Referral for Pupil Appraisal Services 2020-2021
In emergency/crisis situations, please contact Senecca Boudreaux at 225-210-4925. Please allow up to 24 hours during the work week for a response from Pupil Appraisal.
St. James High
Sixth Ward Elementary
St. Louis Academy
Cypress Grove Montessori
Science and Math Academy
Person completing form- Name and Contact Information
Meeting Date and Time, if already scheduled. Please give at least three days notice:
Pupil Appraisal is needed for:
SBLC Referral for Special Education
Parent referral for Special Education
Academic intervention consultation
Consultation for Tier 2 Behavior Support Plans for a Special Education student (High Schools Only)
Referral for an Initial Functional Behavior Assessment/Behavior Intervention Plan for a Special Education student or for those students going through the SBLC process
Manifestation Determination Review meeting
Special Education student is not making progress and the IEP team is requesting a significant change of placement.
New Special Education student has enrolled in the parish.
Transition meeting for a Special Education student to the Alternative Center.
New concerns for a Special Education student
Consultation to review any outside evaluations (e.g., private evaluations, medical evaluations, etc.).
Consultation from Related Service Provider (OT and PT) due to Motor Concerns
SBLC Referral for Gifted
Parent Referral for Gifted
Parent Referral for Talented
SBLC Referral for Talented
Is the student a ___________________ student.
Pupil Appraisal sent (FOR OFFICE USE ONLY):
A copy of your responses will be emailed to the address you provided.
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This form was created inside of St. James Parish Schools.