FormA_052024

NEW YORK STATE EDUCATION DEPARTMENT
Office of Facilities Planning

Room 1060 EBA
Albany, NY 12234
https://www.p12.nysed.gov/facplan/home.html
FORM A
APPLICATION FOR PROGRAM APPROVAL OF BOCES FACILITY PROJECT
Instructions: This application should be completed and submitted to the Office of Facilities
Planning for each facility proposal which affects use of space. See BOCES Handbook IV, pages
11 - 15 for directions.
This form must be electronically submitted to the following two NYSED Offices:
Office of Facilities Planning at: emscfp@nysed.gov
Office of Special Education at: seqa@nysed.gov
Project Title
Name of Building
Project Number
BOCES Information
BOCES:
Name:
District:
Name:
Project Contact Person:
Check if applicable:
This project proposes a change in the least restrictive environment for students with
disabilities
from an integrated to a segregated site.
This project proposes an increase in the number of students with disabilities served by the
BOCES.
Page 1 of 6
Project Information:
A. This project consists of (check all that apply):
New building including classrooms, partial buildings, and manufactured buildings.

purchase
construction
lease
Changes to existing building -- attach map or drawing.

addition
reconstruction/renovation
B. Location of Building:
C. Ownership:
BOCES Owned
Lease:
Multi-year Private School district (1 year)
D. Cost of Project (construction, reconstruction or renovation (whole dollars) $
E. Provide a written description describing the proposed building project for which this
application is being submitted:
Page 2 of 6
Program Approval Information:
In accordance with CR 155.l, provide the information and documentation indicated in items A-E
demonstrating the need for acquisition/construction of a BOCES owned, contracted or newly
leased building, including manufactured buildings.
For Items ‘A’ through ‘E’ below, please provide a detailed explanation of the proposed
project.
A.
LOCATION. Provide documentation including a map that indicates the location of the
proposed facility is satisfactory for serving the participating districts. Include information as
to how convenient the location of the proposed BOCES facility project is to the majority of
the districts in the region.
B.
STUDENT POPULATION. Provide age range/grade levels of students to be served and
documentation that there is sufficient need for the building project based on current and
projected student population (5 years - elementary, 10 years - secondary). Indicate
specific student program/service delivery models (special class ratios and full/half-day
program), related services to be provided at the proposed site, and profile of students to
be served including anticipated graduation/exiting credentials. Additionally, indicate where
students are currently being served prior to this new facility. (Please also complete the
chart on page 6 of this document.)
C.
OVERALL BUILDING PLANS. Provide documentation that the proposed building project
is consistent with plans for construction for all BOCES programs planned for the next ten
years. Include information as to how the proposed space in the BOCES facility project
meets the needs of the students. (Building plans should indicate the location, special
class ratio, specific usage and square footage of the proposed special education
programs and services to be located in the BOCES facility project.)
D.
LEAST RESTRICTIVE ENVIRONMENT. Provide documentation that the proposed
building project meets least restrictive environment (LRE) requirements if the project
proposes usages for instruction of students with disabilities. Specifically, include
information as to:
 how the physical space in the BOCES facility will provide for the education of
students with disabilities to the maximum extent appropriate in an integrated site
with other students who do not have disabilities; and
 how the space in the BOCES facility project allows for students with disabilities to
have appropriate access to participate and progress in the general education
curriculum.
In the event that the BOCES is seeking to lease, construct or renovate space in a
segregated setting, the BOCES must provide:
 documentation of efforts to locate these students in an integrated site to minimally
include outreach to all component school districts; or
Page 3 of 6
 documentation that the nature or severity of the students’ disabilities is such that
they cannot benefit from instruction in an integrated site.
E.
EDUCATION AGENCY COOPERATION.
Provide documentation that there has been participation in program planning by
community colleges and/or other local public agencies to avoid unnecessary duplication.
Page 4 of 6
Financing (Other than leasing):
A. A referendum is required or planned.

Yes, then complete B and C below.
No
B. Total amount (whole dollars): $
C. Method:
Dormitory
Cash
Other (specify)
The BOCES of the:
Supervisory District of:
County requests approval:
District Superintendent:
President, BOCES:
Date:
To be completed by the Office of Facilities Planning:
Approved: Date:
Page 5 of 6
Part B Continued:
Complete for all construction or renovation projects affecting use of space. Please
duplicate this chart if construction or renovation affects more than one building in the
project.
Indicate How Many Classes
Type of Classroom New Building or

Teacher/Student Ratio Grade Level Existing Building Addition
15:1
12:1+1
8:1+1
6:1+1
12:1+4
Preschool
Resource Room
Related Services
Office
Other (District)
FOR NEW INSTRUCTIONAL SPACES ONLY
Minimum Guidelines for Special Education Room Sizes

15:1 770 square feet Resource Room 300 square feet
12:1+1 770 square feet Preschool 50 sq. ft./child or 60 sq.
8:1+1 550 square feet ft./child for classrooms
serving children who
6:1+1 450 square feet
are non-ambulatory
12:1+4 900 square feet
Page 6 of 6

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NEW YORK STATE EDUCATION DEPARTMENT

Office of Facilities Planning

Project Contact Person:

A. This project consists of (check all that apply):

New building including classrooms, partial buildings, and manufactured buildings.

Changes to existing building -- attach map or drawing.

D. Cost of Project (construction, reconstruction or renovation (whole dollars) $

A. A referendum is required or planned.

B. Total amount (whole dollars): $

The BOCES of the:

Supervisory District of:

County requests approval:

To be completed by the Office of Facilities Planning:

Indicate How Many Classes

Type of Classroom New Building or

FOR NEW INSTRUCTIONAL SPACES ONLY

Minimum Guidelines for Special Education Room Sizes

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