CONTINUUM OF SUPPORTS School Tracking Sheet School: _______Sacher High School_______________________________ Person(s) completing this form: ____Queen of Special Education Liaison ___________________________________________________________________________________________________ Date: ______Jan 1, 2012____________________________________ Student: Grade: Condition/Category: Indicators/Identifiers: Actions/Supports: Cannot function in a school Continuous adult support and 10 Physical/Medical – Tier III setting without extensive supervision Student A supports and services Extensive support in classroom Totally dependent upon adults including assistant time, adaptive for all aspects of care, safety equipment, adaptation/modification to and meaningful engagement physical environment No residual hearing Daily individual support for language Student B 9 Deaf and Hard of Hearing development – Tier III Has difficulty knowing what is said without visual supports Educational interpreter Regular consultation from Education Consultant for the Deaf and Hard of Hearing Totally blind Requires extensive support from a VI Student C 12 Blind Educational Consultant Follows program of study with Requires Braille assistant or teaching appropriate adaptations and assistant 50-100% of time
CONTINUUM OF SUPPORTS School Tracking Sheet School: _______Sacher High School_______________________________ Person(s) completing this form: ____Queen of Special Education Liaison ___________________________________________________________________________________________________ Date: ______Jan 1, 2012____________________________________ Student: Grade: Condition/Category: Indicators/Identifiers: Actions/Supports: Student A 10 Physical/Medical – Tier III Cannot function in a school setting without extensive supports and services Totally dependent upon adults for all aspects of care, safety and meaningful engagement Continuous adult support and supervision Extensive support in classroom including assistant time, adaptive equipment, adaptation/modification to physical environment Student B 9 Deaf and Hard of Hearing – Tier III No residual hearing Has difficulty knowing what is said without visual supports Daily individual support for language development Educational interpreter Regular consultation from Education Consultant for the Deaf and Hard of Hearing Student C 12 Blind Totally blind Follows program of study with appropriate adaptations and Requires extensive support from a VI Educational Consultant Requires Braille assistant or teaching assistant 50-100% of time