Information

  • School Name

  • Site Visit Date

  • Prepared by

Site Visit

  • Start Time

  • School Personnel Involved

  • Required Monthly Rubric 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

Student File Checklist

Student Files

  • Student File Checklist

  • Student File
  • Sign-In Sheet Included?

Biographical Information

  • Student Initials

  • Student ID Number

  • Grade Level

  • Birth Certificate with Proper Name/Spelling

  • Explanation

  • Proof of Residency

  • Explanation

Health Information

  • Signed Emergency Medical Release

  • Explanation

  • Immunization Chart

  • Immunizations Current?

  • Explanation

  • Explanation

  • Vision Screening

  • Vision Current? (K, 1, 3, 5, 7, 9, new students)

  • Explanation

  • Explanation

  • Hearing Screening

  • Hearing Current? (K, 1, 3, 5, 9, new students)

  • Explanation

  • Explanation

Academic Information

  • Did student transfer from a different school?

  • Records Release

  • Explanation

  • Transcript from Previous School

  • Number of Release Requests Documented

  • Date of Most Recent Request

  • Most Recent School Grade Report

  • Explanation

  • State Test Results

  • Explanation

Overall Assessment

  • General Comments or Concerns

  • Student File Follow-up Needed?

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 for 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?

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