2018-19 Assistive Technology Consideration Request
The Assistive Technology Lending Library is available to all Jackson County School districts interested in trying a piece of technology or AT support prior to purchasing. Loans can last anywhere from 7-90 days. Upon return of the equipment, districts will be responsible for purchasing (Collect data to support the need and provide to your Special Education Supervisor).
Email address *
Staff member requesting equipment or support? *
Your answer
Student name or classroom equipment/support will be used for? *
Your answer
Please list other service providers that may have valuable input into this student's needs (name/title)
Your answer
District/Building *
Your answer
What area is this student in need of support for? (related to the request) *
Required
What type of equipment, apps, software and/or support are you requesting? (if you are requesting information or training, skip to the last question and submit).
Your answer
If you are requesting an app to be added to an ISD iPad you already have, please include serial number (Settings->General->About).
Your answer
Has the student used this equipment in the past or is this a first time trial? *
Your answer
How will the AT requested relate to the outcomes of the student's IEP, IFSP, or 504 Plan? (please be specific; state IEP goals/needs) *
Your answer
How do you plan to collect data on this app or device? Please be specific *
Your answer
A copy of your responses will be emailed to the address you provided.
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