WEST VIRGINIA DEPARTMENT OF EDUCATION
Office of Federal Programs (OFP)
Mediation Evaluation – LEA Survey
Your district recently participated in a mediation regarding a student with an exceptionality or a student suspected of having an exceptionality. The Office of Federal Programs requests the following information about your mediation experience to help improve the mediation system.
Please complete the following items. If you did not participate in the session, please give this form to the personnel who represented the district for this case.
CASE: #M__-___YES / NO / QUESTION
1. The mediation was attempted before a due process hearing was requested.
2. The school district’s rights in the mediation process were explained prior to entering into mediation.
3. The mediator was knowledgeable about the mediation process.
4. I felt comfortable discussing my concerns in the mediation session.
5. I believe the mediator was fair to both sides.
6. Mediation helped me understand the parent’s concerns.
7. Mediation helped resolve issues that most likely would not have been resolved without mediation.
8. Mediation was cost effective in this case.
9. I was satisfied with the mediation process.
10. I would recommend mediation to others.
11. The mediation resulted in a written agreement.
12. If an agreement was reached, I received a copy of the agreement.
Signature
/ (optional) Individual responses will be kept confidential.Please share any comments about your mediation experience:
Please mail this form in the envelope provided to:
Lorraine Elswick
Coordinator
Office of Federal Programs
Building 6, Room 330
1900 Kanawha Boulevard, East
Charleston, WV 25305-0330
Thank You!
WVDE- ISS- 40
9/02
Date
Name
Street Address
City, State, Zip
RE: Mediation #M__-___
Dear:
The West Virginia Department of Education, Office of Federal Programs (OFP) administers a mediation system for disputes regarding special education identification, evaluation, placement or free appropriate public education (FAPE). Because you recently participated in a special education mediation, the OFP is asking for your assistance in evaluating the process.
Please complete the enclosed form and mail to the OFP in the envelope provided. Information specific to the individual case will be kept confidential and will not be shared with the mediators, to ensure their continued impartiality. However, the information will be utilized only by the OFP for use in improving the mediation system.
If you have questions regarding this matter, please call me at (304) 558-2696. Thank you in advance for your information regarding the mediation process.
Sincerely,
Lorraine Elswick
Coordinator
Office of Federal Programs
Enclosure
LCE/mc
C: evaluation information
WEST VIRGINIA DEPARTMENT OF EDUCATION
Office OF Federal Programs (OFP)
Mediation Evaluation – Parent Survey
You recently participated in a mediation session regarding your child’s special education services. The Office of Federal Programs requests the following information about your mediation experience to help improve the mediation system.
Please complete the following items and mail this form in the envelope provided.
CASE: #M__-___YES / NO / QUESTION
1. The mediation was attempted before a due process hearing was requested.
2. My rights in the mediation process were explained prior to entering into mediation.
3. The mediator was knowledgeable about the mediation process.
4. I felt comfortable discussing my concerns in the mediation session.
5. I believe the mediator was fair to both sides.
6. I had an opportunity to fully express my concerns in the mediation.
7. Mediation helped me understand the concerns of the district.
8. Mediation helped resolve issues that most likely would not have been resolved without mediation.
9. I was satisfied with the mediation process.
10. I would recommend mediation to others.
11. The mediation resulted in a written agreement.
12. If an agreement was reached, I received a copy of the agreement.
Signature
/ (optional) Individual responses will be kept confidential.Please share any comments about your mediation experience:
Please mail this form in the envelope provided to:
Lorraine Elswick
Coordinator
Office of Federal Programs
Building 6, Room 330
1900 Kanawha Boulevard, East
Charleston, WV 25305-0330
Thank You!
WVDE- ISS- 40
9/02
Date
Name
Special Education Director
______County Schools
Address
City State Zip
RE: Mediation #M__-____
Dear Name:
The West Virginia Department of Education, Office of Federal Programs (OFP) administers a mediation system for disputes regarding special education identification, evaluation, placement or free appropriate public education (FAPE). Because you recently participated in a special education mediation, the OFP is asking for your assistance in evaluating the process.
Please complete the enclosed form and mail to the OFP in the envelope provided. Information specific to the individual case will be kept confidential and will not be shared with the mediators, to ensure their continued impartiality. However, the information will be utilized only by the OSP for use in improving the mediation system.
If you have questions regarding this matter, please call me at (304) 558-2696. Thank you in advance for your information regarding the mediation process.
Sincerely,
Lorraine Elswick
Coordinator
Office of Federal Programs
Enclosure
LCE/mc
C: evaluation information