27. race/ethnicity Autism Child’s White Communication Impairment Black or African-American Deaf-Blind Impairment Hispanic or Latino Developmental Delay Asian or Pacific Islander Emotional Impairment American Indian or Alaskan Native Health Impairment Multi-racial Hearing Impairment Intellectual Impairment 28. Language spoken in the home Multiple Disabilities English Neurological Impairment Spanish Physical Impairment Portuguese Specific Learning Disability Chinese Vision Impairment Creole/Haitian Vietnamese Other _________________ Thank you for participating. APPENDIX C: Massachusetts Parent Involvement Survey (FFY2010) APPENDIX D: Postsecondary Transition Planning Checklist Student Name _______________________________________ SASID _______________________________ Age ________ District _____________________________________________LEA Code ____________________________ Date ________
27. Child’s race/ethnicity White Black or African-American Hispanic or Latino Asian or Pacific Islander American Indian or Alaskan Native Multi-racial 28. Language spoken in the home English Spanish Portuguese Chinese Creole/Haitian Vietnamese Other _________________ Autism Communication Impairment Deaf-Blind Impairment Developmental Delay Emotional Impairment Health Impairment Hearing Impairment Intellectual Impairment Multiple Disabilities Neurological Impairment Physical Impairment Specific Learning Disability Vision Impairment Thank you for participating. APPENDIX C: Massachusetts Parent Involvement Survey (FFY2010) APPENDIX D: Postsecondary Transition Planning Checklist Student Name _______________________________________ SASID _______________________________ Age ________ District _____________________________________________LEA Code ____________________________ Date ________