document the correct information in the correct places. Numbers 1, 2, and 3 should reflect information regarding the MC. Numbers 4, 5, and 6 should reflect information regarding the MQW.
Migratory Child
Migratory Qualifying Worker
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…,,,,.i. (Complete if “to join or precede” is checked in 2a.) (The child(ren) moved on _________________ , , , , ,The worker moved on ___________________ Provide comment. Worker’s Full Name
MM/DD/YY MM/DD/YY
SECTION III: QUALIFYING MOVES & WORK
Changes to the 2019‐2020 Certificate of Eligibility (COE)
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Employer
L&G Nursery
SECTION III: QUALIFYING MOVES & WORK SECTION IV: COMMENTS
(Must include □ 2bi, □ 4a, □ 4b, □ 5*, □ 6a, and □ 6b of the Qualifying Moves & Work Section, if applicable.)
Changes to the 2019‐2020 Certificate of Eligibility (COE)
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7.Residency Date
(child arrival date) MM/DD/YY
Was OSY Profile completed? □ Yes □ No
.Interviewer initials _____ SEA Reviewer Initials _____
SECTION III: QUALIFYING MOVES & WORK
.Interviewer initials _____ SEA Reviewer Initials _____
Changes to the 2019‐2020 Certificate of Eligibility (COE)
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SECTION IV: COMMENTS
(Must include □ 2bi, □ 4a, □ 4b, □ 5*, □ 6a, and □ 6b of the Qualifying Moves & Work Section, if applicable.)
Changes to the 2019‐2020 Certificate of Eligibility (COE)
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SECTION V: INTERVIEWEE SIGNATURE I understand the purpose of this form is to help the State determine if the child(ren)/youth listed
knowledge, all of the information I provided to the interviewer is true. __________________________ ______________________________ ____________
Signature Relationship to the child(ren) Date Check all that apply
1. I give my permission for my child(ren) to participate in the Title I Migrant Program. 2. I give my permission for my child(ren) to be given emergency medical referral services. 3. I have been informed about FERPA. I authorize the district to release, transfer, and/or receive my child(ren)’s educational and health records with other districts, educational agencies including HEP/CAMP, and pertinent agencies, including the ID&R Office.
Yes/No
Interviewee signature Relationship to the eligible child(ren). If OSY, write “Self”. Date the form was completed. The interviewee should only sign the COE once the form is completed. Do not leave blank.
Changes to the 2019‐2020 Certificate of Eligibility (COE)
MM/DD/YY
Interviewee signature
I understand the purpose of this form is to help the State determine if the child(ren)/youth listed
knowledge, all of the information I provided to the interviewer is true. __________________________ ______________________________ _______________
Signature Relationship to the child(ren) Date Check all that apply
1. I give my permission for my child(ren) to participate in the Title I Migrant Program. 2. I give my permission for my child(ren) to be given emergency medical referral services. 3. I have been informed about FERPA. I authorize the district to release, transfer, and/or receive my child(ren)’s educational and health records with other districts, educational agencies including HEP/CAMP, and pertinent agencies, including the ID&R Office.
Yes/No
SECTION V: INTERVIEWEE SIGNATURE
Changes to the 2019‐2020 Certificate of Eligibility (COE) 23
SECTION VI: ELIGIBILITY DATA CERTIFICATION
I certify that based on the information provided to me, which in all relevant aspects is reflected above, I am satisfied that these children are migratory children as defined in 20 U.S.C. 6399(2) and implementing regulations, and thus eligible as such for MEP services. I hereby certify that, to the best of my knowledge, the information is true, reliable, and valid and I understand that any false statement provided herein that I have made is subject to fine or imprisonment pursuant to 18 U.S.C. 1001.
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Signature of Interviewer Date
__________________________ __________
Signature of Designated SEA Reviewer Date
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Recruiter signature MM/DD/YY
SEA Recruiter signature MM/DD/YY
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Changes to the 2019‐2020 Certificate of Eligibility (COE)