PaTTAN Strategies for Instructional Access in General Education Classrooms -- Team Application (2017-2018)

Please complete this application by October 13, 2017.

Before completing this application, please review the requirements for participation.
1. Form a team consisting of one administrator, at least one special educator, and at least one classroom teacher
2. Commit to participating in the regional training and the May webinar
3. Develop and submit Strategies for Instructional Access Implementation Plans
4. Meet monthly as a team to discuss barriers to instruction
5. Implement strategies based on collaborative team discussions
6. Collect data regarding implementation
7. Complete surveys to report on strategies and impact
8. Document teacher release time and travel costs to submit for reimbursement

Question Title

* 1. Team Contact/Administrator

Name *

LEA *

School Building

Address *

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Role of Team Contact

Principal/Assistant Principal

Special Education Leader

Other Administrator (Please specify)

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* 3. Other Required Team Members - List names

Classroom Teacher

Special Educator

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* 4. Additional Team members - List names and roles

Team member name and role

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* 5. Which face-to-face training will your team attend?

Western Region (PaTTAN Pittsburgh office) - November 28th

Central Region (PaTTAN Harrisburg office) - November 29th

Eastern Region (PaTTAN East office) - December 13th

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* 6. Is your team committed to utilizing Strategies for Instructional Access in General Education Classrooms: A Collaborative Discussion Framework, with support from PaTTAN consultants?

Yes

We cannot commit at this time

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* 7. Is your team committed to implementing strategies, with fidelity, for the purpose of increasing access to the general education curriculum?

Yes

We cannot commit at this time

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* 8. Is your team committed to meeting regularly to participate in self-reflective activities, such as data analysis, to assess progress towards team goals?

Yes

We cannot commit at this time

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* 9. List questions and/or concerns regarding Strategies for Instructional Access in General Education Classroom: A Collaborative Discussion Framework.

Thank you for your interest in this professional development opportunity. PaTTAN will inform team of their participation status via e-mail by October 27, 2017. For further information please contact: Jennifer Geibel, jgeibel@pattan.net, 412-826-6843