Assistive Technology Process - aiu3.net  · Web viewDocuments containing the AIU Assistive...

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AIU Assistive Technology (AT) Consultation Request TEAM USE Student Name: School District: School Building: AIU USE Date completed documents received: Training and Consultaon (TaC) Coordinator-AT: Consultaon will be scheduled ONLY aſter AT REQUEST FORM, ER/RR, and IEP are received via email from the Special Educaon Administrator. Incomplete or NON-Microsoſt Word format requests will be returned to the administrator. Submit Request to: [email protected] Revised June 2018

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AIU Assistive Technology (AT)

Consultation Request

TEAM USEStudent Name:      School District:      School Building:     

AIU USEDate completed documents received:      Training and Consultation (TaC) Coordinator-AT:      

Consultation will be scheduled ONLY after AT REQUEST FORM, ER/RR, and IEP are received via email from the Special Education Administrator.Incomplete or NON-Microsoft Word format requests will be returned to the administrator.

Submit Request to: [email protected]

Revised June 2018

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The following changes are in effect as of July 1, 2018

AIU Assistive Technology Request Process

The student’s team should determine the need for an AT consultation. The AT Consultation Request should be completed through a collaborative effort by the team, including the parents. Documents containing the AIU Assistive Technology Considerations Checklists and AIU Assistive Technology FAQs are provided as resources in completing the request.

1. The student’s team should forward the completed AT Consultation Request to the Special Education Administrator for review and approval.

2. A Microsoft (MS) Word version of the AT Consultation Request document must be submitted by the Special Education Administrator via email along with digital copies of the student’s current Evaluation/Reevaluation (ER/RR) and current Individualized Education Plan (IEP) or 504 Plan (PDF). Team completes information on cover page and the AT Consultation Request. Any additional documentation that the team and/or administrator feels pertinent for the AT consultation may also be included

as email attachments.

3. All AT request documentation and questions regarding an AT request should be emailed to: Kristen Tachoir, Training and Consultation Coordinator, Assistive Technology (TaC–AT) [email protected]

4. PLEASE NOTE: If the student’s primary diagnosis is Blind/Visual Impairment, contact Michael Horvat, AIU Vision Assistive Technology Specialist [email protected]

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AIU Assistive Technology Support Options

Option A: Consultation

Team, including parents, requests AT consultation to identify tools and/or strategies

for individual students with IEPs or 504 agreements

D

Team completes AT Consultation Request

Do

Onsite consultation conducted: Observation and/or direct work with the student

Down arrow

TaC-AT facilitates the development of the SETT Framework-Part II (AT Action Plan) with the

student’s team (minimum of two as determined by the team)

D

The primary contact disseminates AT Action Plan to team members, including parents

Option B: Training

Team does not request an AT consultation for an individual student

The team identifies the specific tool for training

D

The team may complete the SETT Framework-Part II to document use of the tool for specific

tasks across environments

To request building or district-wide training of a particular AT tool

Contact:[email protected]

Option C: Use of AIU AT Forms

Team does not require an AT consultation or services

No consultation or training is provided by the TaC-AT

D

The team may use AIU AT forms to document information in preparation for IEP planning or

program developmentD

The team may opt to use forms for record-keeping and data collection purposes

The team does not need to send forms to the AIU

It is recommended that a copy be retained in the student file

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AT Consultation Request 1 of 4ALL four (4) pages MUST be completed and should be completed through a collaborative effort by the student’s team, including the parents

Student InformationName:      

Date of Birth/Age:      

District/School:       District of Residence:       Grade/Educational Placement:      

Current IEP Date:      

Current ER/RR Date:      

Student/Team Availability Consider times during classes, activities, & therapy sessions in which assistive technology may be needed as well as days and times that the student and team members especially related service providers are available.

Monday AM PMTuesday AM PMWednesday AM PM

Thursday AM PMFriday AM PM

Arrival Time:       Dismissal Time:       Student Lunch:       Recess:      

Therapy Sessions (day/time): OT:       PT:       Speech-Language:      Vision:       Hearing:      

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AT Consultation Request 2 of 4Team MembersRole Name Email PhonePrimary Contact                  

Student                  

Parent/Guardian                  

Special Ed/Agency Admin                  

Building Principal                  

General Education Teacher                  

Special Education Teacher                  

Speech-Language                  

IT Building Contact                  

OT                  

COTA                  

PT                  

Teacher of VI/Blind                  

Teacher of Deaf/HH                  

Program Supervisor                  

                       

                       

Team members to attend AT Action Plan meeting following AT Consultation : [Minimum of 2] Name:       Name:       Name:      

Name:       Name:       Name:      

REQUIRED Special Education Administrator APPROVALName:       Date Approved:      

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AT Consultation Request 3 of 4The SETT Framework – Part I: Team Consideration of Student Need for Assistive Technology

SETT WHAT WE KNOW ABOUT OUR STUDENT

WHAT WE NEED TO KNOW ABOUT OUR STUDENT

STUDENT

What does the student need to do but independent completion is difficult? e.g. special needs& current abilities (related to areas to be addressed), expectations & concerns, student interests & preferences

           

ENVIRONMENTS

What is the impact on student performance across different environments? e.g. instructional & physical arrangements, supports of staff & student, materials & equipment, access issues, attitudes & expectations of staff and family

           

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AT Consultation Request 4 of 4The SETT Framework – Part I: Team Consideration of Student Need for Assistive Technology

SETT WHAT WE KNOW ABOUT OUR STUDENT

WHAT WE NEED TO KNOW ABOUT OUR STUDENT

TASKS

What SPECIFIC tasks occur in the student’s natural environment to enable progress toward mastery of goals? What SPECIFIC tasks are required for active involvement? e.g. communication, instruction, productivity, and participation

           

TOOLS

By SPECIFIC name list all “NO-LOW-HIGH” tech options that have been trialed.

Explain how they have or have not yielded positive outcomes.

NOTE: Refer to the AT Considerations Checklists to complete this section

           

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