Le Roy Family Related Services Selection

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This survey is in response to the robocall made by Chelsea Eaton, the Director of Special Education and Student Services on Monday, August 31, 2020.

We are collecting family choices on how their children with IEPs or 504 plans will participate in related services per their IEP or 504 for the 2020-21 school year on the non-in-person instructional days.

This is also an option for families that have chosen full remote learning, the child may still come in for related services.

Please complete this by Wednesday, September 2, 2020.

What is your student's last name?

Student's first name?

Does your child have an IEP or a 504?

IEP

504

Clear selection

Grade level they are going into this fall 2020?

If your student is receiving related services such as Speech/OT/PT/ Counseling we need to know how you want these services delivered this year (in addition to the services offered on their in-person day). The choices are in person (on the non-in-person assigned days) but only if you can provide transportation or teletherapy (provided virtually). Please make your choice below:

In Person related services: I can provide transportation to the services on Wednesday, Thursday, or Friday. The service provider will reach out to me to arrange this schedule.

Teletherapy: I wish for my student to receive their related services remotely.

I am declining related services that cannot be fullfilled on their in-person assigned day during outside content area instructional time.

Clear selection

Submit

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