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Checklist School District/Public Agency Special Education Checklist Name of Student WISER ID DOB Grade Date Name(s) of Parent or Guardian Name(s) of Parent or Guardian Address (City, State & Zip)
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How to fill out special education referral checklist

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How to fill out special education referral checklist:

01
Gather necessary information about the student such as their personal details, academic history, and any previous evaluations or assessments.
02
Review the specific criteria or requirements for special education eligibility in your jurisdiction or school district. Familiarize yourself with the different disability categories and the criteria for each.
03
Use the checklist to document relevant information about the student's academic, social, and behavioral performance. This may include information about their strengths, weaknesses, intervention strategies that have been attempted, and any noticeable patterns or trends.
04
Include any relevant documentation or reports that support the need for special education services, such as medical or psychological evaluations.
05
Seek input from the student's teachers, parents, and any other professionals involved in their education. Their insights and observations can provide valuable information for the referral process.
06
Ensure that all sections of the referral checklist are completed accurately and thoroughly. Double-check for any missing information or errors before submitting the referral.
07
Follow your school or district's procedures for submitting the completed referral checklist and accompanying documentation.
08
Keep track of the timeline for the referral process. Be prepared to participate in any subsequent meetings or evaluations as required.

Who needs special education referral checklist:

01
Students who are struggling academically or exhibiting challenges in their social or behavioral development may need a special education referral checklist.
02
Students who have been identified as having a potential disability or learning difference that may require additional support and accommodations could benefit from the referral process.
03
Teachers, parents, and other professionals involved in a student's education, who have concerns about the student's progress or believe they may require specialized educational services, should utilize the special education referral checklist to initiate the evaluation process.
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A special education referral checklist is a tool used by educators and professionals to determine if a student may need special education services. It includes a series of questions and criteria to assess the student's needs and suitability for evaluation.
The special education referral checklist is typically filed by teachers, school counselors, or any other educational staff who observe learning difficulties or behavioral issues in a student that may indicate a need for special education services.
To fill out the special education referral checklist, the individual must review the student's performance and behavior, respond to each item regarding concerns, document observations, and provide any pertinent information that may assist in determining the need for further evaluation.
The purpose of the special education referral checklist is to collect relevant information regarding a student's academic, social, and behavioral difficulties to help school staff decide whether the student should be evaluated for special education services.
The special education referral checklist must report information including the student's academic performance, behavioral observations, any previous interventions or support provided, and specific areas of concern that prompted the referral.
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