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SLP Workload Summary

(Reflecting CT SLPs’ SRBI and Special Education Roles)

SLP: ____________________ School: __________________________

Tier I Impact

Grade Teacher/Class Number of Time Per Comments/Information


Level Students Week
Served

Totals

Tier II Impact

Grade Teacher/Class Number of Time Per Comments/Information


Level Students Week
Served

Totals

Donna D. Merritt, Ph.D., CCC (SERC, 2009)


Tier III Impact

Grade Teacher/Class Number of Time Per Comments/Information


Level Students Week
Served

Totals

Special Education Impact

Grade Teacher/Class Number of Time Per Comments/Information


Level Students Week
Served

Totals

Workload Totals
Numbers of Classes ____________

Number of Students ___________

Amount of Time Per Week ______________

Donna D. Merritt, Ph.D., CCC (SERC, 2009)

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