British Columbia First Nations Schools Process for Accessing SET-BC Services School Based Referral Action Steps School Based Responsibilities 1. Teacher refers the student to the School Team. 2. School selects a school based contact person. 3. If SET-BC services are considered, complete the First Nations School Screening Checklist. 4. Submit the First Nations School Screening Checklist to the First Nations Education Steering Committee (FNESC)/First Nations Schools Association (FNSA) office. 1. Student must have the characteristics and descriptors of one or more of the following disability groups: a. physical handicap b. visual impairment c. dependent or multiple handicap d. autism Student’s access to the curriculum is restricted by their disability. 2. School Team completes the Screening Checklist. 3. School based contact person submits the Screening Checklist to the FNESC/FNSA office. In 2007, the First Nations School Association membership agreed to use a portion of the Special Education Program (SEP) funding to enter into an agreement with SET-BC for the provision of services to students with special needs that fit within the SET-BC mandate and who attend First Nations Schools. FNESC/FNSA and SET-BC Agreement
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British Columbia First Nations Schools Process for Accessing SET-BC Services
School Based Referral Action Steps School Based Responsibilities
1. Teacher refers the student to the School Team.
2. School selects a school based contact person.
3. If SET-BC services are considered, complete the First Nations School Screening Checklist.
4. Submit the First Nations School Screening Checklist to the First Nations Education Steering Committee (FNESC)/First Nations Schools Association (FNSA) office.
1. Student must have the characteristics and descriptors of one or more of the following disability groups:
a. physical handicapb. visual impairmentc. dependent or multiple handicapd. autism
Student’s access to the curriculum is restricted by their disability.
2. School Team completes the Screening Checklist.
3. School based contact person submits the Screening Checklist to the FNESC/FNSA office.
In 2007, the First Nations School Association membership agreed to use a portion of theSpecial Education Program (SEP) funding to enter into an agreement with SET-BC for the provision of services to students with special needs that fit within the SET-BC mandate and who attend First Nations Schools.
SET-BC MandateSET-BC is a Provincial Resource Program designed to assist BC School Districts in meeting the technology needs of students with physical disabilities, visual impairments and autism. SET-BC’s mandate is:
1. to loan assistive technologies (reading, writing, and communication tools) where those are required to ensure students’ access to educational programs, and
2. to assist School Boards in providing the necessary training for students and educators in the use of these technologies.
FNESC/FNSA and SET-BC Agreement
First Nation School Screening Checklist
for SET-BC Service
Student Name: Submitted By:
Due Date:
2013/06/14 Date Submitted: YY / MM / DD
Please Returnform to:
First Nations Education Steering Committee (FNESC)Attention: Barb O’Neill
at:Suite 113, 100 Park Royal South, West Vancouver BC T2A1A7
Tel: 604-925-6087 Fax: 604-925-6097 Email: [email protected] 1. Student Information:Student is currently using SET-BC Assistive Technology Yes No
Student is currently using Assistive Technology Yes No
Surname Given name(s) Birth Date (yy/mm/dd) Home Address (Complete Mailing Address)
SET-BC / District Partneruse only Service Points
City:
Postal Code
Grade:
Gender M F
1.2 Student Status Information:Student is reported as: Deaf/Blind (DB) physically handicapped /chronic health (PH) dependent handicapped (DH)
autistic (AUT) moderate to profound (MP) visually impaired (VI)
Type of Impairment (Check those that apply) motor vision communication cognitive
Disability Diagnosis: 1.3 School Information:Key School Contact Person:
Braille large print (lp) lp with speech support auditory only
large print (preferred font size)
Braille: uncontracted contracted
Student Ability:
typing speed Optical Aids Used low vision clinic (include report) preferred magnification
2.4. Communication No ConcernsSpeech/Language: speaking articulation difficulties language difficulties
non-speaking: communicates by (explain briefly below) sign language gesturing/pointing communication boards/books Picture Exchange Communication
System simple speech output device (Big Mac) dedicated voice output communication device other (specify)
What is the student’s primary mode of communication? 2.5. Social / Behavioural No ConcernsPlease Describe:
peer interaction time on task / attention span work productivity impulsivity safety issues no concerns
2.6. Access to Curriculum (student snapshot)What barriers prevent this student from meeting reasonable educational goals? What non-technical and / or technical strategies have been investigated or put in place to overcome the barrier(s)? Please indicate and comment on the student’s willingness to use technology and on his / her technology preference. 3. Educational Program: List 1 primary goal. Two additional goals may be recorded.The student’s educational program is modified adapted other (explain)
Technology will be used: in class, in resource room, in multiple locations.Estimate frequency of technology use a in the student’s program
occasionally (1-2 times per week) on a daily basis (up to one hour per day)
frequently (3-5 times per week) almost continually (3-5 hours per day)
3.1 Educational ObjectivesArticulate a measurable educational objective to be supported with the use of technology and included in the current IEP or based on a current IEP goal. Include current levels of performance (baseline statement) and how assistive technology will be used as a strategy to meet the objective. (attach copy of IEP)IEP Goal:
Please make the objectives below SMART (Specific, Measurable, Achievable, Relevant and Time-limited)
Objective 1:
Current level of performance:
How will assistive technology be used as a strategy
Evaluation criteria:
Objective 2: (optional)
Current level of performance:
How will assistive technology be used as a strategy:
Evaluation criteria:
Objective 3: (optional)
Current level of performance:
How will assistive technology be used as a strategy:
Evaluation criteria:
5. School Team
Please indicate your School Team’s readiness to implement technology:Technical Skills/Support
o School Team’s technical skillso Access to tech support within the school
beginning limited
intermediate adequate
advanced occasionally
School SupportAvailability for meetings
Release time for training
Purchase of peripherals (printer, scanner)
Purchase of consumables (printer ink, etc.)
Purchase of educational\productivity software
School based transition plans
limited
limited
limited
limited
limited
limited
adequate
adequate
adequate
adequate
adequate
adequate
easily met
easily met
easily met
easily met
easily met
thorough
(not supplied by SET-BC)
Will the student be transitioned to a new team or new school next year? yes noPlease comment
4.1 School Team:Please list school personnel involved with this student
Job Role Name Aware of this referralParent/Guardian yes no
Classroom Teacher yes noResource Teacher yes no
Speech/Language Pathologist yes noAugmentative Communication Consultant yes no
Vision Teacher yes noOccupational Therapist yes no
Physiotherapist yes noTeaching Assistant yes no
Counselor yes noOther yes no
5. Technology ConsiderationsWhat computer platform is currently in the school? Macintosh Windows
Are there other SET-BC computers in the school? Yes NoHow is the student currently accessing computers in the school? (include location and frequency of access)
What type of technology is currently in place for the student? (include hardware and software)
What type of technology has been recommended / are you considering requesting from SET-BC ?
Portable word processor Computer Talking word processing software Word prediction Picture processor Integrated scan/read/write software
Alternate access
Screen magnification Screen magnification with speech CCTV Print to Braille software and Braille printer Screen reader Refreshable Braille device
Augmentative and alternative communication software Augmentative and alternative communication device Other
Attached Documents:Please list attached documents:
NOTES:
ACCESSING SET-BC SERVICESSET-BC is a Provincial Resource Program designed to assist BC School Districts in meeting the technology needs of students with physical disabilities, visual impairments and autism. FNESC/FNSA has entered into an agreement with SET-BC to begin to deliver the equivalent services in BC First Nations schools.
Successful selection and implementation of Assistive Technology may include:
o effective consultation including student input, to ensure a good match of technology features to student need
o clear educational goals and a clear idea of how technology will support those goalso adequate time for School Team planning, training and follow-up trainingo the School Team sharing responsibility for solving problems, creating
overlays/templates, monitoring use, etc.o integration throughout the daily schedule o adequate practice time for the studento adequate funding for purchase of necessary peripherals (printers, scanners) or
consumable items (printer ink, batteries, etc.)o coordinated maintenance and support
SET-BC provides: consultation services to match technology to student needloan of assistive technology to First Nation schools for the use of eligible students
(software and/or hardware) school team training, follow-up training and re-training implementation resources technical support to maintain and repair SET-BC equipment
School Team undertakes to provide: release time for consultation, planning meetings, follow-up training and retrainingperipheral devices (printers, scanners) and consumables as needed access to additional educational software required, e.g. MS Wordsafekeeping of the SET-BC loaned technology
School Team Commitment:I have read the suggested guidelines for successful implementation of assistive technology and I understand the School Team’s responsibilities. Should my student be allocated SET-BC
service, I am committed to providing time and the resources listed above to successfully implement the assistive technology.
School Principal Signature Date
School-based Contact Signature Date
FNSA/FNESCParent/Guardian Authorization for Release of Information
Date of Birth: ____________________________________
AuthorizationI understand that an application is being made to the First Nations Education Steering Committee (FNESC) and to the First Nations Schools Association (FNSA) for SET-BC services for my child. As part of that application, I understand that the School, ________________________, must provide information about my child to the FNESC and FNSA for evaluation. That information may include information about my child’s special needs, medical and educational history, Individual Education Plan, testing and assessment results and similar information. I understand that information will be used by FNESC and the FNSA for the purposes of making a decision about providing additional funding for services for my child. I understand why I have been asked to release information and am aware of the risks or benefits of consenting or refusing to consent to release this information. I understand that all information will be treated as confidential by FNESC and FNSA, but that it will be disclosed within FNESC and FNSA to those individuals who are considering the funding application. I also understand that I may revoke this consent at any time by submitting a written revocation document to the FNESC. I understand that if I do not consent to the release of this information that my child may not receive the support services that would be funded by this application.
□ Yes □ No I authorize release of school records to FNESC and the FNSA, including the records described above, concerning my child for the purpose of my child’s school applying for Special Education SET-BC Services/resources for the above. The records should be directed to:
Director, Special Education, First Nation Education Steering Committee &First Nations Schools Association#113 – 100 Park Royal SouthWest Vancouver, BC, V7T 1A2Tel (604) 925-6087Fax (604) 925-6097
Signature of Parent/Guardian: ________________________________________Name of Parent/Guardian (please print): ________________________________