EmailMe Form - NYTPS Free Lending Library

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Address
Where book(s) should be mailed *

Street Address City State / Province / Region Postal / Zip Code

If you prefer to pick up your book(s) at the Farmindale location please check here

I prefer to pick up at office

GUIDE- These Manuals Accompany the Protocols below, and are highly recommended if you are unfamiliar with the assessment.

	Select Book
Assessment of Basic Language and Learning Skills-Revised Guide (ABBLS-R)
Assessment of Functional Living Skills Guide (AFLS)
Brigance CBIS II Mathematics
Brigance CBIS II Reading/ELA
Brigance CIBS II Standardized
Day C-2- Manual Only
The Big Book of ABA Programs (Accompanies ABBLS-R)
Verbal Behavior Milestones Assessment and Placement Program Manual (VBMAPP)

PROTOCOLS: You will write your testing results directly in these booklets for each student you see. Both Completed Protocols, and Guide Books are due back to the office within 45 days from order.

	Select Book
AFLS- Independent Living Skills Assessment
AFLS- School Skills Assessment
AFLS- Vocational Skills Assessment
Assessment of Basic Language and Learning Skills-Revised testing materials Protocol (ABBLS-R)
Assessment of Functional Living Skills Protocol (AFLS)
Brigance CIBS II Reading/ELA/Mathematics
Brigance CIBS II Standardized
Day C-2 Pamphlet Packet
Verbal Behavior Milestones Assessment and Placement Program Assessment Protocol (VBMAPP)

Re-ordering:

I am requesting a protocol I have already used with a student. I need to update the protocol. Please send the previous protocol for the student listed below:

If you are requesting a Protocol insert of the name of the child the workbook will be used for.

If more than four children please place additional order. Thank you.

Name of Child
Name of Child
Name of Child
Name of Child

Lending Library Agreement

Provider Eligibility:
Teacher must be an active provider with a caseload with no less than 5 hours per week.
Teacher must be in good standing with NYTPS, and willing to be an active participant in the lending library system.
We expect cooperation to sustain this opportunity for you
All providers are required to complete assessments for their students. It's part of your job responsibility.

Terms of Use:
Many of the available assessments come with both Guidebooks (for provider’s reference) and Protocols (scored specifically with the student). You may order a set (guidebook and protocol) or just (protocol) or (guide) for use with your student. You may also order multiple protocols if you serve multiple students. These protocols will be sent to you pre-labeled with the students name. Provider must indicate which student the assessment is assigned to.

Once your order is received, your order will be processed, the requested assessment materials will be mailed to the address provided above. If you made an error on your order, simply call the main office at 718-264-1640 and speak to Stephanie Deshommes.

Protocols will be sent to you for specific student(s) and will be labeled with their names. You will write assessment results in the actual protocol.
Protocols will be sent with the required return date

Instructions for Returns:
Protocol sheets should be copied, and kept with your student files.
Protocols and Guides are due back within 45 days from your rental date. (Subject to change based on demand, or assessment period)
Reminders via email and phone provided above within 10 days of the expected return date.

Please mail or drop off books at the following address:
500 Bi County Blvd
Suite 114
Farmingdale, NY 11735
Phone: 718-264-1640
Fax: 718-484-0530

Fees and Penalties:

Books must be returned in good condition
Provider is responsible for cost associated with shipping the items back to the main office, by their due dates back to the main office. Provider is also responsible for any cost associated with electronic submission of assessment results.

Provider is responsible for the full cost of each book, plus a $25.00 re-stocking fee (per book) if:
the book (s) are lost or stolen
there is considerable damage rendering the book(s) unusable
the book (s) is not returned by the due dates, and all considerable

If terms and conditions are not met, provider will relinquish the privilege of participation in the assessment lending program and may be

Required *

I acknowledge that I have read and agree to the above Terms and Conditions