WATI Assistive Technology Trial Use Guide Student: _____________________________________________ Age: ________ Placement/Classroom: ________________________ AT to be trialed: ____________________________________________ Length of trial: _____________________________________ If trial is successful, we expect to see the student be able: ____________________________________________________________ ___________________________________________________________________________________________________________ Acquisition of AT for Trial: Source of the AT Person Date(s) Date Date to be Trialed Responsible Available Received Retuned Operation and Training: Person primarily responsible to operate (or learn to operate) this AT: ___________________________________________________ Others to Nature/Content of Date Date be trained Training Required Begun Completed
WATI Assistive Technology Trial Use Guide Student: _____________________________________________ Age: ________ Placement/Classroom: ________________________ AT to be trialed: ____________________________________________ Length of trial: _____________________________________ If trial is successful, we expect to see the student be able: ____________________________________________________________ ___________________________________________________________________________________________________________ Acquisition of AT for Trial: Source of the AT to be Trialed Person Responsible Date(s) Available Date Received Date Retuned Operation and Training: Person primarily responsible to operate (or learn to operate) this AT: ___________________________________________________ Others to be trained Nature/Content of Training Required Date Begun Date Completed