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Teacher input form

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Teacher input form

XXX is due for a 3 year reevaluation for special education services and I would like to gather information from you regarding performance in your classroom. Please be as specific as possible. Thank you so much for your time!

Please describe current performance in your classroom *
Academic strengths and weaknesses:
Behavior/Social strengths and weaknesses:

Current grades *
Describe how this student compares to other students in the classroom on tests/quizzes

What accommodations or modifications are you consistently providing to this student to support him/her in the classroom? Is he/she utilizing the accommodations provided or are different supports needed? *

Describe work completion, active participation, and social development. *

Does the student work well in groups, with a partner, or works best independently? *

Describe student's executive functioning skills. *
Is the student organized? Does the student use time to complete tasks appropriately? Is the student able to sustain attention in class?

Is behavior of concern? *

Number of behavior referrals in your classroom (please describe problematic behavior). *

Is attendance of concern? *

Please include the number of absences and tardies if of concern.

Please describe progress on current IEP goals
(special education teachers only)

Do you feel updated testing is needed to write goals for the upcoming IEP? Is the current eligibility appropriate or do we need to look at changes in eligibility?
(special education teachers)

Please upload NWEA Student Progress Report *

Please add any additional information you feel is relevant?

Please provide the best days and times I may be able to pull the student for testing. *
Testing will take approximately 45 min-1 hour

Review and submit

Please review your response before submitting it for processing.

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Teacher input form

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