25 (PERDIDA) UTILIDAD NETA EN VENTA DE INVERSIONES FINANCIERAS
31.2 Riesgos financieros -
rev. 10-02-10
Student Name:___________________________ Birthdate:__________ Parent(s) Name:____________________ Home Phone:_____________ School District:__________________ Building:___________ Grade:___ School/Team Contact Person:_______ Phone/E-mail:________________
The applicable building team members have been informed about this ROCs
Describe Presenting Problem (be specific):
Check Consultation Requested:
Visually Impaired TC (submit to KRESA) PT (submit to KRESA) Hearing Impaired TC (submit to KRESA) OT (submit to local OT) Autism Spectrum Disorder TC (submit to KRESA) Work Experience (submit to KRESA) Emotionally Impaired TC (submit to BEC) Assistive Tech. (submit to KRESA) Cognitively Impaired TC (submit to KRESA) Other (submit to KRESA) FBA-BIP (submit to local psychologist)
Check Placement Option to be Considered:
Instructional Base (submit to KRESA)
Young Adult Program/MiCI Program (submit to KRESA)
Bert Goens Learning Center (submit to BGLC)
Behavioral Education Center (submit to BEC)
Other: (please specify)
Operating District Administrator Signature_______________ Date________ **NOTE:
· “Submit to ISD” Special Education Department Supervisor or Secretary located at the Special Services Center
· Additional Information may be requested after receipt of this ROCs
---(for office use only) --- ---
Date Action Taken by Assigned Staff: Date Attach Written Response to this ROCs
Date Received:_________________ Initials:____ Staff Assigned:_________
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92
94
96
98
100
Appendix I: Screenshot of TeachTown® Basics & Social Skills Products
102
Appendix K: Screenshot of TeachTown® Interactive Interface
104
Appendix L: Key Behavior Change Inventory (blank)
The following is a series of statements that can apply to young students. We would like to know how well each of these statements describes ___________. Think of this student, read each statement, and choose the one option that best applies.
Not Somewhat Often Always True True True True 1. Says things that don't make sense.
2. Cares about others.
3. Talks too loudly or softly.
4. Listens carefully and responds normally when
talking with others.
5. Talks in a way that makes sense (it is easy to
follow his/her train of thought).
6. Is sensitive to the feelings of others. .
7. Listens carefully to Teacher.
Appendix M: PROMIS Anxiety—Short Form
The following is a series of statements that can apply to young students. We would like to know how well each of these statements describes ___________. Think of this student, read each statement, and choose the one option that best applies to _________ over the past 7 days.
None of A Little of Some of Most of All of
In the past 7 days ___________ … the Time the Time the Time the Time Time
a. Student felt fearful.
b. Student felt anxious.
c. Student felt worried.
d. Student found it hard to focus on
anything other than their anxiety.
e. Student was nervous.
f. Student was unsettled.
106
Appendix O: MEAP Item Descriptor for Mathematics
108
110
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