Case Conference Committee Report Page 2
Download a blank fillable Case Conference Committee Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Case Conference Committee Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6Case Conference Committee Report
Reevaluation:
____
Reestablish eligibility for special education and related services.
____
Determine that the student is eligible for special education under a different or additional
eligibility category.
____
Inform the student's case conference committee of the student's special education and
related service needs.
____
There is no need for reevaluation information.
Evaluation Notes:_______________________________________________________________
_____________________________________________________________________________
Concerns of the Parent
Eligibility
Student ____is
_____is not
eligible for Special Education Services.
Primary Disability: _____________________________________________________________
Secondary Disability(ies): _______________________________________________________
Reasons of Eligibility Consideration:
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
_______________________
Special Considerations
There are language needs related to limited English Proficiency
____
____
The behavior of the student impedes his or her learning or that of others.
Behaviors of Concern: ______________________________________________________________
Factors Affecting Behaviors: _________________________________________________________
Strategies/Instructional Experiences:__________________________________________________
________________________________________________________________________________
_____ An annual goal designed to address behavioral skill development is included in this IEP.
The Behavior Intervention Plan requires the provision of special education services.
_____
_____ The Behavior Intervention Plan does not require the provision of related services.
_____ There are considerations regarding the student's language and communication needs, opportunities
for direct communications with peers and professional personnel in the student's language and
communication mode, academic level, and full range of needs, including opportunities for direct
instruction in the student's language and communication mode.
_____ There are considerations regarding instruction in Braille and the user of Braille.
Outcomes
Summary of findings from Age Appropriate Transition:
Student Name: ________________________________
Conference Date: __________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business