More than 50,000 middle school students – a quarter of the students in New York City’s public middle schools – have been left back at least once, and more than 8,500 students have been left back at least 3 times. Despite their significant academic and social-emotional needs, there are fewer than 450 seats in programs for over-age middle school students in the City’s traditional public and charter schools. This September 2014 policy report brings attention to the unique needs of over-age middle schoolers and provides the New York City Department of Education (DOE) with recommendations for improving outcomes for this population.