Read IEP/ER Teacher Input Form 2011-12 text version

IEP/ER Teacher Input Form 2011-12

https://spreadsheets.google.com/a/scasd.org/spreadsheet/viewf...

IEP/ER Teacher Input Form 2011-12

Please return this form within 5 days of receiving it. This student has a __________________disability in ________________. Thank you for your input. Rosemary Hagen, LS/ES Green Team Your username ([email protected]) will be recorded when you submit this form. Not dew11? Sign out * Required Student name *

Teacher name *

My subject is... * English Math Science Social Studies Music

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7/1/11 12:14 PM

IEP/ER Teacher Input Form 2011-12

https://spreadsheets.google.com/a/scasd.org/spreadsheet/viewf...

Art FCS / Tech. Ed. Health PE Direct Instruction Math Direct Instruction Reading World Language Student performs __________________________ grade level on tests/quizzes. * above at below well below Other: Student performs ______________________ grade level on class work. * above at below well below Other: Student performs ______________________ grade level on homework. * above at below well below Other: Student performs ____________________________ grade level on group

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7/1/11 12:14 PM

IEP/ER Teacher Input Form 2011-12

https://spreadsheets.google.com/a/scasd.org/spreadsheet/viewf...

activities. * above at below well-below Student performs ______________ grade level on paying attention. * above at below well below Other: Student performs ________________________ grade level on following directions. * above at below well-below Other: Please list student's academic and behavioral STRENGTHS below. *

Please list student's academic and behavioral NEEDS below. *

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7/1/11 12:14 PM

IEP/ER Teacher Input Form 2011-12

https://spreadsheets.google.com/a/scasd.org/spreadsheet/viewf...

Please list INTERVENTIONS / ADAPTATIONS that have been successful in your classroom. *

My perception of this student's degree of need in my subjecct area is...... * None Mild Moderate Severe Other: Additional Comments

Send me a copy of my responses.

Submit

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IEP/ER Teacher Input Form 2011-12

https://spreadsheets.google.com/a/scasd.org/spreadsheet/viewf...

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