Reappraisal And Review Form

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Every Student Every School
2013
Page 1 of 2
REAPPRAISAL AND REVIEW FORM
YEAR: __________
STUDENT NAME: ……………………………………. SCHOOL: ……………………………………….
Date of Birth: ……………………………………………...…….
Year/Grade/Class: ……………….……………………..
Name of Parent or Carer: ………………………………………………… Student Counselling number: ……...……………….…..
Special School
Support Class
Regular Class
Services being accessed:
ISTH
ISTV
Other: …………………………
A LEARNING SUPPORT TEAM MEETING was held on: ………………………………………………… (date)
Participants:
Principal
Other participants:
Parent
Class Teacher
Student
SSC
School Counsellor
ASSISTED SCHOOL TRAVEL PROGRAM REVIEW
Currently approved for special transport services
YES
NO
(select one)
If yes
1.
Do all eligibility criteria continue to be met?
YES
NO
2.
Is the student undertaking a travel program?
YES
NO
THE DISABILITY CONFIRMATION IS CURRENT UNTIL ________________________
ATTENDANCE: __________________ days / week
____________________ hours / day
HEALTH CARE PLAN requires updating?
YES
NO
Comments: _______________________________________________________________________________
TRANSITION PLAN
Are there any plans for the student to move to a different school/setting in the next three years?
YES
NO
Details plans to date: __________________________________________________________________________
PROPERTIES ISSUES
Are there any future properties access issues?
YES
NO
1.
What modifications / facilities are required?: ___________________________________________________
Current School:
YES
NO
If NO, which school? _______________________________
Date required:___________________
2.
If YES, have the necessary applications been forwarded?
YES
NO
TECHNOLOGY OR SPECIALISED EQUIPMENT ISSUES
Are there any recommendations for future technology/equipment needs? YES
NO
Details: ___________________________________________________________________________________
If YES, have the necessary applications been forwarded?
YES
NO
Learning and Engagement Student Services Handbook ISER

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