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SSTA Lost Services Form
This survey will take approximately 3 min to fill out
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* Indicates required question
Name
*
Your answer
Squamish School
*
Choose
Brackendale
Don Ross
Garibaldi Highlands
Howe Sound
Mamquam
Myrtle Philip
Pemberton
School Board
Signal Hill
Spring Creek
Squamish
Sta'7mes
Valleycliffe
Whistler
Type of service lost
*
Collaborative Support Teacher
ELL
Learning Support/Assistance
Teacher Librarian
Counsellor
Online Teacher
Other:
Date this Service was lost:
Please note you can only do one date per form
*
MM
/
DD
/
YYYY
How many hours of lost service occurred on this date? Please round to the nearest increment of 0.5 hours. The value must be between 0.5 hours (30 minutes) and 5 hours (full day).
*
Choose
0.5 hours
1
1.5
2
2.5
3
3.5
4
4.5
5
Why were these services lost?
*
No TTOC coverage available for classroom teacher, so I was directed to cover the class.
I was absent myself and no TTOC coverage was provided.
Other:
Was a TTOC requested?
*
Yes
No
Number of students affected by this lost service:
Please give approximate whole number (20 rather than 15 -20)
Your answer
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