Your Site:
This survey is being completed by (principal, team):
Over the past three years what other sources of training/technical assistance has your site accessed in the following area (include all sources, not just SIG-funded):
Collaboration:
Literacy:
| Please check the number that best represents where your organization’s special education service delivery system was… | In each of the following areas |
Please check the number that best represents where your organization’s special education service delivery system is… | ||||||||||||||||||
Prior to the Training/TA |
Now |
|||||||||||||||||||
Totally Separate |
Fully Collaborative |
Totally Separate |
Fully Collaborative |
|||||||||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | assessment |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | intervention |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | core curriculum |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | teaming |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | accountability |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | the role of parents |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | administration |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | resources |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | professional development |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | overall |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
Please describe your organization’s special education service delivery system
Prior to the training/TA:
Now:
What challenges have you had to address in the process of working towards a more collaborative approach?
What has helped facilitate the process of working toward a more collaborative approach?
What results have you seen since adopting these changes? In API scores? SE referrals? Behavioral referrals? Student/Teacher attitude? (Please attach additional data, if available.)
What future plans do you have for sustaining or expanding the move towards collaboration? Have you assisted, or are you interested in assisting, other schools/districts in collaborating?
Are there any areas where your site is in need of further training or technical assistance?
Once completed, submit to alan.wood@calstat.org, or
NCOE West: CalSTAT
Rohnert Park, CA 94928
5789 State Farm Drive, Suite 230