South East Consortium SELPA Program Administrator Support
Detailed Summary
A. District Requestor:
Name:
Title:
Contact Info:
Date of Request:
B. Request Type:
__ Classroom Support
__ Teacher Support
C. Description of Support Requested:
D. General Information:
(Teacher, school site, room #, grade, setting)
____________________________________________________________________
E. Date and Time of Visit: ___________
F. Outcome/Observations:
Observations:
Action:
Suggestions:
Plan:
G. Requestor Feedback:
SELPA provides short-term classroom observation and consultations with staff regarding classroom behavior
and support for students upon request. Consultation consists of recommendations and follow-up meetings to
support staff.