EVALUATION OF INSTRUCTION AND RELATED SERVICES EFFECTIVENESS
1998-99
District ______LEA# ______
1.Number of students receiving special education service during current school year:
IS / II / RR / SC / SDT / DSC / RES / HSP / HMBElementary (K-6)
Secondary (7-12)
2.Major strengths of special education program (prioritized) identified by:
(See codes on following page -- if other, please specify)
Special Education Teachers a) ______b) ______c) ______
Regular Education Teachers a) ______b) ______c) ______
Administration a) ______b) ______c) ______
3.Major weaknesses of special education program (prioritized) identified by:
(See codes on following page -- if other, please specify)
Special Education Teachers a) ______b) ______c) ______
Regular Education Teachers a) ______b) ______c) ______
Administration a) ______b) ______c) ______
*4. Number of students receiving related services during current school year:
IS / II / RR / SC / SDT / DSC / RESHSP / HSP / HMBCounseling and Therapy
Medical Services
Occupational Therapy
Physical Therapy
Specialized Equipment
Special Transportation
Education Aids
Psychological Services
Specialized Materials
Inservice
Curriculum Development
Orientation/Mobility
Interpreter Services
* Found in Student Data System
EVALUATION OF INSTRUCTION AND RELATED SERVICES EFFECTIVENESS
1998-99
District ______LEA# ______
INDICATE BY PERCENTILE (%)
Reg. Ed.Teachers / Spec. Ed.
Teachers / Adminis-
trators / Parents / Graduates
5a) Modifications are utilized for
instructional materials
5b) Modifications are utilized for
instructional methods
6a) Materials are sufficient to
provide special education
6b) Materials are sufficient in
quantity to provide special
education services
7a) Effectiveness of special
education academically
7b) Effectiveness of special
education program socially
7c) Effectiveness of special
education program vocationally
8.Students who have graduated within last two (2) years
a) ______% employed full time
b) ______% employed part time
9.Students who have graduated within last two (2) years who have received post secondary training.
a) ______% rehabilitation service
b) ______% technical school
c) ______% community college
d) ______% four year college
______
Signature of SuperintendentDate
______
Signature of Special Education SupervisorPhone
EVALUATION OF INSTRUCTION AND
RELATED SERVICES EFFECTIVENESS
CODES
Major Strengths
01Precise entry and exit criteria
02Ability to meet individual student needs
03Ability to individualize instruction
04Motivated students
05Innovative program
06Work Study program
07Vocational training program
08Relevant materials
09Effective mainstreaming
10Regular staff acceptance of mainstreaming
11Team teaching
12Classroom circles
13Adequate support services
14Administrative support
15Parental interest and involvement
16Community involvement
17Other (please specify)
Major Weaknesses
01Need for additional personnel
02Need for additional support services
03Lack of parental interest
04Lack of job sites
05Lack of peer acceptance of special education
06Lack of regular staff acceptance of special education
07Inability to meet student needs
08Scheduling problems
09Lack of consistency of curriculum materials
10Lack of administrative support
11Outdated materials
12Insufficient materials
13Lack of vocational training
14Lack of precise entry and exit criteria
15Other (please specify)
EVALUATION OF IEP EFFECTIVENESS
1998-99
District ______LEA# ______
1.Percent of IEP completed with respect to essential components (See placement codes on following page):
IS / II / RR / SC / SDT / DSC / RES / HSP / HMBElementary (K-6)
Secondary (7-12)
2.Percent of goals attained:
IS / II / RR / SC / SDT / DSC / RES / HSP / HMBElementary (K-6)
Secondary (7-12)
3.Percent of objectives attained:
IS / II / RR / SC / SDT / DSC / RES / HSP / HMBElementary (K-6)
Secondary (7-12)
4.IEP essential components found to be missing (prioritized - please indicate first, second, and/or third components) - See codes on following page.
a) ______b) ______c) ______
5.______% of parents felt their child had made satisfactory progress in the special education program.
6.Effectiveness of IEP as a communication tool:
% of Regular Education Teachers / % of Special Education Teachers / % of Administratorsa) Between levels and grades within the
special education program
b) Between regular education and special
education staff
______
Signature of SuperintendentDate
______
Signature of Special Education SupervisorPhone
Educational Placement Codes
(Items 1, 2, & 3)
IS:Indirect ServiceDSC:Day Service Center
II:Itinerant InstructionRES:Residential
RR:Resource RoomHSP:Hospital
SC:Self-containedHMB:Homebound
SDT:School-based Day Treatment
Codes for Essential Components of IEP
(Item 4)
01Statement of student participation in regular class
02Statement of student participation in special education
03Modifications for regular class
04Signature of plan developers
05Projected date of initiation of special education
06Projected date for duration of special education
07Parental participation
08Present level of educational performance
09Annual goals
10Short-term objectives
11Projected evaluation schedules for short-term objectives
12Criteria review for LRE
13LRE
14Justification of placement options
15Related services
16Transition services
EVALUATION OF STAFF DEVELOPMENT EFFECTIVENESS
1998-99
District ______LEA# ______
1.During the current school year, inservice training on special education issues provided what percent of:
______% regular education staff
______% special education staff
______% administration
2.Effective methods of inservice training (prioritized) -- See codes on following page; if other, please specify)
a) ______
b) ______
c) ______
3.Special education inservice training to be addressed (prioritized) -- See codes on following page; if other, please specify)
a) ______
b) ______
c) ______
______
Signature of SuperintendentDate
______
Signature of Special Education SupervisorPhone
EVALUATION OF STAFF DEVELOPMENT EFFECTIVENESS
Methods of Inservice Training
01Graduate school courses
02Continuing education
03Professional journals
04Faculty discussion groups
05Peer consulting
06Skill building workshops
07Clinical supervision
08Workshops provided by district co-op
09Other (please specify)
Special Inservice Topic
01Instructional techniques
02Vocational training
03Counseling training
04Behavior management
05Psychological testing
06Role of support services
07Adapted physical education
08Stress management
09Classroom management
10Computer usage
11Language development in the classroom
12Other (please specify)
EVALUATION OF ASSESSMENT EFFECTIVENESS
1998-99
District ______LEA# ______
*1.Number of children who moved through the due process procedures (system) during the current school year.
Black Male / Black Female / White Male / White Female / Other Male / Other FemaleReferred
Evaluated
Not Evaluated
Received Special Education Services
Did Not Receive Special
Education Services
Terminated From Special
Education Services
2.Assessment information was appropriate and beneficial -- Indicate by percentile (%)
**a) ______% Evaluation answers referral questions
b) ______% Evaluation provides results for all areas related to suspected disabilities.
c) ______% Specific recommendations for instruction and behavior intervention are offered.
3.______% of parents felt the assessment provided needed information.
______
Signature of SuperintendentDate
______
Signature of Special Education SupervisorPhone
* Found on Student Data System
** Sample surveys do not reflect this data.