Accessible Instructional Materials Library Forms

It is suggested that all forms be copied for your files prior to submitting them to the AIM Library for you records in case of later verification.

STUDENT REGISTRATION
Must be completed by the TVI with all the pertinent information for each student he/she is currently servicing
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Written Education Plan Assurance
In order for students to be eligible to borrow materials from the AIM Library, A Written Education Plan (such as an IEP, a 504, or any other written action plan) must be on file with the school where the student is attending in the event that any audit requires evidence of the student's educational program.

To ensure student confidentiality, these Written Education Plans (IEP, 504, etc) are no longer to be sent to the AIM Library. What does need to be sent to the AIM Library is the following:

Written Education Plan Assurance Form (WEPA). The AIM Library WEPA Form needs to be signed by the Special Education Director and submitted by January 30th each year for every student seeking to borrow materials.

Original WEPA Forms ( faxes will not be accepted) need to be mailed to the AIM Library:

Massachusetts Accessible Instructional Materials Library
3 Randolph Street
Canton, Ma 02021

PLease, do not send IEP's!
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TEACHER REGISTRATION
Must be submitted by new TVI's working in Massachusetts. Also, each TVI needs to submit at the time of Federal Quota Census so the AIM Library is sure to have your current contact information.
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MEDICAL EYE REPORT
Provides acuity, diagnosis & prognosis. Must be completed & signed by the child’s eye care professional. This form must be updated every three years (except for students with a documented non-changing eye condition.)
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PARENTAL RELEASE OF INFORMATION
To be signed by parent or guardian to allow the AIM Library to exchange pertinent information with the Massachusetts Commission for the Blind, APH, Recordings for the Blind & Dyslexic and the Massachusetts Department of Elementary and Secondary Education.
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PRINT COPY IDENTIFICATION FORM
This is to be completed and placed inside each original textbook submitted to the AIM Library to ensure the return of the textbook to the proper source/student.
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MATERIAL REQUEST FORM
To be completed by the TVI to ensure that the proper items are being provided for the students needs. This form must be submitted (complete with all pertinent student, item & shipping information) when requesting ANY/ALL materials from the AIM Library. The signing TVI is responsible for the proper care & return of these materials.
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RECREATIONAL READING WISH LIST
Submitted by a TVI wishing to borrow available inventory of different trade books/novels/recreational titles. The AIM Library will provide what is currently available on our shelves only. The AIM Library will not research or purchase these titles. We will only check & send what we have in inventory. This form may be submitted several times throughout the year to procure different books that may have be returned for recirculation.
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TRANSFER / HOLDOVER FORM
A list of items/books that are currently in the possession of a student and shall remain in his/her possession (Holdover) for the following school year OR are being transferred (Transfer) to another student for the following School Year. Must be submitted by the TVI in order to keep AIM Library circulation records accurate & up to date.
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REPAIR FORM
This must accompany any items that are returned to the AIM Library in need of repair. No replacement items will be sent without this form completed with all the necessary information.
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RETURN SLIP
To be submitted with all items returned to the AIM Library (no replacement being requested). This form ensures that materials are checked back into stock under the appropriate student to whom they were loaned.
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FREE MATTER FOR THE BLIND SHIP TO AIM LIBRARY SHEET
These may be used to ship materials to the AIM Library. The U.S. Post Office Regulations list the following items as acceptable for this shipping method: Braille embossed materials, sound reproductions, print materials 14 point or larger and Tangible Aids. All other correspondence (letters prepared in any form by sighted individuals & empty shipping containers) must bear the full applicable postage. This is a privilege that must not be abused.
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TRANSCRIPTION / SYLLABUS FORM
Used for all books in need of transcription, prioritizing the use of chapters in the order of which they will be used. No textbook will be considered for transcription without it. The TVI will be notified in the instance that transcription/syllabus is required.
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