Saturday, August 19, 2017

  • Profile
  • Pages
  • HOME
  • Referral/Evaluation Forms
  • Spec Ed Staff Information

Special Education Forms

This page houses all the Special Education Initial Referral & Evaluation Forms for Seymour Community Schools

Special Education Forms
FBA: Functional Behavioral Assessment
FBA needs to be completed for all Initial or Re-evaluation ED referrals.
Upload under Evaluation Tab, Assessment Data & it will also appear in Documents.

If the student already has an ED, LD, Mild, Autism or other label & you are needing to create a behavior plan for the student (Significant behavior concerns) then also use these forms & upload under Documents.
Evaluation Process Tab
We will NO LONGER be completing Educational Evaluation Reports!
Follow the steps here to eliminate having to complete these time-consuming tabs on the IEP.

1.  Janet will upload Psych Evals from Jill
.  TOR/Therapists need to Upload your reports (which includes all the necessary information from the plus tabs) to the top of the
Evaluation Process,
Assessment Data Tab:
      Fill in the Top Box:  Reason for Referral.
      Fill in 2nd Box: Provide a Synthesized summary of all assessments completed or reviewed (Dr. C's Summary paragraphs - paste those in here).

**Do not open any of the plus signs or create a final evaluation report.

 For Initials ONLY:
Continue on to the Notice of Initial Findings & Proposed Actions Tab.

o   Complete the 3 Boxes

o   1st Box – Paste in Summary from the Psych or Speech Evaluation

o   2nd Box – Paste in Article 7 Definitions for the correct disability area.

o   3rd Box -  Discuss the child qualifying or not qualifying for special education.

Special Transportation Form

This form needs to be completed annually and copies sent to Spec Ed/Transportation Office for all students receiving Special Transportation.

I have also attached the Updated Special Transportation Forms (English & Spanish) that will be sent out in May to assist with the many changes that happen throughout the year.

Contact Me!

Created: Oct 10, 2013
Updated: Aug 4, 2017
Viewed 2342 times

Contact Me!

Created: Oct 10, 2013
Updated: Aug 4, 2017
Viewed 2342 times

Visitor's Notice

Visit Our Schools!

DonateTax-deductible contributions may be made to Seymour Community Schools, the athletic department, and the fine arts department.  Visit  Jackson County Community Foundation for more information.

Contact Us!

Mr Robert Hooker
email to: This email address is being protected from spambots. You need JavaScript enabled to view it.

Superintendent Assistant
email to: Adrianne Hernandez

Seymour Community Schools

1638 S. Walnut St.
Seymour, IN  47274
Voice:  812-522-3340
Fax: 812-522-8031