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Forms, Tables, Checklists, and Procedures for Special Education Teachers

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  • ADHD Series
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  • Discipline of Students in Special Education Series
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Introduction

Welcome to NASET's Forms, Tables, Checklists, and Procedures .  This section of our site consists of numerous forms, tables, checklists, and procedures for special educators to use. 

NASET's Forms, Tables, Checklists, and Procedures provides NASET members with a comprehensive resource of materials that can be accessed for practical everyday issues faced by special educators.  Simply click on the main heading of any of the sections below and it will take you to various types of materials to review and potentially use both in and outside of your classroom.

Each Form, Table, Checklist, and Procedure is available as a PDF file for downloading. Some forms are available as a MS Word Document for personal customization and use.

  • Adapting the Curriculum

• Adapting the Classroom Environment • Adapting Curriculum Presentation • Adapting Page Set-Up and Devices Used in the Curriculum • Adapting Evaluation Strategies Used in Curriculum

• Assessment Plans/Parent Consent for Evaluation Checklist • Required Members of the Multidisciplinary Assessment Team for an Initial Evaluation-Checklist • Student Behavior During Evaluation-Checklist • Visual Processing Disorder - Checklist • Auditory Processing Disorder - Checklist

• Evaluation Summary Sheet

• Who Administers Specific Tests

• Procedures for Determining the assessment measures for the Diagnosis of Autism • Procedures for Determining the assessment measures for the Diagnosis of Emotional Disturbance • Procedures for Determining the assessment measures for the Diagnosis of Specific Learning Disabilities • Procedures for Determining the assessment measures for the Diagnosis of Intellectual Disability

  • Child Development Information

• Dressing Skills-Milestones • Eating Skills-Milestones • Expressive Language-Milestones • Grooming Skills-Milestones • Gross Motor Developmental-Milestones • Indicators of Normal Development • Normal Language Development • Receptive Language-Milestones • Toileting Skills-Milestones

  • Child Study Team

• Child Study Team Checklist for Initial Student Review • Child Study Team Pre-Referral Strategies Checklist • IEP Committee Packet Checklist • Obtaining School Records on a Student-Checklist • Student Observation Checklist • Suggested Intervention Options of the Child Study Team Used Prior To Evaluation Form • Structured Student Observation Checklist

• Initial Referral to the MDT from the School Staff • Open Ended Referral Form • Social Developmental History Form • Structured Referral Form • Unstructured Student Observation Checklist

  • Classroom Management

• Alternate Learning Activities Checklist • Beginning of School Checklist-Getting to Know Your Students • Learning Styles Classroom Assessment • Mainstreaming Checklist • Multiple Intelligences Inventory • Possible Occupational Therapy Services Checklist • Teacher Checklist of Classroom Characteristics • Writing Disorders Checklist

• Best Practices and Accommodation Procedures for Working with Students with Emotional Disturbance • Developing Behavior Contracts

  • Identification of High Risk Students or Special Needs Students

• ADD Checklist • Autism Checklist-General Characteristics • Autism Spectrum Disorder Checklist • Characteristic Checklist of Students with Developmental Delays • Characteristic Checklist of Students with Inellectual Disabilities • Characteristic Checklist of Students with Specific Learning Disabilities • Characteristics of Possible Emotional Disturbance Checklist • High Risk Student Checklist • Potential Suicide Risk in Adolescents Checklist • Pupil Behavior Rating Scale Checklist • That May Indicate Giftedness • Violent Behavior Patterns in Children and Adolescents-Checklist

• Diagnostic Symptoms of Dyscalculia • Symptom Patterns Exhibited by Children and Possible Causes

• Criteria Used to Recommend Modifications • Least Restrictive Environment Continuum

• Sample Complete IEP

  • IEP Committee

• Eligibility Criteria Checklist for a Classification of Autism • Eligibility Criteria Checklist for a Classification of  Emotional Disturbance • Eligibility Criteria Checklist for a Classification of Mental Retardation • Eligibility Criteria Checklist for  a Classification of Specific Learning Disabilities • IEP Committee Presentation Packet Checklist-Annual Review • IEP Committee Presentation Packet Checklist-Initial Evaluation on a Child not Previously Classified • IEP Committee Presentation Packet Checklist-Triennial Evaluation • IEP Committee Presentation by the Special Education Teachers as an Educational Evaluator

• IEP Committee Presentation by the Special Education Teacher as a Member of the IEP Committee • IEP Committee Presentation by the Special Education Teacher as Classroom Teacher • IEP Committee Presentation by the Special Education Teacher as Educational Evaluator • Procedural Due Process • Procedures for Changing a Student’s Classification or Placement

  • Medical Information

• Anti-anxiety Medications • Anti-depressant Medications • Antipsychotic Medications • Psychostimulants and Sedatives • Degrees of Hearing Impairment • Examples of Typical Sound Intensities • Infectious Diseases-Modes of Transmission

Related Services

• Communication with Related Service provider-Form Letter

  • Suspected Abuse and Neglect

• Possible Neglect and Maltreatment Checklist • Possible Physical Abuse Checklist • Possible Sexual Abuse Checklist • Suspected Abuse or Neglect Checklist

• Employment Related Transition Goals • Record Keeping Checklist for Parents During the Transition Process

• Employment Related Transition Goals-Procedures

Working with Parents

• Annual Review Preparation for Parents-Checklist • Parent Intake and Interview Checklist • Reporting Test Results to Parents Checklist

• Initial Contact with Parent at the Beginning of the Year-Form Letter for New Teacher • Initial Contact with Parent at the Beginning of the Year-Form Letter for Returning Teacher

  • Working with Staff

• Assistant Teacher/Paraprofessional Job Description Checklist • Teachers Checklist for Substitutes • Substitute Teachers Checklist

• Communication to Classroom Teachers at the Beginning of the School Year- from Resource Room Teacher

  • IEP (Individual Education Program)
  • Related Services Forms
  • Working With Parents

©2024 National Association of Special Education Teachers. All rights reserved

parent interview form special education

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Assistive Technology Consideration

Independent educational evaluation, iee guidelines baldwin county, child find flyer, alabama administrative code - special education, alabama adminstrative code-special education, help for administrators, help guide for school administrators 2019, initial referral, pink 60-day timeline chart (not leap year).

RtI to Referral Checklist 2022

RtI to Referral Checklist 2022

Checklist for Initial Referral

Checklist for Initial Referral

Documentation of Accommodations Provided in the General Education Curriculum & Deemed Unsuccessful

Documentation of Accommodations Provided in the General Education Curriculum & Deemed Unsuccessful

Teacher input form.

Teacher Input Form - PSW

Teacher Input Form - PSW

Teacher Interview - Autism

Teacher Interview - Autism

Teacher interview (for ed), parent input form.

Parent Interview - Autism

Parent Interview - Autism

Parent Interview (for ED)

Parent Interview (for ED)

Family Focus Interview

Family Focus Interview

Natural Environment Observation

Natural Environment Observation

Documentation of Appropriate Instruction-Elementary (Prong I)

Documentation of Appropriate Instruction-Elementary (Prong I)

Documentation of Appropriate Instruction-Secondary (Prong I)

Documentation of Appropriate Instruction-Secondary (Prong I)

Documentation of Appropriate Instruction-Preschool (Prong I - PreK)

Documentation of Appropriate Instruction-Preschool (Prong I - PreK)

Data-Based Documentation (Prong II)

Data-Based Documentation (Prong II)

Medical Consent Form

Medical Consent Form

Special education tips & reminders, process 1 - mastering the maze, process chart 1 - referral through iep implementation (flow chart), process chart 1 - things to remember, documentation of appropriate instruction.

Preschool Checklist (Prong I)

Preschool Checklist (Prong I)

Elementary Checklist (Prong I)

Elementary Checklist (Prong I)

Secondary Checklist (Prong I)

Secondary Checklist (Prong I)

Data-Based Documentation - Prong II

Data-Based Documentation - Prong II

Examples of Interventions/Progress Monitoring used in Baldwin County

Examples of Interventions/Progress Monitoring used in Baldwin County

Input forms, vision and hearing.

V/H Screening Letter for Parent Referrals/OOSTs/Speech only Initials

V/H Screening Letter for Parent Referrals/OOSTs/Speech only Initials

Functional hearing screening form, functional vision screening form, hearing screening form, vision screening form, speech and language, artic-communication rating scale-male.

Articulation Checklist 2014

Articulation Checklist 2014

Communication rating scale-female.

Oral-Peripheral Examination

Oral-Peripheral Examination

Physician voice referral form, preschool checklist a1, preschool checklists a2, preschool checklists a3.

SLI Checklist 2013

SLI Checklist 2013

Stimulability and Intelligibility Statements

Stimulability and Intelligibility Statements

Stuttering checklist, voice disorder checklists, developmental delay.

Checklist for Initial PRESCHOOL Developmental Evaluation

Checklist for Initial PRESCHOOL Developmental Evaluation

Checklist for Initial SCHOOL-AGE Developmental Evaluation

Checklist for Initial SCHOOL-AGE Developmental Evaluation

Special education rights.

English Special Education Rights

English Special Education Rights

Spanish special education rights, out-of-state transfer.

Demographic Information Form for Reevals & Transfers

Demographic Information Form for Reevals & Transfers

Documenation of Appropriate Instruction-Preschool (Prong I - PreK)

Documenation of Appropriate Instruction-Preschool (Prong I - PreK)

Formal reevaluation, formal reeval checklist 2022, informal reevaluation, informal reeval checklist 2022.

Reevaluation for IEP Changes Checklist 2022

Reevaluation for IEP Changes Checklist 2022

Compliance verification forms.

Autism CVF 2020

Autism CVF 2020

Deaf-Blindness CVF 2020

Deaf-Blindness CVF 2020

Developmental Delay CVF 2020

Developmental Delay CVF 2020

Emotional Disability CVF 2020

Emotional Disability CVF 2020

Hearing Impairment CVF 2020

Hearing Impairment CVF 2020

Intellectual Disability CVF 2020

Intellectual Disability CVF 2020

Multiple Disabilities CVF 2020

Multiple Disabilities CVF 2020

Orthopedic Impairment CVF 2020

Orthopedic Impairment CVF 2020

Other Health Impairment CVF 2020

Other Health Impairment CVF 2020

Specific Learning Disability CVF 2020

Specific Learning Disability CVF 2020

Speech or Language Impairment CVF 2020

Speech or Language Impairment CVF 2020

Traumatic Brain Injury CVF 2020

Traumatic Brain Injury CVF 2020

Visual Impairment CVF 2020

Visual Impairment CVF 2020

Referral Initial Eval & Eligibility CVF 2020

Referral Initial Eval & Eligibility CVF 2020

IEP CVF 2020

IEP CVF 2020

Reevaluation CVF 2020

Reevaluation CVF 2020

Assistive technology.

OT, PT, APE Pre-Assessment Information

Assistive Technology Pre-screener

Assistive technology summary, augmentative evaluation, fine motor evaluation, hearing evaluation, math evaluation, positioning evaluation, reading evaluation, writing evaluation, c.f. taylor alternative school program, c.f. taylor alternative school procedures.

CFT Checklist for New Students

CFT Checklist for New Students

Preschool and private school referrals, preschool referral - early intervention, preschool referral - headstart, preschool referral - parent, preschool referral - speech only, private school - parent, private school - speech only, local education agency special education plan.

Baldwin County Special Education LEA Plan 2012-13

Baldwin County Special Education LEA Plan 2012-13

Reading addendum to course of study.

Reading Addendum

Reading Addendum

Functional behavioral assessment (fba) and behavior intervention plan (bip).

Data Form ABC Chart (2.15.16)

Data Form ABC Chart (2.15.16)

Data Form Frequency 1 Behavior - Secondary (2.15.16)

Data Form Frequency 1 Behavior - Secondary (2.15.16)

Data Form Frequency 1 Behavior Elementary or Self-Contained (2.15.16)

Data Form Frequency 1 Behavior Elementary or Self-Contained (2.15.16)

Data Form Frequency 2 Behaviors - Elementary or Self-Contained (2.15.16)

Data Form Frequency 2 Behaviors - Elementary or Self-Contained (2.15.16)

Data Form Frequency 2 Behaviors - Secondary (2.15.16)

Data Form Frequency 2 Behaviors - Secondary (2.15.16)

Data Form Frequency 3 Behaviors - Elementary or Self-Contained (2.15.16)

Data Form Frequency 3 Behaviors - Elementary or Self-Contained (2.15.16)

Data Form Frequency 3 Behaviors - Secondary (2.15.16)

Data Form Frequency 3 Behaviors - Secondary (2.15.16)

Data Form Intensity (2.15.16)

Data Form Intensity (2.15.16)

Data Form Latency (2.15.16)

Data Form Latency (2.15.16)

DATA FORM: MINUTE BY MINUTE (2.15.16)

DATA FORM: MINUTE BY MINUTE (2.15.16)

FBA Required Forms Checklist (2.15.16)

FBA Required Forms Checklist (2.15.16)

FBA:  WHEN DO YOU NEED ONE? (2.15.16)

FBA: WHEN DO YOU NEED ONE? (2.15.16)

Interview for Parents (2.15.16)

Interview for Parents (2.15.16)

Interview for Staff (2.15.16)

Interview for Staff (2.15.16)

Interview for Students (2.15.16)

Interview for Students (2.15.16)

Teacher Tools:  Behavior Sheet with Faces (2.15.16)

Teacher Tools: Behavior Sheet with Faces (2.15.16)

Teacher tools: behavior think sheet (2.15.16), teacher tools: break card (2.15.16).

Teacher Tools:  Calm and Quiet (2.15.16)

Teacher Tools: Calm and Quiet (2.15.16)

Teacher tools: calm down (2.15.16).

Teacher Tools:  Discipline and Effective Discipline 101

Teacher Tools: Discipline and Effective Discipline 101

Teacher Tools:  Discovery Education Behavior Videos (2.15.16)

Teacher Tools: Discovery Education Behavior Videos (2.15.16)

Teacher tools: ebook social skills (2.15.16), teacher tools: first then (2.15.16), teacher tools: goal setting (2.15.16), special education forms, special services request for screening/evaluation, special education services, supplementary aids and services, program modifications, accommodations, esy handbook, alternative program referral, authorization for the release of information.

Data and Graph Template

Data and Graph Template

Developmental history, due process resolution chart, due process-resolution fill in form, evidence of documentation for alabama high school diploma using alternate requirements, homebound packet, iep accommodation checklist, iep eligibility team procedures.

IEP Minutes Form

IEP Minutes Form

Intake Form-Transfers

Intake Form-Transfers

Medical Consent

Medical Consent

Order of confidential folder-left side. right side updated 2017, permission for photo, physician`s statement, progress report.

Purchase Order Requisition

Purchase Order Requisition

Record of access to student records, referral to pst/504.

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LEADERSproject

Critical Questions for the Parent Interview Part 1 (DDPE Playlist: Module 2)

by Leaders Project | Apr 7, 2015

Picture of DDPE Module Cover

Download Video

In this second module, Cate reviews the critical questions that should be asked of the parent during an evaluation and begins the first part of the interview with Alex’s mother. As evaluators, we should look to the parent in these interviews as the expert in their child’s development, over time and in various contexts, to give us critical information leading to a differential diagnosis.

Research has demonstrated that parent’s provide crucial information regarding their children in distinguishing a disability versus a difference. In this video, Cate reviews the critical questions that should be asked of the parent during an evaluation and begins the interview with Alex’s mother. She reviews family educational level (indicator of socioeconomic status) as well as gets a detailed language history,  including what languages Alex and his family members have been exposed to. Cate also reviews milestones in Alex’s receptive and expressive language development such as first words, utterances, responses, and manner of following directions. Then she gathers information regarding any family history of speech/language and learning disorders, as there are frequently genetic components. However, it’s important to note that especially with bilingual and diverse individuals, there is a high rate of false positives (i.e. individuals misdiagnosed with a disability). She also asks about any recent changes (within the last 6 months) in the family structure that may significantly affect the child’s performance in the evaluation or overall development. Information regarding the child’s current educational environment and any supports he receives is also an important factor to discuss. One of the most important critical questions is the parent’s impression of the child’s language development compared to typical peers (or siblings at that age). Research has demonstrated this to be one of the most effective pieces of information in determining disability (Restrepo, 1998). Research has also demonstrated another important critical question, asking if the child is perceived as clumsy (Goffman, 2010). Children with SLI also tend to have low average motor skills. Towards the end of the video, Cate indicates where all of this information should go in an evaluation.  The parent interview continues in the next module.

Please find related materials here:

Critical Questions Document

Critical Questions in Spanish Document

Identifiers of Predominantly Spanish-Speaking Children with Language Impairment

Speech and Language Milestones 

Find the playlist for the full set of videos in this module series here: 

Differential Diagnosis in Preschool Evaluations: A Case Study (DDPE Playlist)

Find each of the modules from this playlist here:

Module 1: Why an Accurate Differential Diagnosis Matters

Module 2: Critical Questions for the Parent Interview Part 1

Module 3: Critical Questions for the Parent Interview Part 2

Module 4: Academic Language Expressive and Receptive Language

Module 5: Receptive Language Comprehension and Following Directions

Module 6: Eliciting Quality Narratives in Expressive Language

Module 7: Motor Speech, Articulation, and Speech Sound Inventory

Module 8: Dynamic Assessment: Nonword Repetition, Syllable and Sentence Repetition

Module 9: Putting it All Together in the Written Evaluation Report

Module 10: Developing Appropriate Goals for the IEP

Please find research mentioned in this module here:

Dale, P. (1996). Parent report assessment of language and communication. In K. Cole, P. Dale, & D. Thal (Eds.), Assessment of Communication and Language: Vol. 6, Communication and Language Intervention Series (pp. 161-182). Baltimore, MD: Brookes Publishing. http://psycnet.apa.org/psycinfo/1996-98864-008

DiDonato Brumbach, A. C., & Goffman, L. (2014). Interaction of language processing and motor skill in children with specific language impairment. Journal of Speech, Language, and Hearing Research, 57(1), 158-171. http://jslhr.pubs.asha.org/article.aspx?articleid=1802583

Gopnik, M. (1997). Language deficits and genetic factors. Trends in Cognitive Science, 1(1), 5-9. http://www.sciencedirect.com/science/article/pii/S136466139701005X

Hart, B., & Risley, T. R. (2003). The early catastrophe: The 30 million word gap. American Educator, 27(1), 4-9. https://www.aft.org/sites/default/files/periodicals/TheEarlyCatastrophe.pdf

Restrepo, M. A. (1998). Identifiers of predominantly Spanish-speaking children with language impairment. Journal of Speech, Language, and Hearing Research, 41, 1398-1411.

Zelaznik, H. N., & Goffman, L. (2010). Motor abilities and timing behavior in children with specific language impairment. Journal of Speech, Language, and Hearing Research, 53(2), 383-93. http://jslhr.pubs.asha.org/article.aspx?articleid=1781547

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Parent interview form

Preview of Student Led Conferences | Parent Teacher Interview Forms for Student Portfolios

Student Led Conferences | Parent Teacher Interview Forms for Student Portfolios

parent interview form special education

Parent Teacher Interview Forms

parent interview form special education

Behavior Interview Forms for Parents , Guardians, & Teachers - Autism or ABA

parent interview form special education

Parent - Teacher Interview Form

parent interview form special education

PARENT INTERVIEW FORM FOR INITIAL TRIENNIAL IEP ASSESSMENT EVALUATION - EDITABLE

parent interview form special education

  • Word Document File

Preview of Occupational Therapy OT Parent Interview Custom Template (Google Forms)

Occupational Therapy OT Parent Interview Custom Template (Google Forms )

parent interview form special education

  • Google Forms™

Preview of Functional Behavior Assessment (FBA) Parent Interview Form

Functional Behavior Assessment (FBA) Parent Interview Form

parent interview form special education

Parent Interview Forms - Six Language Bundle!

parent interview form special education

FBA Parent Interview (Google Form )

parent interview form special education

Parent Interview Bundle: Google Form & Publisher Template for SW & School Psychs

parent interview form special education

FBA Form Parent Interview Questionnaire SPED School Psychologist Behavior

parent interview form special education

Parent Interview Form - English

Preview of Parent Interview Form - Portuguese

Parent Interview Form - Portuguese

Preview of Parent Interview Form - Spanish

Parent Interview Form - Spanish

Preview of Parent Teacher Interview Notes - Parent Communication Form - Conference Sheet

Parent Teacher Interview Notes - Parent Communication Form - Conference Sheet

parent interview form special education

Evaluation Parent Interview : Google Form for Social Workers & School Psychs

Preview of Parent Teacher Interviews & Student Self-Assessment Templates/Forms Bundle

Parent Teacher Interviews & Student Self-Assessment Templates/ Forms Bundle

parent interview form special education

Parent Teacher Interview Forms /Templates

Preview of Parent Interview Form - Chinese

Parent Interview Form - Chinese

Preview of Parent Interview Form - Korean

Parent Interview Form - Korean

Preview of Parent Interview Form - Hindi

Parent Interview Form - Hindi

Preview of Parent Teacher Interview Form || Fully Editable

Parent Teacher Interview Form || Fully Editable

parent interview form special education

Parent Interview Form - Behavior Analysis, ACT, Parent Training, ABA, social

parent interview form special education

Parent Interview for Initial Evaluation - Google Form

parent interview form special education

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  • Assistive Technology
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Special Education

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  • Secondary Transition for Educators

Transition Parent Interviews

High School Student & Family Vision Interview 

Parent Questionnaire for Transition Planning

Parent Transition Interview

Transition Check Sheet Living

Transition Student Interviews

Comprehensive High School Transition Survey

Middle School Survey Living Learning Working

Questions for Transition Planning (High School)

Student Dream Sheet

Student Questionnaire Transition Planning

Secondary Student Interview

Student Transition Interview

In-Depth Student Interview

Transition Planning – Skills for Life

Living Resources

Community Mobility Checklist

Independent Living Skills Assessment

Learning Resources

High School Student Interview

Middle School (8th Grade) Transition Interview

Middle School/Junior High Student Interview

Postsecondary Plan A & Plan B

Transition Check Sheet - Living &Working

Working Resources

Career Cluster Interest Survey

Career Transition Planning Interview

Classroom to Workplace Readiness Rating Scale

Community Based Assessment Questionnaire

Community Based Assessment Questionnaire (Print-ready PDF) .

Competitive Employment Skill Sheet

Job Interests

Picture Career Interest Inventory

What do you prefer?

Truity's Photo Career Quiz website

School & Community Social Skills Rating Checklist (Fillable PDF)

General Education Classroom Summary

Here is a tool to gather data from the general education classroom teachers regarding student performance and participation. The form now has a front & a backside, so hopefully, it will capture more transferrable (soft) skills that will be important for students to have as they transition to life after high school. It is a great way to gather input about the student’s work habits (those important transferrable skills) from a variety of sources to use on the IEP.

Version 1 - GOOGLE Form: This is similar to the printable one-page version on this site, but with the ease of a Google form. If you choose to use it, be sure to first SAVE A COPY  for your own personal use.

Version 2 - GOOGLE Form:     This form is similar to the one above, and was shared with us by Manson Northwest Webster teacher Alexandrea Hanson. f you choose to use it, be sure to first SAVE A COPY  for your own personal use.

Living, Learning, Working Planning Tool

Thanks to Central Rivers AEA for sharing the Living, Learning, Working Planning Tool .

Junior/Senior Checklists

Junior/Senior Checklist: Preparing for Postsecondary Education may be helpful as students begin focusing on what's next. It an be helpful to make sure students consider the key points as they prepare to transition to college.

The Senior Checklist – World of Work is a simplified form to give students who are planning to enter the world of work.

Strengths, Interests, & Preferences Checklists

  • Strengths, Interests & Preferences Checklist - a document to help students determine their own strengths, interests, and preferences. It is a conversational tool that can be used in many ways. Best practice would be to have students choose their top 3 to 5 items in each section. Or, it can be a useful talking point sheet for the teacher to use when helping the student consider what their strengths, interests & preferences are for their IEP and transition planning.
  • Secondary Student Interview: Strengths, Interests, Preferences - a form with fewer options to choose from, but it can also be a good discussion starter to use with your students. The main thing is to help your students see how their strengths, interests, and preferences impact their post-secondary expectation goal areas.
  • Middle School Strengths, Interests, and Preference Survey - an easy-to-use checklist that can be used to get ideas generating for your students.

Transition Planning Rubric

This rubric can be used to note where a student's skills are in the areas of living, learning, and working. It can be done in conjunction with parent, student, and teacher to compare perspectives. It can also be done by the student and teacher, or  just the teacher. It's a great visual and several teachers use this with their students each year to update the progress made in each area.

Important contacts

Image thumbnail for Tammy McKimmey

Tammy McKimmey

Special education consultant.

Image thumbnail for Laura Reinders

Laura Reinders

School social worker.

COMMENTS

  1. National Association of Special Education Teachers: Forms, Tables

    Special Education Web Site - Teachers Teaching Special Education National Association of Special Education Teachers ... • Parent Intake and Interview Checklist • Reporting Test Results to Parents Checklist. Forms • Initial Contact with Parent at the Beginning of the Year-Form Letter for New Teacher

  2. Evaluation/Re-eval Forms

    OHD Initial Evaluation Plan Template. Health Condition Form. DSM-V Checklist. OHD Parent Systematic Interview (10/25/22) OHD Teacher Organizational and Independent Work/Motor Skills Checklist - Pre-K. OHD Teacher Organizational and Independent Work Motor Skills Checklist- Elementary (10/25/22)

  3. PDF Functional Behavior Assessment Parent Interview Form

    Behavior and Social History: 1. In your own words, please describe your child's characteristics: 2. What do you believe are your child's special traits, talents or skills?

  4. PDF ASD DSM-5 Parent Interview

    ASD Parent Interview ASD DSM-5 Parent Interview Instructions to the interviewer: For each DSM 5 criterion, we have provided a number of questions to guide you in gathering information from parents or other caregivers to help determine if a child does or does not meet that criterion. You do not need to ask each question.

  5. PDF PARENT INTERVIEW FOR STUDENTS WITH SPECIAL NEEDS

    7. Does your student take any medicaons that we should know about? 8. Will your student need help taking care of himself/herself?

  6. PDF Parent Interview

    My child has been in special programs. (Special Education, Reading Recovery, etc.) No Yes Please list them: This Parent Interview may be duplicated and utilized in educational settings as a tool for documenting parent concerns and observations. If it is edited or adapted, please credit the source by including the statement:

  7. PDF Eligibility Screening Parent Interview/Questionnaire

    Office of Special Education and Student Services Department of Special Education Services ... DISTRIBUTION: Place in Confidential Folder Page 1 of 3 ELIGIBILITY SCREENING PARENT INTERVIEW/QUESTIONNAIRE Student's Name Last First MI Parent/Guardian Address Current School Home School ... MCPS Form 336-22, Rev.6/15 Student ID No. Home Phone ...

  8. PDF Parent Interview Guide

    Parent Interview Guide. This interview guide is to be used to elicit information relative to student's function in the home and other settings in order to assist in the decision relative to the most appropriate learning media. This survey can also be used with an older student. The teacher of the visually impaired should gather this ...

  9. PDF Special Circumstance Instructional Assistance (SCIA) Assessment ...

    Form 8: Parent Interview (p. 15) This form is used by the assessor to incorporate parent input and obtain information regarding the student's level of independence and potential need for support in specific areas. Form 9: Teacher Interview (p. 16) This form is used by the assessor to incorporate teacher input and obtain information

  10. Transition Plan Assessment

    Information Transition Conversation Guide. This transition plan assessment parent interview meeting conversation guide will give you the structure for informing parent/guardians and supporting your students in the best way possible! If you've ever had an Informal Transition Meeting or used the template, please comment below with your experience.

  11. PDF Parent/Caregiver Interview For Students who are Blind or Visually Impaired

    Parent Interview for Students who are Blind or Visually Impaired Teaching Students with Visual Impairments teachingvisuallyimpaired.com ... Date: Parent/Caregiver Name: Parent e-mail: Parent Cell Phone: Medical Information What is your understanding of your child's visual impairment? Does your child have a seizure history? Yes No If so, what ...

  12. Special Services / Documents and Forms

    Family Focus Interview. Natural Environment Observation. Data-Based Documentation (Prong II) Documentation of Accommodations Provided in the General Education Curriculum & Deemed Unsuccessful. Teacher Input Form. Teacher Input Form - PSW. Teacher Interview - Autism. Teacher Interview (for ED) Parent Input Form.

  13. PDF Parent Interview Questions (Learning Disabilities)

    Level of Education Completed _____ Siblings _____ Date of Birth II. (Responses to the following questions may be continued on the back of these pages.) 1. Describe incidents or other evidence which might indicate the advanced intellectual ability of your daughter/son. ... Parent Interview Questions (Learning Disabilities) ...

  14. Critical Questions for the Parent Interview Part 1 (DDPE Playlist

    One of the most important critical questions is the parent's impression of the child's language development compared to typical peers (or siblings at that age). Research has demonstrated this to be one of the most effective pieces of information in determining disability (Restrepo, 1998). Research has also demonstrated another important ...

  15. Sample Special Education Forms

    Guide to Special Education Forms (updated 10/2023), Model IEP team forms developed by the DPI serve as a guide and also the primary tool for documenting compliance with federal and state special education requirements related to the IEP team process. This companion document provides guidance on the use of the forms. It includes a discussion of the specific requirements relating to each form ...

  16. Parent Interview Form Teaching Resources

    This is a parent intake interview form that can be used during the MTSS or RTI process, prior or during the special education referral, or just to gather general parent concerns for their child. These questions target specific and general concerns about academics, behavior, and self-help skills.

  17. Specific Learning Disability (SLD)

    FUNCTIONING/ADAPTIVE BEHAVIOR. ORGANIZATIONAL AND INDEPENDENT WORK SKILLS/MOTOR SKILLS CHECKLISTS. Pre-K O/I Checklist Template. Elementary O/I Checklist Template. MS/HS O/I Checklist Template. OBSERVATION FORMS. SLD Observation Grades 1-4. SLD Observation Grades 5-8. SLD 9-12 Teacher Interview or Observation Form.

  18. PDF Family Focus Interview-ELPP Documentation

    The Family Focus Interview (FFI) is intended to document strengths, needs and concerns related to the child. The entire form should be completed by LEA personnel through interview format with the parent or guardian. The FFI information is required for Developmental Delay (DD) eligibility and should also be used to assist in documenting the ...

  19. PDF Draft Special Education Survey for Parents

    g. staff open to suggestions, good communication. h. follow the IEP. 68. The school explains what options parents have if the parent disagrees with a decision of the school. Please reply to this statement with one of the six options below. a. Very strongly agree. b. Strongly agree.

  20. PDF Parent Interview

    Parent Interview Grade: Age: Sex: Male Female Birthplace: Zip Languages Spoken at Home: City State Date of Last Physical Exam: School Child Currently Attends: A. Child's Developmental & Medical History Name of Child's Physician: Please describe the child's general health status: l. To your knowledge does the child have any allergies?

  21. PDF Enter District Name Here Teacher/Parent Interview: Preschool

    Does this student eat, chew, swallow, and suck without drooling or choking? 2. Is this student in good health (e.g., does not have frequent colds, ear infections, or congestion)? 3. Does this student follow verbal directions? 4. Does this student listen to stories? 5. Does this student seem to understand what is said?

  22. Alabama SES

    Through leadership and service, the vision of Special Education Services (SES) is to foster positive educational outcomes for all students with special needs. ...

  23. Transition Planning Forms

    Transition Planning Rubric. can be used to note where a student's skills are in the areas of living, learning, and working. It can be done in conjunction with parent, student, and teacher to compare perspectives. It can also be done by the student and teacher, or just the teacher. It's a great visual and several teachers use this with their ...