Please answer the following questions!

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* 1. Please indicate the district in which you work:

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* 2. Is the referral/evaluation process clear to you and your staff?

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* 3. Is there adequate support from SST/PPS/RTI Problem Solving Team personnel to attempt strategies to promote student success within the regular education class?

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* 4. Please identify any population that you believe are underserved in your district.

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* 5. What services for the underserved do you believe they need that are not being provided?

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* 6. RTI Behavioral System are systematically implemented.

  Not applicable Strength Acceptable Weakness Significant Weakness Unkown
RTI Behavioral System

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* 7. Continuum of Services for students requiring special education.

  Not Applicable Strength Acceptable Weakness Significant Weakness Unknown
Continuum of services

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* 8. Related services for special education students.

  Not Applicable Strength Acceptable Moderate Weakness Significant Weakness Unknown
Related services

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* 9. Professional development activities:

  Not Applicable Strength Acceptable Moderate Weakness Significant Weakness Unknown
Professional development activities

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* 10. Specialized consultations to staff:

  Not Applicable Strength Acceptable Moderate Weakness Significant Weakness Unknown
Behavior
Autism
Assistive Technology
RTI
PBIS

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* 11. Availability of pupil personnel services:

  Not Applicable Strength Acceptable Moderate Weakness Significant Weakness Unknown
Health
Psychological
Social Work
Guidance and Counseling

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* 12. What staff development topics would you like to see C.A.S.E. offer for your staff?

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* 13. What topics for staff development interest YOU the most?

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