Special Education Meeting Request 18-19
Use this form to submit all meeting requests. Meeting will be scheduled directly from the information you provide. Double check that all team members are included. Meetings will be scheduled during team or General Education Teacher's plan period unless specified.
Email address *
Student Name *
Your answer
What type of meeting are you scheduling? Mark all that apply (Domain = Review of Existing Data) *
Required
Anticipated length of meeting *
Proposed Meeting Date *
MM
/
DD
/
YYYY
60 day due date for eval - Indicate N/A if you are not scheduling an Initial Evaluation or Reevaluation *
Your answer
AR Due Date - Indicate N/A if Initial Only *
Your answer
Class of *
Case manager *
Your answer
Requested General Education Teacher - Mark "any" if no preference *
Your answer
Counselor *
Speech-Language Pathologist *
School Psychologist *
Social Worker *
Dean or resource officer
Other Service Providers *
Required
Nurse *
Vocational Coordinator
IPHS and STEPS Staff
Administration or LEA Rep *
Required
Other Attendees - Be specific with name and title
Your answer
Notes - anything important not included on this form? (ex parent notification to both parents, specific time of day parent needs, phone conference, etc.)
Your answer
A copy of your responses will be emailed to the address you provided.
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