New Hanover County Schools - DOC

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					                               New Hanover County Schools
                           Special Education and Related Services
               Principal’s Request for Additional Paraeducator Personnel

School: ______________________________                   School Year ___________________
REQUEST:             Continuation of position # _______________________
                                                (must provide position No.)
                     New

** Paraeducator Requested will Serve ______ Classrooms and/or ____ IEP’s
                                       (no.)                       (no.)
           **If this requested paraeducator is for (1) one IEP, complete Section 10

Name of Supervising Teacher _______________________________________________

Number of Paraeducators currently supervised by this teacher ______________________


1. Why are additional personnel needed? Describe what the paraeducator will do and attach a
   proposed schedule.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

2. State all the supplementary services, accommodations and modifications the proposed
   paraeducator will implement including frequency and duration information specified on
   current IEP(s).

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

3. In the event that this proposal is not successful or is delayed, how will the items in #2 be
   addressed?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________



Revised 4/06                                                                        Page1   of 3
4. Describe how the assignment of additional personnel will not result in interference with peer
   interaction, over-dependence and loss of personal control of the student(s) served.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

5. Describe the qualifications and experiences that will be sought and the training the
   paraeducator and supervising professional will receive, by whom, on what schedule and what
   will be included in order for the additional support to be successful for the student(s).

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

6. Describe the natural supports attempted and that will continue to be employed in conjunction
   with the proposed paraeducator support.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

7. Describe the physical and environmental characteristics within the school and classroom that
   have been adjusted and modified in an effort to address the items listed in #2.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

8. Describe the organizational, administrative and personnel alternatives that were attempted
   and considered to address the items in #2. Include schedules for all professional and
   paraprofessional personnel involved to support your response.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

9. Describe the strategies and timetable that will be used to reduce the support provided by the
   proposed paraeducator leading to independence and self-sufficiency of the student(s).

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Revised 4/06                                                                      Page2   of 3
10. Risk Pool/Special Reserve: (MUST BE COMPLETED IF REQUEST IS TO SUPPORT
    A SINGLE IEP)

**ATTACH CURRENT IEP IF THE STUDENT’S INFORMATION IS NOT IN GOALVIEW**

A. Student Information:


Student’s Name ________________________________ NCWISE # ___________________

Date of Birth _______________________               Disability _________________________

Ethnic Group _______________________ Gender ___________________________

Date student officially enrolled in our school system _________________________________

School system student last attended _______________________________________________

Student currently resides in a group home or similar facility   ______Yes   _______No




B. Narrative Description of Services:
   Provide examples of the student’s needs/behaviors that require additional support
   (include any medical or mental health diagnostic information)




Principal Signature                                                         Date
Revised 4/06                                                                Page3   of 3

				
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