School Information
-
School Name
-
Site Visit Date
-
Prepared by
Site Visit
-
Start Time
-
School Personnel Involved
-
Required Monthly Review Items
-
Other Items Discussed
-
Technical Assistance or Guidance Provided by Sponsor
-
Areas of Strength
-
Compliance Concerns or Suggestions
-
Overall Assessment
-
Items Requiring Follow-up
-
End Time
Special Ed File Checklist
Special Education Files
-
Special Education File Checklist
Special Education File
-
Sign-In Sheet Included?
Biographical Information
-
Student Initials
-
Student ID Number
-
Grade Level
ETR
-
Date Current (ETR must be done every three years)
-
Is the current ETR the student's original ETR?
-
Referral (PR-04) in original ETR
-
Referral (PR-04)
-
Prior Written Notice (PR-01)
-
Parent Invitation (PR-02)
-
Parent Consent (PR-05)
-
ETR Body (PR-06)
-
Appropriate Signatures <br>(district rep, regular ed teacher, special ed staff, parent, student (if present))
-
Missing Signatures/Explanation
-
ETR Comments/Concerns
IEP
-
Date Current (IEP must be done every year)
-
Parent Invitation (PR-02)
-
Future Planning, Special Instructional Factors, Profile (Sections 1-3)
-
Post-Secondary Transition (Sections 4/5)
-
Was the student invited to the IEP meeting? (required if student is 14+)
-
Explanation
-
Goals and Specially Designed Services (Sections 6/7)
-
Services Aligned with Goals
-
Explanation
-
Least Restrictive Environment (Section 11)
-
Statewide and District-Wide Testing Accommodations (Section 12)
-
Is the student approved for alternate assessment?
-
Appropriate Signatures<br>(district rep, regular ed teacher, special ed staff, parent, student (if present))
-
Missing Signatures/Explanation
-
Documentation that School is Providing Related Services
-
IEP Progress Reports
-
Explanation
-
IEP Comments/Concerns
Overall Assessment
-
General Comments or Concerns
-
Special Ed File Follow-up Needed?