Active Consent for mySAEBRS
By submitting this form, you are either giving OR revoking consent for your child to engage in the mySAEBRS screener scheduled on the following dates throughout the year:
Sept. 20
Jan. 17
May 1

Who takes mySAEBRS? 
Fifth and Sixth grade students

What is mySAEBRS?
mySAEBRS (my Social, Academic, and Emotional Behavior Risk Screener) is a brief, norm-referenced tool for screening all students to identify those who are at risk for social-emotional behavior (SEB) problems. It takes students approximately 1-3 minutes to rate themselves on the following areas:
  • Social Behavior - Students’ ability to understand social norms, empathize, and understand the perspectives of others

  • Academic BehaviorSkills necessary for students to be prepared for, participate in, and benefit from academic instruction.

  • Emotional BehaviorStudents’ ability to regulate internal states, adapt to change, and respond to stressful/challenging events.

Can I see what questions my student will be asked? Yes. Here is a link to the exact questions in which your child will be asked to respond. These questions will also be posted to our school website and will remain linked in my Warhawk Weekly. 

What will this data be used for? This data will be used by teachers and other staff to ensure your child is receiving the support necessary to help them to succeed at high levels at North Mahaska! 

If you have any other question, please contact the Elementary Office.
Email *
Parent Name *
Student Name *
Student Grade *
I give my consent for my student named above to engage in the mySAEBRS screener.  *
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