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HS - Student Concern and Intervention '20-'21
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade Level
*
9
10
11
12
Has a 101 been submitted to SSC's office?
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Yes
No
Uncertain
ATTENDANCE
Your answer
IDEA
Your answer
BEHAVIOR
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ACADEMICS
Mathematics
ELA
Social Studies
Science
Other
Useful Strategies
Pre-correction
Proximity
Alternative mode of response
5 min break
Assignment chunking
Other:
Clear selection
Interventions/Accommodations Attempted
Conference with Student
Graphic Organizer
Chunking assignments
Preferential Seating
Structured Choices
Conference with Parent
Action Plan/Follow up
Your answer
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