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Sonoma County SELMA REFERRAL FOR SPECIAL EDUCATION AND RELATED SERVICES Student Name Date of Birth / / IEP Date / / Grade Name of Parent or legal guardian Phone Address City State Person making referral
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How to fill out referral for special education

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How to fill out a referral for special education?

01
Begin by obtaining the necessary referral form from your child's school or district office. This form may be available online or can be requested from the school's special education department.
02
Fill in all the required personal information about your child, including their name, date of birth, and current grade level. Be sure to provide accurate contact information so that the school can reach you if necessary.
03
Provide a detailed description of any concerns or observations regarding your child's academic performance, behavior, or social interactions. It's important to be specific and provide examples whenever possible. This information will help the school's special education team assess your child's needs.
04
If your child has received any previous evaluations, assessments, or interventions, be sure to include copies of these documents with the referral form. These records can provide valuable insight into your child's educational history and progress.
05
If you suspect that your child may have a specific learning disability or developmental delay, make note of it in the referral form. This can help guide the assessment process and ensure that appropriate evaluations are conducted.
06
It's also important to mention any medical conditions or diagnoses that may impact your child's learning or behavior. This information can help the school develop an individualized education plan (IEP) tailored to your child's unique needs.
07
Sign and date the completed referral form, and submit it to the designated contact person within your child's school or district office. Follow any additional instructions provided on the form regarding submission deadlines or required documentation.

Who needs a referral for special education?

01
Any student who is struggling academically, socially, or behaviorally may benefit from a referral for special education. This includes students with disabilities, developmental delays, or specific learning needs that require additional support and accommodations in the classroom.
02
Referrals may also be initiated by parents or guardians who have observed persistent difficulties or concerns regarding their child's educational progress. It is essential to advocate for your child's needs and seek assistance when necessary.
03
School personnel, including teachers, counselors, or administrators, may also initiate a referral if they notice significant challenges or discrepancies between a student's performance and their peers.
04
Ultimately, the decision to pursue a referral for special education will depend on the unique circumstances and needs of the student. It is always advisable to consult with the school's special education team or a professional who can provide guidance and support in making this decision.
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Referral for special education is a formal request to evaluate a student to determine if they are eligible for special education services.
Referral for special education can be initiated by a teacher, school staff, parent, or guardian.
To fill out a referral for special education, detailed information about the student's needs, strengths, and challenges must be provided.
The purpose of referral for special education is to identify students who may require additional support and services to succeed academically.
Information such as the student's academic history, behavior, and any previous interventions must be reported on the referral for special education.
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