Referral Checklist and Forms

STRIVE REFERRAL CHECKLIST (For special education teacher use only)

YOU MUST CLICK ON THE LINKS BELOW TO SUBMIT SOME OF THE REQUIRED INFORMATION. EMAIL OR MAIL ADDITIONAL MATERIALS TO:

Mike Each
maeach@dmacc.edu 

STRIVE
Des Moines Area Community College
2006 S. Ankeny, Blvd, Bldg 6 Rm 19B
Ankeny, IA  50023

 

Check the “STRIVE Referral Timeline” link for the referral deadline. Items 1-6 must be received by this date. 
_____ 1.  Completed Student Referral Form (Click here to enter information & submit online)

  • Be sure to identify the administrative contact person who should receive the contract, meeting notices, etc.
  • Be sure to identify and notify the resident district & their administrative contact person if different from the referring district.

_____ 2.  Completed DMACC online application (Click here to enter information & submit online)

_____ 3.  Students attending fall semester must complete the following assessments by March 30th of their senior year.

ACCUPLACER® Classic Reading & Writing

  • Administered at all DMACC campus Testing Centers
  • May also be administered at your local high school

ALEKS Math

  • This is an online assessment 
  • Student needs his/her DMACC student ID # and Pin in order to access this assessment on Web Information System

Some vocational programs have additional program entry requirements.  See specific program information for details (PIB).

_____ 4.  Copy of up-to-date high school transcript sent to STRIVE (Click here to Email)

_____ 5.  Copies of student’s junior and senior IEPs (Click here to Email)

_____ 6.  Copies of evaluations or other information that would be pertinent (Click here to Email)


The following items are required but do not have to be sent.  We will be able to access this information through the electronic IEP system at the beginning of the school year.

_____ 7.  An updated IEP needs to be completed in May of the student’s senior year for students starting fall semester (Aug.) OR in December of the student’s senior year for students starting spring semester (Jan.). DO NOT EXIT students from special education services or they will not be eligible for the STRIVE program.

  • Write an IEP review, not an amendment 

_____ 8.  Complete a Three-Year Evaluation before the student begins his/her first semester at DMACC​.

_____ 9.  Inform the student that he/she is not eligible for FAFSA, Pell Grant, etc. (federal student financial aid) while enrolled in STRIVE.  However students are eligible for private scholarships.

For IEP/3 year evaluation questions, talk to your AEA Consultant or call the STRIVE office at 515-965-7138.