Parent and Educator Survey (English)Parent and Educator Survey (English)

1. Waltham Special Education Parent Advisory Council (WSEPAC)

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VISIT THE WALTHAM SPECIAL EDUCATION PARENT ADVISORY COUNCIL WEBSITE: www.walthampac.org
(copy and paste link into your browser)

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School District Webpage:
http://www.city.waltham.ma.us/SCHOOL/WebPAge/spedpac.htm

PROGRAMMING/WORKSHOPS: We are working to create a calendar of meetings and workshops for the 2010-2011 academic school year and would like your input.

What grade-level is of concern to you?

PROGRAMMING/WORKSHOPS: We are working to create a calendar of meetings and workshops for the 2010-2011 academic school year and would like your input. What grade-level is of concern to you? Preschool

Elementary

Middle School

High School

What special needs areas are of interest to you?

What special needs areas are of interest to you? ADD/ADHD Autism/PDD Downs Syndrome Visual/Hearing Impaired	Developmental Disabilities Physical Disabilities Learning Disabilities Other
Other (please specify)

What topics are of interest to you and would motivate you to attend?

What topics are of interest to you and would motivate you to attend? Identifying Special Needs Basic Rights & The Laws Testing Accommodations for the MCAS IEP’s An overview of the 504 Plan Emotional/ Social/ Behavior Issues Estate Planning Environmental Adaptations Sensory Processing/Integration Transitions – for 14 to 22 year olds Disclosure Communication Strategies	Speech & Language Reading & Writing Extracurricular/Summer Activities Family Issues Inclusion Mediation/Hearings Creating a Vision Statement Bullying and Teasing Self-Determination and Successful Students (developing empowerment and leadership skills) Multiple Intelligences/ Differentiated Instruction Other
Other (please specify)

If you have not been able to attend WSEPAC meetings/workshops, what were the obstacles?

If you have not been able to attend WSEPAC meetings/workshops, what were the obstacles? Inconvenient day/time/location

Not interested in meeting/workshop topic

Lack of transportation

Lack of childcare

Lack of time

Not interested in SEPAC

In what forum would you like to see these issues presented/addressed?

In what forum would you like to see these issues presented/addressed? Outside Guest Speakers School Personnel Parent Speakers Workshops Video Presentations	Adult Support Group Student Support Group Networking with other SEPACs School Programs for Students Other
Other (please specify)

Where do you get information about Waltham educational events?

Where do you get information about Waltham educational events? The Daily News Tribune The Waltham Channel Parents, Teachers or PTO* School Newsletter*	School Web Site* Other online sites* Other email newsletters* Other print*
*Provide source

VOLUNTEER: One of our main goals this year is to build up the WSEPAC with members, officers, committees, support groups, relationships with other groups, etc. Please tell us how you may be able to help participate.

If you would like to volunteer, please check off what you would be interested in doing for the WSEPAC.

VOLUNTEER: One of our main goals this year is to build up the WSEPAC with members, officers, committees, support groups, relationships with other groups, etc. Please tell us how you may be able to help participate. If you would like to volunteer, please check off what you would be interested in doing for the WSEPAC. Run for an WSEPAC office (See By Laws)

Speakers/Workshops

Fund Raising or Grant Writing

Elections/Membership

Public Relations/Marketing

Liaison/Outreach to each school*

Liaison to the Waltham School Committee

Liaison/Outreach for Spanish speaking community

Liaison/Outreach for other non English speaking community*

Liaison/Outreach to PTOs of Waltham schools

Liaison/Outreach to special education teachers, therapists, and administrators in Waltham schools

Liaison/Outreach to other SEPACs in the region

Liaison/Outreach to non-school organizations for children with special needs.

Organize Support Groups

Childcare (Find a sitter/Babysit)

Refreshments/Hosting

Outreach to Waltham Town Government

Disability Awareness and Outreach to the Community

Find ways to Support Inclusion

Other*

*Provide information

MEMBERSHIP: Please tell us more about yourself and the best way to contact you.

What is your relationship to Special Education (check all that apply)?

MEMBERSHIP: Please tell us more about yourself and the best way to contact you. What is your relationship to Special Education (check all that apply)? Parent or Guardian School Administrator Special Education Teacher General Education Teacher	Paraprofessional Therapist Advocate Other
Other (please specify)

If you are interested in becoming a member, please provide the following information:

If you are interested in becoming a member, please provide the following information: NAME
ADDRESS
SCHOOL
EMAIL
PHONE

How would you like to receive information about WSEPAC and in what language?

How would you like to receive information about WSEPAC and in what language? Email Snail Mail	English Spanish
THANK YOU FOR TAKING THIS SURVEY. Please share with us any additional comments and suggestions for the next school year.

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1. Waltham Special Education Parent Advisory Council (WSEPAC)

Parent and Educator Survey (English)
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