1. HAYSVILLE U.S.D. 261
    1. Type of Staffing      



HAYSVILLE U.S.D. 261
SPECIAL EDUCATION STAFFING SUMMARY
 

Student Name: ________________________________________________  Date: _______________________
 
Parent/Guardian: ______________________________________________  Parent Present: r Yes r No
 



Type of Staffing            
   

    
IEP Meeting Parent Meeting Team Meeting Other:_____________________________
Educational / IEP Review:  
   
   
   
   
   
   
   
   
   
   
   
   
   
Information from Parent:  
   
   
   
   
   
Team Recommendations:  
   
   
   
   
       
 Name Postion Date
_________________________________________ _____________________ _______________________
_________________________________________ _____________________ _______________________
_________________________________________ _____________________ _______________________
_________________________________________ _____________________­­­­ _______________________
_________________________________________ _____________________ _______________________
_________________________________________ _____________________ _______________________
_________________________________________ _____________________ _______________________
_________________________________________ _____________________ _______________________
Dissenting Opinions: r Yes r No Attachments: r Yes r No

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SE-113