Checklist for Additional Aide Support
Student:
Teacher:
Age:
School:
Grade:
DOB:
Case Manager:
Date:
Disability:
Placement:
A request for additional aide support is made only after other site interventions have proven unsuccessful.
A student’s educational program must be carefully evaluated to determine when and where the additional
support is required. Natural support and existing staff should be used whenever possible to promote the
least restrictive environment. A primary goal for all students with special needs is to encourage, promote,
and maximize independence. If not thoughtfully implemented and carefully monitored, additional
assistance can easily and unintentionally foster dependence and hinder growth. As a result, the IEP team
must periodically review the continued need and effectiveness of this additional support. It is the intent of
the policy for staff to follow the process, however, at times extenuating circumstances may exist that may
be considered by the team and administration (e.g., serious medical needs, temporary support).
New Referrals:
Step 1 - To Be Completed by School Site Staff
Complete Referral for Additional Aide Assistance (Form A)
date/initials
Complete and Send Evaluation Plan to parents
date/initials
Obtain Parent Permission to Evaluate
date/initials
Step 2 – Observations to be completed by Case Manager, Psychologist, Administrator,
and other staff, as appropriate (Nurse, OT)
Step 3 - To Be Completed by Case Manager, Psychologist, and other staff, as appropriate
Review Behavioral Data (data collection on frequency, duration, and severity)
date/initial
Review Progress on IEP Goals
date/initials
Review Information from Other Records, as appropriate
Academic Progress/Assessments
Psycho-Educational Report(s)
Discipline Referral Information
Health Records
Other:
date/initials
Complete Student Needs Rubric (Form B)
date/initials
Complete Review of BSP or BIP when referred for behavioral reasons (Form C)
date/initials
Complete Student Needs Analysis (Form D)
date/initial
Step 4 – Evaluation Completed
Team completes Recommendation to Director, and submits with
supporting documentation to Director
date/initials
If Aide support recommended - Team completes Independence Plan.
date/initials
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Step 5 - IEP Meeting
Hold IEP Meeting
date/initials
If Aide Assistance NOT Recommended – Process Ends
(If parent(s) are not in agreement, send Notice of Proposed
Action or Parent Notice of District Refusal)
If Aide Assistance Recommended: Include related goals and information on
duration, frequency, and location of aide Assistance in IEP.
For Review of Continued need for Aide Support:
Complete Student Need Analysis (Form D)
date/initials
Complete Review to Determine Continued Need for Additional Aide Support
date/initial
Revise or update Independence Plan as appropriate
date/initials
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