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Out of Class Referral Form

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This form should be sent to teachers after students are removed or sent out of class
• The purpose of this form is to assist in the qualitative and quantitative data collection
process
• Collected and synthesized data assists in the accurate calculation of IEP and FBA/BIP goal
accuracy
• Should the data negate the hypothesized IEP, FBA, and/or BIP goal(s) an IEP team will
need to reconvene in order to make the necessary adjustments
• Goals must be written in measurable terminology and data collected consistently in order
to determine the effectiveness of each goal.

  • Description

    Description

    This form should be sent to teachers after students are removed or sent out of class
    • The purpose of this form is to assist in the qualitative and quantitative data collection
    process
    • Collected and synthesized data assists in the accurate calculation of IEP and FBA/BIP goal
    accuracy
    • Should the data negate the hypothesized IEP, FBA, and/or BIP goal(s) an IEP team will
    need to reconvene in order to make the necessary adjustments
    • Goals must be written in measurable terminology and data collected consistently in order
    to determine the effectiveness of each goal.

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