TRANSITION MEETING INFORMATION SHEET
STUDENT: __________________________________________________________
SCHOOL: __________________________________
CURRENT GRADE PLACEMENT _______________
GRADE PLACEMENT FOR 20____-20__ __________________
DISABILITY CATEGORY AND SUBCATEGORY __________________________
This form completed by ________________________________ on ________________
Special Education Classes Attended ________________________________________
Regular Education Classes Attended _______________________________________
List approximate (independent) functioning grade levels:
Reading _________
Written language _____________
Social __________
Spelling _________
Math _______________________
Behavioral ______
List any physical limitations that require classroom adaptations/modifications:
_______ Vision _______________________________________________________
_______ Hearing ______________________________________________________
_______ Motor ________________________________________________________
_______ Health ________________________________________________________
_______ Other _________________________________________________________
Check the student’s preferred learning style(s):
_____ Visual
_____ Auditory
_____ Tactile (manipulation by hand)
_____ Kinesthetic (whole body movement)
Please list type of related service provided and amount of time devoted per week:
Related Service
Time per week
_____ Occupational Therapy (OT)
___________________________
_____ Physical Therapy (PT)
___________________________
_____ Speech and Language (S/L)
___________________________
_____ Adaptive P.E. (APE) (corrective therapy)
___________________________
_____ Transportation
___________________________
_____Counseling
___________________________
_____ Other
___________________________