KS Deaf-Blind Products Kansas Deaf Blind Project

Project Forms

At this time most forms are in a PDF format. The PDFs will have to be printed out in order to be filled out and mailed in.

The Word format when available should allow you to type in information.

Certification:

  • Instructions:                    PDF                   
  • Application:                     PDF   |   Word
  • Checklist:                       PDF   |   Word    
  • Release of information:    PDF   |   Word    

Deaf-Blind Fund (KSDE)

  • The Kansas Deaf-Blind Fund Guidelines, Information and Application FormPDF
  •  Kansas Deaf-Blind Fund Questions and AnswersPDF

Technical Assistance & Training

  • VIISA:                        Not offered 2010-1011 VIISA Training Schedule for a schedule of other states offering training.                
  • Project Sparkle:              PDF 
  • Technical Assistance:     PDF   |   Word    

Completed forms may be returned to us by FAX: 785-864-7605

Certification forms must be sent by postal mail (due to required signatures on permissions) to:

Nena Murphy-Herd
Kansas Deaf-Blind Project
3136 Haworth Hall
University of Kansas
1200 Sunnyside Avenue
Lawrence, KS 66045-7534


Project Products

The Kansas Deaf-Blind Project and its partners have created and published many documents that relate to current needs in the field of deaf-blindness and are grounded in evidence based practices. Most of the items are free of charge; however new items may have a nominal cost to cover shipping and handling. Products currently in development will be added. Some texts are in the process of being revised within the next project year.

The products currently available are listed below. Items that are available in Spanish are noted. Some items are available on request in alternative formats (i.e. braille or large print), by contacting:

Megan Cote, Project Coordinator
Kansas Deaf-Blind Project
Beach Center on Disability
University of Kansas
Hawroth Hall
1200 Sunnyside Rm 3136
Lawrence, Kansas 66045
(V) 785.296.2191
(TTY) 785.864.3434

The following products are divided into three categories: (1) available, (2) under revision, and (3) under development. The documents under each of the above categories provide the year published, the intended audience, a brief description of the contents, contact information, and associated costs (if any).


Early and Emergent Literacy
Author: Susan Bashinski
Year: 2010
Description: This workshop was held in conjunction with the first KSDB Family Weekend. The handouts consist of the powerpoints and materials which were shared with participants without the videos or photographs that contained student information.
Cost: Free to download
Available for download http://web.ku.edu/~kansasdeafblind/technical_assistance/Handouts.html
Collective Wisdom:
An Anthology of Stories and Best Practices for Educating Students with Severe Disabilities and Deaf-Blindness
Author: The Kansas State Department of Education
Year: 2001
Description: This monograph discusses topics related to best practices in education for students with severe disabilities, including those students with deaf-blindness. It was developed by educators, related service providers, administrators, family members, practicum students, university professors, general educators, and special educators. The content is supplemented by vignettes of real stories and the authors reflections on their experiences
Cost: Free
Available from: The Kansas Deaf Blind Project or Megan Cote, Beach Center on Families with Disabilities, 3150 Haworth Hall, 1000 Sunnyside Avenue, Lawrence, KS 66045

Families of Children who are Deaf-Blind: A Report on the State of the State (available in Spanish)
Author: Cynthia Thomas
Editor: Jacqueline Schafer
Year: 1997
Description: This manual was the result of a family needs assessment survey through over 60 phone calls by the Parent Consultant for the Kansas Project for Children and Young Adults who are Deaf-Blind. The results were compiled under Categories the parents and family members found useful, such as family and community resources, access to information, networking with other parents, better trained support staff, communication, access to more technology, and have meaningful job opportunities. Suggestions on what is needed to improve, and at best, resolve the issues presented by the voices of family members.
Cost: Free
Available from: Jackie Denk, KIRC Coordinator, Kansas Instructional Resource Center, 1100 State Avenue, Kansas City, KS 66617

A Key To Parent School Problem Solving
Authors:

John D. Reiman, Ph. D. National Consortium on Deaf-Blindness

Anita Engiles, J.D. Center for Appropriate Dispute Resoulution in Special Education

Year: 2010
Description: This webinar was presented as part of a session of SPARKLE coordinators colaboration. It was arranged with the help of Jon Harding of NCDB in conjunction with the Kansas Deaf-Blind Project
Cost: Free
Available from: Conflict Resolution after you click wait for the broadcast to begin


Screening for Usher Syndrome:
A hands-on guide for School Nurses (forms are available in Spanish; the manual is available on CD-ROM)

Author: Joan Houghton, Teresa Coonts, Beth Jordan, Mae Claxton, Basil Kessler, and Joyce Markendorf
Editor: Jacqueline Schafer
Year: 1997
Description: This is a step by step guide on how to conduct educational Usher Syndrome Screening. Usher Syndrome is one of the leading causes of deaf-blindness in adults. Depending on the Type (there are three types of Usher Syndrome), usually is a good indicator of losing vision (through Retinitis Pigmentosa) and additional, if not complete, hearing loss. Screening forms are perforated for duplication. Screening forms include; family history, behavior observations, student interview, a balance test, a cone adaptation test, and a two fingers test. A guide is included to help teams make decisions if a student should be referred to an ophthalmologist for complete testing.
Cost: Free
Available from: Mae Claxton, RN, Kansas State School for the Blind, 1100 State Avenue, Kansas City, KS 66617

Services in Kansas for Children and Young Adults with Deaf-Blindness (available in Spanish)
Author: Cindi Robinson and Joan Houghton
Editor: Jacqueline Schafer
Year: 2000 (2nd revision)
Description: This is a service booklet specifically for Kansans who may know of a child who has both vision and hearing losses. A description of programs that are available in Kansas to assist family members, educators, and students for technical assistance, family support, and educator training are included. The two primary programs that are featured are (1) The Kansas Project for Children and young Adults who are Deaf-Blind, and (2) The Helen Keller National Center for Youths and Adults who are Deafblind. Contact information for each program is listed.
Cost: Free
Available from: The Beth Jordan, Helen Keller, National Center, Regional Representative, 4300 Shawnee Mission Parkway, Suite 182, Fairway, KS 66208

Student Portfolio: Strengths, Dreams, Abilities
Author: Kansas State Department of Education
Year: 1996 (currently being revised)
Description: This booklet gives the rationale behind the development of student portfolios in order to determine performance measures of a student, track progress, have visual displays of a student's work, and serve as a portfolio that can be used for employment purposes. There are perforated forms for duplication. Field tested by several different classrooms in Kansas, the Student Portfolio has provided a different way of looking at a student's talents, abilities, and strengths.
Cost: Free
Available from: The Kansas Deaf Blind Project or Megan Cote, Beach Center on Families with Disabilities, 3136 Haworth Hall, 1000 Sunnyside Avenue, Lawrence, KS 66045 or Mae Claxton, RN,Kansas State School for the Blind, 1100 State Avenue, Kansas City, KS 66617

The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.