Illinois Student Records Keeper

Illinois State Board of Education
Special Education and

Support Services
ILLINOIS
STUDENT
RECORDS
KEEPER
FOR PARENTS OF STUDENTS
WHO RECEIVE SPECIAL
EDUCATION SERVICES
OCTOBER 2010
Students Name____________________________
Date______________________
Table of Contents
Hello and Welcome: How to Use This Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Identifying Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Things to Think About Before Your Childs Individualized Education Program (IEP) Meeting . . . . . . . . . 5
Things to Think About Before the Transition Portion of the IEP Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Response to Intervention (RtI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Referral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Special Education Eligibility Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Results of the Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
IEP Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
If Transition Is Part of Your IEP Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Reevaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Independent Educational Evaluation (IEE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Other Meetings (As Needed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
School Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Dispute Resolution Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
First Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Mediation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
State Complaint or Due Process? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
State Complaint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Due Process Hearing Request First Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Due Process Hearing Pre-hearing Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Pre-hearing Conference Outcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
The Hearing Are you ready to go? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

The Hearing Decision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Call List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Telephone Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
How to Use This Book

This booklet is for you to use to keep important information about your child and
his/her special education and related services. It is a companion to Educational Rights
and Responsibilities: Understanding Special Education in Illinois.
Records play an important role as you plan your childs education. Dates, people,
meetings and reports are important throughout your childs educational career. The
records keeper was developed to assist you in preparing for Individualized Education
Program (IEP) and transition meetings; getting ready for evaluations and reevaluations;
and keeping track of paperwork and other materials you might need.
This book cross-references the Illinois State Board of Education (ISBE) publication,
Educational Rights and Responsibilities: Understanding Special Education in Illinois.
At the bottom of each page, locate the page number(s) that references a section or pages
in the guide. The guide can be found at http://www.isbe.net/speced/pdfs/parent_guide_english.pdf. The guide offers information to increase your
knowledge and understanding about the topic or issue.
If you have any questions about special education and/or related services, ,call a
consultant at the Special Education and Support Services Division at the toll-free number
1-866-262-6663. The direct number of the Springfield office is 217-782-5589, and the
direct number of the Chicago office is 312-814-5560. The ISBE Special Education
website has many resources and is located at http://www.isbe.net/spec-ed/default.htm.
This 2010 edition was written and produced by:

Deb Kunz, ISTAC Parent Consultant
Andrew Eulass, Illinois State Board of Education
ISBE Student Record Keeper October 2010
Page 1
Page 2
Identifying Information for 20___ - 20___ School Year

Child name: _____________________________________ Date of birth: ________________________________
School District: _____________________________________________________________________________________

School Attending: __________________________________________________________________________________
The school telephone number is: ________________________________________________________________
The school principal is: ____________________________________________________________________________

Dates for this years IEP meeting(s):
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
This years teachers are: (include names of persons who work with your child such as a
speech therapist, social worker, etc.)
General Education Teachers
Special Education Teachers
Make a file and keep copies of any papers you receive during your meetings with the school.
If you arent given copies of reports that you want, ask for them. Then keep the papers in
your file.
ISBE Student
Student Record
Record Keeper
Keeper
- 0ctober
2010
ISBE
October
2010
Page 3
Page 4
20__ - 20__ School Year
20__ to 20__ School Year
Things to Think About Before Your Childs

Individualized Education Program (IEP) Meeting
My childs strengths at home are:
My childs strengths at school are:
A few things my child likes to do are:
A few things my child does not like to do are:
My child is good at:
ISBE Student
Student Record
Record Keeper
Keeper
- November
2009
ISBE
October 2010
page55
Page
20__
20__School
SchoolYear
Year
20__to- 20__

Individualized Education Program (IEP) Meeting (cont.)
My child needs help with:
Problems my child has at home are:
Problems my child has at school are:
Concerns I have for my childs education are:
How do I think my child feels about himself or herself?
ISBE Student
Record Keeper - November 2009
Page
6
ISBE Student Record Keeper Octoberpage

20106

How do I think my child feels about school (if he/she goes to school)?
I think the thing(s) my child needs to learn the most in school is:
The supports my child

child needs
needs to
to be
be successful
successfulat
inschool
schoolare:
are:
The technology my child needs to help him/her learn or to show what he/she knows is:
My dreams for my child are:
ISBE Student Record Keeper - November 2009

page 7
Page 7
20__
20__School
SchoolYear
Year
20__to- 20__

Other thoughts, concerns or ideas about my childs education:
ISBE Student Record Keeper - November 2009

Page 8
page 8
Things to Think About Before

the Transition Portion of the IEP Meeting
What does my son/daughter like to do when he/she has free time? What are his/her hobbies ?
What kinds of paying jobs has my son/daughter done or want to do?
What kind(s) of volunteer work has my son/daughter done or want to do?
Is my young person interested in going on to school past high school?

_____Yes
_____No
What services does my son/daughter receive from state or community agencies?
Page 9
20__
20__School
SchoolYear
Year
20__ to
- 20__

What services or supports do I think my son/daughter needs from state or community agencies?
My son/daughter is aware of different types of jobs available in our community.

Yes_____ No_____
What kind of jobs or career paths would my son/daughter like to have?
Where would you like to see your son/daughter living and working five years from now?
Where does your son/daughter want to be living and working five years from now?
Page 10

What supports does your son/daughter need to prepare him/her for:
working with adult services?
college?
vocational training?
a job or career?
living independently in the community?
advocating for himself/herself?
Does your young adult need any special accommodations, such as interpreters or translators?
Page 11
School Year 20____-20____

RESPONSE TO INTERVENTION
(RtI)
RESPONSE TO INTERVENTION
(RtI)
Did the school use a Response to Intervention (RtI) process to provide support to your
child?
Did the school use a Response to Intervention (RtI) process to provide support to your
Yes_____ No_____
child?
Yes_____ No_____
If yes, what did
interventions
did they use?
What interventions
they use?_____________________________________________
________________________________________________________________________
What interventions did they use?_____________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Were the interventions research-based? Yes_____ No_____
Were the interventions research-based? Yes_____ No_____
Do you know how the school determined what intervention(s) to try?
Yes_____ No_____
Do you know how the school determined what intervention(s) to try?
If yes, what process did they use?_______________________________________
Yes_____ No_____
__________________________________________________________________
If yes, what process did they use?_______________________________________
__________________________________________________________________
What length of time was used for an intervention to determine progress?______________
________________________________________________________________________
What length of time was used for an intervention to determine progress?______________
________________________________________________________________________
How was your childs progress monitored?_____________________________________
________________________________________________________________________
How was your childs progress monitored?_____________________________________
________________________________________________________________________
Did you receive a written intervention plan as part of the RtI process?
Yes_____ No_____
Did you receive a written intervention plan as part of the RtI process?
Yes_____ No_____
Were you informed that you could ask (in writing) for a special education evaluation at
any point during the RtI process? Yes_____ No_____
Were you informed that you could ask (in writing) for a special education evaluation at
If no,
no, were
were you
you told
told that
that you
you had
had to
to wait
wait until
until sometime
a later timelater
(until
datadata
waswas
If
(until
any point during the RtI process? Yes_____ No_____
collected,
collected, until
until aa period
period of
of time
time passed,
passed, or
or other
other reasons)?
reasons)? Yes_____ No_____
If no, were you told that you had to wait until sometime later (until data was
collected, until a period of time passed, or other reasons)? Yes_____
No_____
See Chapter 2, Response to Intervention (RtI) pages 7-14 of Educational Rights and
Responsibilities: Understanding Special Education in Illinois for more information.
See Chapter 2, Response to Intervention (RtI) pages 7-14 of Educational Rights and
Page 12

REFERRAL
REFERRAL
Who made the referral to find out if your child might be eligible to receive special
Who made the referral to find out if your child might be eligible to receive special
education services?________________________________________________________
education services?________________________________________________________
Was it made in writing? Yes_____ No_____ When?_________________________
Was it made in writing? Yes_____ No_____ When?_________________________
Why was the referral made?_________________________________________________
Why was the referral made?_________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Did you attend a meeting about the referral?
Yes_____ No_____
Did you attend a meeting about the referral?
Yes_____ No_____
What was the date of the meeting?______________________________________
What was the date of the meeting?______________________________________
Who was at the meeting?_____________________________________________
Who was at the meeting?_____________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Did you provide any reports or information about your child?______________________
Did you provide any reports or information about your child?______________________
Report name:____________________ Who wrote the report:_____________________
Did they discuss your information in the meeting?_________________________
Did they discuss your information in the meeting?_________________________
__________________________________________________________________
__________________________________________________________________
What were the results of the meeting?_________________________________________
What were the results of the meeting?_________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See Chapter 3, Referral and Evaluation, pages 15-22 of Educational Rights and
See Chapter
3, Referral andUnderstanding
Evaluation, pages
15-22Education
of Educational
Rights
Responsibilities:
Special
in Illinois
for and
more information.
Page 13

School
SchoolYear
Year20____-20____
20____-20____
EVALUATION
EVALUATION
EVALUATION
Were
Wereyou
youasked
askedtotogive
giveyour
yourwritten
writtenconsent
consentfor
forthe
theevaluation?
evaluation? Yes_____
Yes_____ No_____
No_____
Were you asked to give your written consent for the evaluation? Yes_____ No_____
What
Whatwas
wasthe
thedate
dateyou
youwere
wereasked?_____________________________________
asked?_____________________________________
What was the date you were asked?_____________________________________
Did
Didyou
yougive
givewritten
writtenconsent
consentfor
forthe
theschool
schooltoto
todo
dothe
theevaluation?
evaluation? Yes_____
Yes_____ No_____
No_____
Did
you
give
written
consent
for
the
school
do
the
evaluation?
Did you give written consent for the school to do the evaluation? Yes_____ No_____
What
was
the
date
you
gave
written
consent?
What
Whatwas
wasthe
thedate
dateyou
yougave
gaveconsent?____________________________________
consent?____________________________________
What was the date you gave consent?____________________________________
Childs
Childsage
ageatatthis
thistime:__________________________________
time:__________________________________
Childs age at this time:__________________________________
Did
Didthe
theschool
schoolexplain
explainthe
thetests
teststhat
thatthey
theywanted
wantedtotodo?
do? Yes_____
Yes_____ No_____
No_____
Did the school explain the tests that they wanted to do? Yes_____ No_____
List
Listthe
thename
nameofofthe
thetests,
tests,assessments,
assessments,ororother
othertype
typeofofevaluations.
evaluations.
List the name of the tests, assessments, or other type of evaluations.
Name
Nameand
andpurpose
purposeofofthe
thetest:__________________________________________
test:__________________________________________
Name and purpose of the test:__________________________________________
Who
Whodid
didthe
thetest:____________________________________________________
test:____________________________________________________
Who did the test:____________________________________________________
Date
Dateofofthe
thetesting:__________________________________________________
testing:__________________________________________________
Date of the testing:__________________________________________________
Location
Locationwhere
wherethe
thetest
testwas
wasdone:______________________________________
done:______________________________________
Location where the test was done:______________________________________
Name
Nameand
andpurpose
purposeofofthe
thetest:__________________________________________
test:__________________________________________
Who
Whodid
didthe
thetest:____________________________________________________
test:____________________________________________________
Who did the test:____________________________________________________
Date
Dateofofthe
thetesting:__________________________________________________
testing:__________________________________________________
Location
Locationwhere
wherethe
thetest
testwas
wasdone:______________________________________
done:______________________________________
Name
Nameand
andpurpose
purposeofofthe
thetest:__________________________________________
test:__________________________________________
Who
Whodid
didthe
thetest:____________________________________________________
test:____________________________________________________
Who did the test:____________________________________________________
Date
Dateofofthe
thetesting:__________________________________________________
testing:__________________________________________________
Location
Locationwhere
wherethe
thetest
testwas
wasdone:______________________________________
done:______________________________________
Name
Nameand
andpurpose
purposeofofthe
thetest:__________________________________________
test:__________________________________________
Who
Whodid
didthe
thetest:____________________________________________________
test:____________________________________________________
Who did the test:____________________________________________________
Date
Dateofofthe
thetesting:__________________________________________________
testing:__________________________________________________
Location
Locationwhere
wherethe
thetest
testwas
wasdone:______________________________________
done:______________________________________
See
SeeChapter
Chapter3,3,Referral
Referraland
andEvaluation,
Evaluation,pages
pages15-22
15-22ofofEducational
EducationalRights
Rightsand
and
Responsibilities:
Responsibilities:
Understanding
Special
Special
Education
Education
ininIllinois
Illinois
for
forand
more
moreinformation.
information.
See Chapter
Evaluation,
pages
15-22
of Educational
Rights
Page 14

School
Year 20____-20____
School Year
20____-20____
given
copy
of the evaluation
report(s)
the eligibility
Were youWere
givenyou
a copy
of athe
evaluation
report(s) before
thebefore
eligibility
meeting? meeting?
Yes_____Yes_____
No_____ No_____
Did explain
someonethe
explain
the to
report(s)
to you? Yes_____
Did someone
report(s)
you? Yes_____
No_____ No_____
Who did?__________________________________________________________
Who did?__________________________________________________________
Who did not?_______________________________________________________
Who did not?_______________________________________________________
notes
the evaluation
report(s):______________________________
CommentsComments
and notes and
about
the about
evaluation
report(s):______________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See3,Chapter
Referral
and Evaluation,
pages
15-22 of Educational
See Chapter
Referral3,and
Evaluation,
pages 15-22
of Educational
Rights andRights and
Responsibilities:
Understanding
Special
Education
in
Illinois
for more information.
Page 15


School
School
Year
Year
20____-20____
20____-20____
SPECIAL EDUCATION ELIGIBILITY MEETING
School Year
20____-20____
SPECIAL EDUCATION ELIGIBILITY
MEETING
Did you get a written

notice EDUCATION
about
the eligibility
meeting? Yes_____
No_____
SPECIAL
SPECIAL
EDUCATION
ELIGIBILITY
ELIGIBILITY
MEETING
MEETING
EDUCATION
ELIGIBILITY
MEETING
Did youSPECIAL
get awas
written
notice
the eligibility meeting?
Yes_____ No_____
What
the
date
ofabout
the notice?_______________________________________
DidDid
youHow
you
get get
amany
written
aawritten
notice
notice
about
the
the
eligibility
meeting?
meeting?
Yes_____
Yes_____
No_____
No_____
Did
you
receive
written
notice
about
theeligibility
eligibility
meeting?
What
was
the
date
ofabout
thethe
notice?_______________________________________
days
before
meeting
did you
receive
the
notice?_______________
Did you get a written notice about the eligibility meeting? Yes_____ No_____
What
What
waswas
the
the
date
date
of the
ofthe
the
notice?_______________________________________
notice?_______________________________________
How
many
days
before
meeting
did you receive the notice?_______________
What was the date of the notice?_______________________________________
many
many
daysdays
before
before
the
the
meeting
meeting
did did
you
you
receive
receive
the
the
notice?_______________
notice?_______________
Did youHow
askHow
to
change
the
date,
time,
or
place?
Yes_____
No_____
How many days before the meeting did you receive the notice?_______________
Did youIfask
change
the date,
time,
or place? Yes_____
Yes_____ No_____
No_____
yes,todid
the school
make
a change?
DidDid
youIf
you
ask
ask
todid
change
to the
change
the the
date,
date,
time,
or place?
or place?
Yes_____
Yes_____
No_____
No_____
yes,
school
make
atime,
change?
Yes_____
No_____
Did you ask to change the date, time, or place? Yes_____ No_____
yes,
Iftoyes,
did
the the
school
school
make
make
a change?
a change?
Yes_____
Yes_____No_____
No_____
Did youIfgo
the did
meeting?
Yes_____
No_____
If yes, did the school make a change? Yes_____ No_____
Did youIfgo
the meeting?
Yes_____ No_____
no,towhy
not?_____________________________________________________
DidDid
youIf
you
go
gowhy
the
to the
meeting?
No_____
no,to
not?_____________________________________________________
Did
themeeting?
schoolYes_____
askYes_____
for yourNo_____
ideas,
help, or suggestions in another way?
Did you go to the meeting? Yes_____ No_____
If no,
If no,
why
why
not?_____________________________________________________
Did
thenot?_____________________________________________________
school ask for
your ideas, help, or suggestions in another way?
Yes_____
No_____
If no, why not?_____________________________________________________
DidDid
theYes_____
the
school
school
askask
for
for
youryour
ideas,
ideas,
help,
help,
or suggestions
or suggestions
in another
in another
way?
way?
No_____
Did the school ask for your ideas, help, or suggestions in another way?
Yes_____
Yes_____No_____
No_____
Yes_____ No_____
____________________________________________________________
How did that happen?
____________________________________________________________
____________________________________________________________
____________________________________________________________
When was the meeting
held?________________________________________________
____________________________________________________________
When was the meeting held?________________________________________________
When
When
was
the
meeting
meeting
held?________________________________________________
held?________________________________________________
Where
waswas
thethe
meeting
held?________________________________________________
Where was the meeting held?________________________________________________
Where
Where
wasdid
was
theitthe
meeting
meeting
held?________________________________________________
held?________________________________________________
How
long
last?_______________________________________________________
How long did it last?_______________________________________________________
How
How
long
did
it meeting?
last?_______________________________________________________
it last?_______________________________________________________
Who
waslong
atdid
the
Who was
at the meeting?
Name:__________________________
Position:__________________________
Who
Who
was
was
at the
at the
meeting?
meeting?
Name:__________________________
Position:__________________________
Who was at the meeting?
Name:__________________________
Name:__________________________
Position:__________________________
Position:__________________________
Name:__________________________
Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________
Name:__________________________
Position:__________________________
Position:__________________________
Name:__________________________
Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________
Name:__________________________
Position:__________________________
Position:__________________________
Name:__________________________
Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________
Name:__________________________
Position:__________________________
Position:__________________________
Name:__________________________
Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________
Name:__________________________
Position:__________________________
Position:__________________________
Name:__________________________
Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________
Name:__________________________
Position:__________________________
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Name:__________________________
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Responsibilities:
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See Chapter 3, Referral
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15-22inofIllinois
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Page 16

School Year
20____-20____
School
Year 20____-20____
Did you need more than one meeting? Yes_____ No_____School
SchoolYear
Year20____-20____
20____-20____
Did you need
more
than
one
meeting?
Yes_____
No_____
Did you need more than one meeting? Yes_____ No_____
When
was
themore
follow-up
meeting?____________________________________________
Did
Didyou
you
need
need
morethan
thanone
onemeeting?
meeting?Yes_____
Yes_____ No_____
No_____
When wasWhen
the follow-up
meeting?____________________________________________
was the follow-up
meeting?____________________________________________
Did
you
need
more
than
one
meeting?
What
information
and
opinions
did youYes_____
share at the No_____
meeting?______________________
When
When
was
was
thethe
follow-up
follow-up
meeting?____________________________________________
meeting?____________________________________________
What information
and
opinions
did
you
share
at
the
meeting?______________________
What
information and opinions did you share at the meeting?______________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
When
was
themore
follow-up
meeting?____________________________________________
Did
you
need
than
one
meeting?
Yes_____
No_____
Did
you
need
more
thanatone
meeting?
Yes_____ No_____
What
What
information
information
and
andopinions
opinions
did
didyou
you
share
share
atthethe
meeting?______________________
meeting?______________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What
information
and opinions
didthe
you
share at meeting?____________________________________________
the meeting?______________________
When
was the follow-up
meeting?____________________________________________
When
was
follow-up
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Were
you
and the school
staffinformation
able
agree
childs
special
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eligibility?
What
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and opinions
did to
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share
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the meeting?______________________
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________________________________________________________________________
________________________________________________________________________
Were youWere
and the
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agree
special
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and the
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on your
childs
special education
________________________________________________________________________
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________________________________________________________________________
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If
no,
what
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Were
Were
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__________________________________________________________________
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__________________________________________________________________
__________________________________________________________________
Were you
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agree
on your childs special education eligibility?
________________________________________________________________________
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If Ifno,
no,what
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didyou
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with?______________________________________
__________________________________________________________________
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Did
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do anything?
Yes_____ No_____
__________________________________________________________________
Did
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Did
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doschool
anything?
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If
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Were
and
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What?______________________________________________________
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What?______________________________________________________
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If Did
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Did
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____________________________________________________________
____________________________________________________________
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If
no, what
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If no, with?______________________________________
what did you disagree with?______________________________________
What?______________________________________________________
What?______________________________________________________
____________________________________________________________
Did you____________________________________________________________
do
anything? __________________________________________________________________
Yes_____ No_____
__________________________________________________________________
____________________________________________________________
What?______________________________________________________
__________________________________________________________________
Were you
told that
you have a __________________________________________________________________
right to an independent evaluation if you were not satisfied
____________________________________________________________
____________________________________________________________
Were youWere
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have
adone
right
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if you were
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____________________________________________________________
with
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Did
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____________________________________________________________
What?______________________________________________________
What?______________________________________________________
Were
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Were
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werenot
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____________________________________________________________
Results
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done
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school?
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No_____
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oftold
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Were
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have aa disability?
right to____________________________________________________________
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____________________________________________________________
Does
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Does
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Results
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ofthe
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What
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What
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When
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Does
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will look
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_________________________________________________________________
DoResults
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childs
program
look education
like?
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Do
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Results
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When
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_________________________________________________________________
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more
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See Chapter
3, Referral
andyour
Evaluation,
pages 15-22
of Educational
Rights and
Do you
want
what
childs
program
will look
like? Yes_____
No_____
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morethan
than80%
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more
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Responsibilities:
Understanding
Special
Education
in Illinois
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See Chapter
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pages
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of Educational
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See3,Chapter
Referral
and Evaluation,
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Rights and
Will
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in
See
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and
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pages
pages
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15-22
of
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andlike? Yes_____ No_____
more
than
80%
of
the
time_____
Do
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Yes_____
No_____
Do
you
want
what
your
childs
program
will and
look
ISBE Student Responsibilities:
Record
Keeper
October
2010
Page 17
Responsibilities:Understanding
UnderstandingSpecial
SpecialEducation
Education
ininIllinois
Illinois
forformore
moreinformation.
information.
Will your child be educated
in a general
Will your
child beeducation
educated class
in a general education class
more than 80% of the time_____
more than 80% of the time_____

Will your child
be educated
in the
a general
education class:
somewhere
between
40-79% of
time_____

more than 80% of the time? ______
39% or less of the time_____
somewhere

somewhere between
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40-79% of
of the
the time_____
time? ______
not at all_____
39%

39% or
or less
less of
of the
the time_____
time? ______
not

not at
at all_____
all? ______
Comments and notes:______________________________________________________
________________________________________________________________________
Comments and notes:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
Page 18
See Chapter 3, Referral and Evaluation, pages 15-22 of EducationalISBE

Rights
Studentand
Record Keeper October 2010

School
School
Year Year
20____-20____
20____-20____
IEP MEETING
IEP MEETING
IEP MEETING
Did
Didget
youa get
written
written
notice
notice
about
about
the meeting?
themeeting?
meeting?
Yes_____
Yes_____
No_____
No_____
Did you
you
receive
aawritten
notice
about
the
Did you get a written notice about the meeting? Yes_____ No_____
If yes,If what
yes, what
was the
wasdate
the of
date
theofnotice?__________________________________
the notice?__________________________________
If yes, what was the date of the notice?__________________________________
How How
manymany
days days
before
the meeting
meeting
did you
you
receive
the
How
many
days
before
before
the
the meeting
did
didget
youthe
getnotice?__________________
thenotice?
notice?__________________
How many days before the meeting did you get the notice?__________________
Did you
you
receive
reminders
or
Did
Didget
youany
getany
other
anyother
other
reminders
reminders
or notices?
ornotices?
notices?
Did you get any other reminders or notices?
PhonePhone
call_____
call_____
Visit_____
Visit_____
Reminder
Reminder
note_____
note_____
Email_____
Email_____
Phone call_____ Visit_____ Reminder note_____ Email_____
Other_____________________________
Other_____________________________
Other_____________________________
Did you
Didask
youtoask
change
to change
the date,
the date,
time,time,
or place?
or place?
Yes_____
Yes_____
No_____
No_____
Did you ask to change the date, time, or place? Yes_____ No_____
If yes,If did
yes,the
didschool
the school
makemake
a change?
a change?
Yes_____
Yes_____
No_____
No_____
If yes, did the school make a change? Yes_____ No_____
Did you
Didgo
youtogo
thetomeeting?
the meeting?
Yes_____
Yes_____
No_____
No_____
Did you go to the meeting? Yes_____ No_____
If no,Ifwhy
no, not?_____________________________________________________
why not?_____________________________________________________
If no, why not?_____________________________________________________
Did the
Didschool
the school
ask for
askyour
for your
ideas,ideas,
help,help,
or suggestions
or suggestions
in another
in another
way?way?
Did the school ask for your ideas, help, or suggestions in another way?
Yes_____
Yes_____
No_____
No_____
Yes_____ No_____
How How
did that
didhappen?__________________________________________
that happen?__________________________________________
How did that happen?__________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Who Who
askedasked
for the
formeeting?
the meeting?
You_____
You_____
School_____
School_____
Who asked for the meeting? You_____ School_____
If you,
If you,
why did
whyyou
didask?______________________________________________
you ask?______________________________________________
If you, why did you ask?______________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
WhenWhen
was the
wasmeeting
the meeting
held?________________________________________________
held?________________________________________________
Where
Where
was the
wasmeeting
the meeting
held?________________________________________________
held?________________________________________________
How How
long long
did itdid
last?_______________________________________________________
it last?_______________________________________________________
See Chapter
See Chapter
6, Individualized
6, Individualized
Education
Education
Programs
Programs
(IEPs),
(IEPs),
pagespages
33-4933-49
of of
Educational
Rights
Rights
and
Responsibilities:
and Responsibilities:
Understanding
Understanding
Special
Special
Education
Education
in in
See Chapter
6,Educational
Individualized
Education
Programs (IEPs),
pages 33-49
of
Illinois
Illinois
forand
more
forResponsibilities:
more
information.
information.
Educational
Rights
Understanding Special Education in
Illinois for more information.
Page 19

Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Was anyone invited who did not attend? Yes_____ No_____
Was anyone invited who did not attend? Yes_____ No_____
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
How was the absence addressed?_____________________________________________
How was the absence addressed?_____________________________________________
________________________________________________________________________
________________________________________________________________________
Did anyone attend who was not invited or listed on the notice? Yes_____ No_____
Did anyone attend who was not invited or listed on the notice? Yes_____ No_____
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
How was the participation of this person addressed?______________________________
How was the participation of this person addressed?______________________________
________________________________________________________________________
________________________________________________________________________
Did your child attend the meeting? Yes_____ No_____
Why or why not?____________________________________________________
Why or why not?____________________________________________________
__________________________________________________________________
__________________________________________________________________
Did your child actively participate in the meeting (talk about his/her preferences, offer
suggestions, etc.)? Yes_____ No_____
If yes, what did they do?______________________________________________
__________________________________________________________________
__________________________________________________________________
See Chapter 6, Individualized Education Programs (IEPs), pages 33-49 of
See Chapter
6, Individualized
Education
Programs (IEPs),
pages 33-49
of Education in
Educational
Rights and
Responsibilities:
Understanding
Special
Educational
Rights
Responsibilities:
Illinois
forand
more
information. Understanding Special Education in
Page 20

School Year
School
20____-20____
Year 20____-20____
Did you need
Did you
moreneed
thanmore
one meeting
than onetomeeting
complete
to complete
the IEP? the
Yes_____
IEP? Yes_____
No_____ No_____
When wasWhen
the follow-up
was the follow-up
meeting?____________________________________________
meeting?____________________________________________
What information,
What information,
ideas, andideas,
opinions
and did
opinions
you share
did you
at the
share
meeting?_________________
at the meeting?_________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Were yourWere
information,
your information,
ideas, andideas,
opinions
and included
opinions in
included
the IEP?
in the IEP?
Yes_____Yes_____
No_____ No_____
Some_____
Some_____
What wasWhat
included?_______________________________________________________
was included?_______________________________________________________
________________________________________________________________________
________________________________________________________________________
What wasWhat
not included?____________________________________________________
was not included?____________________________________________________
________________________________________________________________________
________________________________________________________________________
What changes
Whatwere
changes
made
were
to the
made
IEP?__________________________________________
to the IEP?__________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Were youWere
and the
youschool
and the
staff
school
able staff
to agree
ableon
to the
agree
IEP?
on the IEP?
Yes_____Yes_____
No_____ No_____
Partially_____
Partially_____
If partially,
If partially,
what part(s)
what
didpart(s)
you agree
did you
on?________________________________
agree on?________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
If partiallyIf or
partially
no, what
or part(s)
no, what
didpart(s)
you disagree
did you about?______________________
disagree about?______________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
See Chapter
See6,Chapter
Individualized
6, Individualized
EducationEducation
ProgramsPrograms
(IEPs), pages
(IEPs),
33-49
pages
of 33-49 of
Educational
Rights and
Responsibilities:
Understanding
Special Education
in
Educational
Rights
Understanding
Special Education
in
Illinois forIllinois
more information.
Page 21

School
School
YearYear
20____-20____
20____-20____
School Year
20____-20____
partially
If partially
or happened
no,orwhat
no, what
happened
happened
next?__________________________________
next?__________________________________
If partiallyIfor
no,
what
next?__________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Dida you
you
receive
aa copy
of
the
IEP
you
left
the
Did
Did get
you
get
copy
copy
ofbefore
the
ofIEP
the
before
IEP
before
you
left
youthe
leftmeeting?
the meeting?
meeting?
Yes_____
Yes_____
No_____
No_____
Did you get
copy
of athe
IEP
you
leftbefore
the
meeting?
Yes_____
No_____
the
meeting?
Yes_____
No_____
When?___________________
after after
the meeting?
Yes_____
No_____
When?___________________
Later afterLater
the Later
meeting?
Yes_____
No_____
When?___________________
and notes:______________________________________________________
and notes:______________________________________________________
CommentsComments
andComments
notes:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
See6,Chapter
See
Chapter
6, Individualized
6, Individualized
Education
Programs
Programs
(IEPs),
(IEPs),
pages
33-4933-49
of of16
See Chapter
Individualized
EducationEducation
Programs
(IEPs),
pages
33-49
ofpages
Educational
Educational
Rights
Rights
and
Responsibilities:
and
Responsibilities:
Understanding
Understanding
Special
Special
Education
Education
in in
Educational Rights and Responsibilities: Understanding Special Education in
Illinois
Illinois
for
more
for
more
information.
information.
Page 22
16 16

IF TRANSITION IS PART OF YOUR IEP MEETING
IF TRANSITION IS PART OF YOUR IEP MEETING
Why or why not?____________________________________________________
Why or why not?____________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Did the IEP team base the transition goals on the students strengths, preferences, and
Did the IEP team base the transition goals on the students strengths, preferences, and
interests? Yes_____ No_____
interests? Yes_____ No_____
Was someone
support
the student(s)
afterstudents
his/her after
school
Was
someone from
from an
an outside
agency agency
outside who
of themight
schools
that might
support the
Was someone from an agency outside of the schools that might support the students after
their
career
at the
transition
Yes_____ No_____
careerschool
present
at thepresent
transition
meeting?
meeting?
Yes_____ No_____
their school career present at the transition meeting?
Yes_____ No_____
Did the IEP team discuss the transfer of parental rights at least one year before your
Did the IEP team discuss the transfer of parental rights at least one year before your
student reached the age of 18?
Yes_____ No_____
student reached the age of 18?
Yes_____ No_____
Did the school provide you and your son/daughter with a copy of the Delegation of
Did the school provide you and your son/daughter with a copy of the Delegation of
Rights form during the IEP meeting in the year that the student turned 17?
Rights form during the IEP meeting in the year that the student turned 17?
Yes_____ No_____
Yes_____ No_____
Has your son/daughter chosen to delegate his/her right to make educational decisions?
Has your son/daughter chosen to delegate his/her right to make educational decisions?
Yes_____ No_____
Yes_____ No_____
Did your son/daughter complete a Delegation of Rights form?
Did your son/daughter complete a Delegation of Rights form?
Yes_____ No_____
Date of form_________________________
Yes_____ No_____
Date of form_________________________
See Chapter 8, Secondary Transition, pages 61-71 of Educational Rights and

See Chapter
8, Secondary Transition,
pagesSpecial
61-71 of
Educational
Rightsfor
and
Responsibilities:
Understanding
Education
in Illinois
more information.
Page 23

School
Year 20____-20____
School Year
20____-20____
Does the transition
plangoals
include
Does the transition
plan include
for: goals for:
and/or training?
EducationEducation
and/or training?
Yes_____Yes_____
No_____ No_____
Employment?Yes_____Yes_____
Employment?
No_____ No_____
Adult
living (if needed)?
Adult living
(if needed)?
Yes_____Yes_____
No_____ No_____
Didteam
the IEP
teamwhat
discuss
type ofyour
diploma
your son/daughter
work toward?
Did the IEP
discuss
typewhat
of diploma
son/daughter
will workwill
toward?
Yes_____Yes_____
No_____ No_____
Whichisdiploma
is your son/daughter
working toward?
Which diploma
your son/daughter
working toward?
Standard diploma_____
Specialor
diploma
or certificate
of completion_____
Standard diploma_____
Special diploma
certificate
of completion_____
If your son/daughter
is graduating,
he/shea Summary
receive a Summary
of Performance
If your son/daughter
is graduating,
did he/shedid
receive
of Performance
(SOP)? (SOP)?
Yes_____Yes_____
No_____ No_____
and notes:______________________________________________________
CommentsComments
and notes:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See8,Chapter
8, Secondary
Transition,
pages
See Chapter
Secondary
Transition,
pages 61-71
of Educational
Responsibilities:
Understanding
Special
Education
in
Illinois
Page 24

REEVALUATION
Did you receive a notice about the reevaluation? Yes_____
No_____
When?____________________________________________________________
Was it time for a three-year reevaluation? Yes_____
No_____
If no, what is the reason for the reevaluation?_____________________________

__________________________________________________________________
Did the school want to do any tests or other evaluations as part of the reevaluation?
Yes_____
No_____
If no,
did did
youyou
agree
withwith
the the
schools
decision
no not
to give
newnew
test(s)?
If
agree
schools
decision
not
to give
give
new
test?
If no,
no,
did
you
agree
with
the
schools
decision
to
test(s)?
Yes_____
No_____
If you didnt agree, why not?__________________________________________

__________________________________________________________________
Did you ask the school to do new tests or other evaluations?
Did the school agree to do the tests or evaluations? Yes_____
Yes_____
No_____
No_____
Were you asked to give your written consent for any new tests or evaluations?
Yes_____
No_____
Did you give written consent to any new tests or other evaluations?
Yes_____
No_____
What was the date of your consent?_____________________________________
Were the tests explained to you? Yes_____
No_____
See Chapter 8, Secondary Transition, pages 61-71 of Educational Rights and

See Chapter
Evaluation, pages
15-22,
of Educational
Rights
and information.
Responsibilities:
Special
Education
in Illinois
for more
Page 25

purpose
of the test:__________________________________________
List theName
name and
of the
tests, assessments,
or other type of evaluations.
Who
test:____________________________________________________
Namedid
andthe
purpose
of the test:__________________________________________
Date
Who of
didthe
thetesting:__________________________________________________
test:____________________________________________________
Location
where
the test was done:______________________________________
Date of the
testing:__________________________________________________
Name
andwhere
purpose
thewas
test:__________________________________________
Location
theof
test
done:______________________________________
Who
test:____________________________________________________
Namedid
andthe
purpose
of the test:__________________________________________
Date
Who of
didthe
thetesting:__________________________________________________
test:____________________________________________________
Location
where
the test was done:______________________________________
Date of the
testing:__________________________________________________
Who
test:____________________________________________________
Namedid
andthe
purpose
of the test:__________________________________________
Date
Who of
didthe
thetesting:__________________________________________________
test:____________________________________________________
Location
where
the test was done:______________________________________
Date of the
testing:__________________________________________________
Who
test:____________________________________________________
Namedid
andthe
purpose
of the test:__________________________________________
Date
Who of
didthe
thetesting:__________________________________________________
test:____________________________________________________
Location
where
the test was done:______________________________________
Date of the
testing:__________________________________________________
Were you given a copy of the evaluation report(s) before the eligibility meeting?
Yes_____
No_____
Were you
given a copy
of the evaluation report(s) before the eligibility meeting?
Yes_____
No_____
Did someone explain the report(s) to you? Yes_____
No_____
Who did?__________________________________________________________
Did someone
explain the report(s) to you? Yes_____ No_____
Who did
not?_______________________________________________________
did?__________________________________________________________
Who did not?_______________________________________________________
See3,Chapter
Secondary
Transition,
pages 61-71
of Educational
See Chapter
Referral8,and
Evaluation,
pages 15-22,
of Educational
RightsRights
and and
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more
information.
Responsibilities:
Understanding
Special
Education
in61-71
Illinoisoffor
more information.
See Chapter
8, Secondary
Transition,
pages
Educational
Rights and
information.
Page 26 Responsibilities: Understanding Special Education in Illinois for more
ISBE Student
Record Keeper October 2010

Comments and notes about the evaluation report(s):______________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See3,Chapter
Secondary
Transition,
pages 61-71
of Educational
See Chapter
Referral8,and
Evaluation,
pages 15-22,
of Educational
RightsRights
and and
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more
information.
Page 27

INDEPENDENT EDUCATIONAL EVALUATION
(IEE)
INDEPENDENT EDUCATIONAL EVALUATION
(IEE)
Why do you want an independent education evaluation?__________________________
________________________________________________________________________
Why do you want an independent education evaluation?__________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Did you send a written request to the school asking for an independent educational
evaluation?
Yes_____ No_____
Did you send a written request to the school asking for an independent educational
Did you keep a copy in your file? Yes_____ No_____
evaluation?
Yes_____ No_____
Did you keep a copy in your file? Yes_____ No_____
On what
what date
date did
did you
you get
receive
a written
response?
On
a written
response?___________________________________
On what date did you get a written response?___________________________________
Did the school agree to pay for an IEE? Yes_____ No_____
What was the reason for the schools decision?____________________________
Did the school agree to pay for an IEE? Yes_____ No_____
__________________________________________________________________
What was the reason for the schools decision?____________________________
Did you keep a copy of the schools letter in your file? Yes_____ No_____
__________________________________________________________________
Did you keep a copy of the schools letter in your file? Yes_____ No_____
If the school refused to pay, then what happened next?____________________________
________________________________________________________________________
If the school refused to pay, then what happened next?____________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Was the IEE done? Yes_____ No_____
If yes, what was the date?_____________________________________________
Was the IEE done? Yes_____ No_____
If yes, who paid?____________________________________________________
If yes, what was the date?_____________________________________________
If no, why not?_____________________________________________________
If yes, who paid?____________________________________________________
__________________________________________________________________
If no, why not?_____________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
See Chapter 3, Referral & Evaluation, pages 15-22 of Educational Rights and
See Chapter 3, Referral & Evaluation, pages 15-22 of Educational Rights and
Page 28

School
Year 20____-20____
School Year
20____-20____
List
the
name
of
the
tests,
assessments,
or
other
type
of
evaluations.
and
of the test:__________________________________________
List and
theName
name
of the
tests,
assessments,
or other type of evaluations.
Name
purpose
ofpurpose
the
test:__________________________________________
Who
did
test:____________________________________________________
Name
andthe
purpose
of the test:__________________________________________
Who did the
test:____________________________________________________
Date
of
Who
didthe
thetesting:__________________________________________________
test:____________________________________________________
Date of the
testing:__________________________________________________
Location
where
thedone:______________________________________
test was done:______________________________________
Date
ofthe
the
testing:__________________________________________________
Location where
test
was
Name
andwhere
thewas
test:__________________________________________
theof
test
done:______________________________________
Name andLocation
purpose
ofpurpose
the test:__________________________________________
Who
did
test:____________________________________________________
Name
andthe
purpose
of the test:__________________________________________
Who did the
test:____________________________________________________
Date
of
Who
didthe
thetesting:__________________________________________________
test:____________________________________________________
Date of the
testing:__________________________________________________
Location
where
thedone:______________________________________
test was done:______________________________________
Date
ofthe
the
testing:__________________________________________________
Location where
test
was
andofpurpose
of the test:__________________________________________
Name andName
purpose
the test:__________________________________________
Who
did
test:____________________________________________________
Name
andthe
purpose
of the test:__________________________________________
Who did the
test:____________________________________________________
Date
of
Who
didthe
thetesting:__________________________________________________
test:____________________________________________________
Date of the
testing:__________________________________________________
Location
where
thedone:______________________________________
test was done:______________________________________
Date
ofthe
the
testing:__________________________________________________
Location where
test
was
andofpurpose
of the test:__________________________________________
Name andName
purpose
the test:__________________________________________
Who
did
test:____________________________________________________
Name
andthe
purpose
of the test:__________________________________________
Who did the
test:____________________________________________________
Date
of
Who
didthe
thetesting:__________________________________________________
test:____________________________________________________
Date of the
testing:__________________________________________________
Location
where
thedone:______________________________________
test was done:______________________________________
Date
ofthe
the
testing:__________________________________________________
Location where
test
was
given
copy
the IEE report(s)?
Were youWere
givenyou
a copy
of athe
IEEofreport(s)?
Yes_____Yes_____
No_____ No_____
Were you given a copy of the IEE report(s)? Yes_____ No_____
Who presented
the IEP meeting?__________________________
Who presented
the resultsthe
of results
the IEEofatthe
theIEE
IEPatmeeting?__________________________
________________________________________________________________________
Who
presented the results of the IEE at the IEP meeting?__________________________
________________________________________________________________________
________________________________________________________________________
See3,Chapter
& Evaluation,
pages
See Chapter
Referral3,&Referral
Evaluation,
pages 15-22
of Educational
Responsibilities:
Understanding
Special
Education
in
Illinois
Responsibilities:
Understanding
Education
in 15-22
Illinoisoffor
more information.
See Chapter
3, Referral Special
& Evaluation,
pages
Educational
Rights and
Page 29

OTHER MEETINGS (AS NEEDED)
Did you receive a writtenOTHER
notice about
the meeting?
Yes_____ No_____
MEETINGS
(AS NEEDED)
many
days before
meeting
did you receive
the notice?_______________
Did youHow
receive
a written
noticethe
about
the meeting?
Yes_____
No_____
Did youHow
ask to
change
date,the
time,
or place?
Yes_____
No_____
many
daysthe
before
meeting
did you
receive the
notice?_______________
If yes, did the school make a change? Yes_____
Did you ask to change the date, time, or place? Yes_____
Did youIfgo
to did
the meeting?
Yes_____
No_____
yes,
the school make
a change?
Yes_____
No_____
No_____
No_____
If no, why not?_____________________________________________________

Didmeeting?
the schoolYes_____
ask for yourNo_____
ideas, help, or suggestions in another way?
Did you go to the
Yes_____ No_____
If no, why not?_____________________________________________________
How
didschool
that happen?__________________________________________
Did the
ask for your ideas, help, or suggestions in another way?
____________________________________________________________
Yes_____ No_____
____________________________________________________________
How did that happen?__________________________________________
____________________________________________________________
Who asked for ____________________________________________________________
the meeting? You_____ School_____
If you, why did you ask?______________________________________________
__________________________________________________________________
Who asked
for the meeting? You_____ School_____
When was
the meeting
If you,
why did held?________________________________________________
you ask?______________________________________________
Where was
the meeting held?________________________________________________
__________________________________________________________________
How
last?_______________________________________________________
Whenlong
wasdid
the itmeeting
held?________________________________________________
Who
theit meeting?
How was
longatdid
last?_______________________________________________________
Name:__________________________ Position:__________________________
Name:__________________________
Position:__________________________
Who was
at the meeting?
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
Page 30

Name:__________________________ Position:__________________________
Name:__________________________ Position:__________________________
What was the purpose of the meeting?_________________________________________

________________________________________________________________________
________________________________________________________________________
What information, ideas, and opinions did you share at the meeting?_________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
Results of the meeting:

Decisions:_________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Reasons for decisions:________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
What happens next?_________________________________________________
__________________________________________________________________
__________________________________________________________________
When will it happen?________________________________________________
25
Page 31

School
School
YearYear
20____-20____
20____-20____
written
notice
explaining
the results
results
of meeting?
the meeting?
meeting?
Yes_____
No_____
Did Did
you you
get aget
written
notice
explaining
the results
of the
Yes_____
No_____
Did
you
receive
aa written
notice
explaining
the
of
the
If yes,
If yes,
whatwhat
was was
the date
the date
of the
of notice?__________________________________
the notice?__________________________________
Comments
notes:______________________________________________________
Comments
and and
notes:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Page 32
Name
Title
Date
If yes, indicate who helped.

Did you ask someone to explain the records to you? Yes_____
No_____

SCHOOL RECORDS
SCHOOL RECORDS
Records kept
kept by
by the
the school:
school
Records
SCHOOL RECORDS
Records kept by the school
SCHOOL RECORDS
Record
Location
Records
kept by
the school
Record
Location
SCHOOL RECORDS(Place
where
record
(Place
where
record is
is kept.)
kept.)
Records kept by the school
(Place
where
record
is
kept.)
Record
Location
Date
of by
Review
Record
Location
Records
kept
the school
(Place where
record is kept.)
Record
Location
Record
Location
(Place where
record is kept.)
(Place
where
kept.)
Have you read the records? Yes_____ No_____ If yes, list the daterecord
of yourisreview:
Have you read the records? Yes_____ No_____ If yes, list the date of your review:
Have Date
you read
the records? Yes_____ Record
No_____ If yes, list the date ofLocation
your review:
of Review
If yes,
list the date of your
review:
DateHave
of Review
Record
Location
you read the records? Yes_____
No_____ If yes,
list
the
date
of
yourisreview:
(Place where record
kept.)
Date of Review
Record
Location
Record
Location
Date of Review
Record
Location
Records
kept
by
the
school
Date of Review
Record
Location
SCHOOL RECORDS
Did you ask someone to explain the records to you? Yes_____ No_____
Did you ask someone to explain the records to you? Yes_____ No_____
Ifask
yes,someone
indicateto
who
helped.
explain
the records to you? Yes_____ No_____
If Did
yes,you
indicate
who helped.
Did you ask
someone to explain the records
to you? Yes_____ No_____Date
Name
Title
If yes,
indicate who helped.
Name
Title
Did
you ask someone to explain the
records to you? Yes_____ Date
No_____
If yes,
yes, indicate
indicate who
who helped.
helped:
If
Name
Title
Date
If yes, indicate who helped.
Name
Title
Date
Name
Title
Date
Did you ask for a copy of the records? Yes_____ No_____

Did
for atocopy
Wereyou
youask
asked
pay of
forthe
therecords?
records? Yes_____
Yes_____ No_____
No_____
Were youDid
asked
payfor
fora the
records?
Yes_____
No_____
youtoask
copy
of the records?
Yes_____
No_____
Were you asked to pay for the records? Yes_____ No_____
Were
you asked
to pay
thedont
records?
Yes_____
Did anyone
tell you
thatfor
you
have to
pay for theNo_____
records if you could not afford
Did anyone
tellyou
youasked
that you
dont
to pay for Yes_____
the records ifNo_____
you could not afford
Were
to pay
forhave
the records?
them?
Yes_____
No_____
Did anyoneNo_____
tell you that you dont have to pay for the records if you could not afford
them? Yes_____
Did anyone tell you that you dont have to pay for the records if you could not afford
them? Yes_____ No_____
Did anyone tell you that you dont have to pay for the records if you could not afford
them?
Yes_____
No_____
See Chapter
13, School
Records, pages 119-122 of Educational Rights and
them?
Yes_____
No_____
See Chapter
13,
School
Records,
pages 119-122
ofEducation
Educational
Rights and
Responsibilities: Understanding
Special
in Illinois
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more information.
See Chapter 13, School Records, pages 119-122 of Educational
Rights and
Responsibilities:
Understanding
Special119-122
Education
in Illinois for
moreand
information.
See Chapter 13, School
Records, pages
of Educational
Rights
ISBE Student Record
Keeper
October
2010
See Chapter 13, School
Records, pages
of Educational
Rights
Responsibilities:
Understanding
Special119-122
Education
in Illinois for
moreand
information.
Page 33
Did you ask for a copy of the records? Yes_____
No_____

Were you asked to pay for the records? Yes_____ No_____
Didthe
anyone
thatthe
yourecords?
dont have
to pay for No_____
the records if you could not afford
Did you ask
schooltell
to you
change
Yes_____
Were you able to add your changes? Yes_____ No_____
Did
ask the
change the
records?
No_____
See you
Chapter
13, school
SchooltoRecords,
pages
119-122Yes_____
of Educational
Rights and
If the school refused to change your childs records, did you add a written note explaining
Were you able to add your changes? Yes_____ No_____
why you disagree with the record? Yes_____ No_____
_
If the school refused to change your childs records, did you add a written note explaining
why you disagree with the record? Yes_____
No_____
See Chapter 13, School Records, pages 119-122 of Educational Rights and
S
R
Page 34

See Chapter 13, School Records, pages 119-122 of Educational Rights and

DISPUTE RESOLUTION CHECKLIST
DISPUTE
RESOLUTION
CHECKLIST
(For each
question, add additional
sheets if you need to)
each question, add additional sheets if you need to)
First(For
Steps
First StepsI. Describe the problem can you describe the problem to your school representatives in
I. Describea the
problem
can you describe the problem to your school representatives in
sentence
or two?_________________________________________________________
a sentence ________________________________________________________________________
or two?_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
II. Are there any questions you need to ask (and have answered) that may help to resolve
II. Are there
questions
need
to ask (and have answered) that may help to resolve
theany
issue(s)?
Listyou
them
here:________________________________________________
the issue(s)?
List them here:________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
III.
III. What
What,ininyour
yourview
view,would
wouldsolve
solvethe
theproblem?
problem?What
Whatdoes
doesthe
thedistrict
districtneed
needto
todo
do
III. What indifferently?
your view would
problem?
What
does the district need to do
Do you
yousolve
needthe
to do
do anything
anything
differently?_____________________________
differently?
Do
need
to
differently?
differently?________________________________________________________________________
Do you need to do anything differently?_____________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See Chapter 11, Conflict Resolution, pages 85-111 of Educational Rights and
Responsibilities:
Understanding
SpecialofEducation
in Illinois
11, Conflict Resolution,
pages 85-111
Educational
Rights for
andmore information.
29
See Chapter
29
Page 35

School
Year 20____-20____
School Year
20____-20____
IV. Have you talked this over with anyone at the district? List any discussions youve
IV. Have you talked this over with anyone at the district? List any discussions youve
had Have
below:
this over
withatanyone
at the List
district?
List any discussions
IV. Have IV.
you below:
talkedyou
thistalked
over with
anyone
the district?
any discussions
youve youve
had
Date
of Conversation/Meeting: ______________________________________________
had below:
had below:
Date of Conversation/Meeting: ______________________________________________
With
Whom?
____________________________________________________________
Date of
Conversation/Meeting:
______________________________________________
Date of Conversation/Meeting:
______________________________________________
With Whom? ____________________________________________________________
What
was discussed?_______________________________________________________
With____________________________________________________________
Whom?
____________________________________________________________
With Whom?
What was discussed?_______________________________________________________
________________________________________________________________________
was discussed?_______________________________________________________
What wasWhat
discussed?_______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
IV.
Have you talked this over with anyone at the district? List any discussions youve
________________________________________________________________________
What
was the outcome? ____________________________________________________
________________________________________________________________________
________________________________________________________________________
had
Whatbelow:
was the outcome? ____________________________________________________
What
was
the outcome?
____________________________________________________
What wasDate
the outcome?
____________________________________________________
of
______________________________________________
With of
Whom?
____________________________________________________________
Date
______________________________________________
With of
Whom?
___________________________________________________________
Date
______________________________________________
______________________________________________
What
was discussed?_______________________________________________________
With Whom?
___________________________________________________________
What
was discussed?_______________________________________________________
With
Whom?
___________________________________________________________
With Whom?
________________________________________________________________________
What___________________________________________________________
was discussed?_______________________________________________________
________________________________________________________________________
was discussed?_______________________________________________________
What wasWhat
discussed?_______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What was the outcome? ____________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
was
the outcome?
____________________________________________________
What wasWhat
the outcome?
____________________________________________________
Date
of
______________________________________________
With
Whom?
___________________________________________________________
Date of
______________________________________________
With
Whom?
___________________________________________________________
Date
of
______________________________________________
______________________________________________
What
was discussed?_______________________________________________________
With Whom?
___________________________________________________________
What
was discussed?_______________________________________________________
With
Whom?
___________________________________________________________
With Whom?
________________________________________________________________________
What___________________________________________________________
was discussed?_______________________________________________________
________________________________________________________________________
was discussed?_______________________________________________________
What wasWhat
discussed?_______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What
was the outcome? ____________________________________________________
________________________________________________________________________
What
was the outcome? ____________________________________________________
________________________________________________________________________
________________________________________________________________________
was
the outcome?
____________________________________________________
What wasWhat
the outcome?
____________________________________________________
Date
of
______________________________________________
With of
Whom?
___________________________________________________________
Date
______________________________________________
With
Whom?
____________________________________________________________
Date
of
______________________________________________
______________________________________________
What Whom?
was discussed?_______________________________________________________
With
____________________________________________________________
What Whom?
was discussed?_______________________________________________________
With
____________________________________________________________
With Whom?
________________________________________________________________________
What____________________________________________________________
was discussed?_______________________________________________________
________________________________________________________________________
was discussed?_______________________________________________________
What wasWhat
discussed?_______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What
was the11,
outcome?
See Chapter
Conflict____________________________________________________
Resolution, pages 85-111 of Educational Rights and
See
Chapter 11, Conflict
Resolution,
pages
85-111 ofinEducational
Rights
and
Responsibilities:
Understanding
Special
Education
Illinois for more
information.
See
Chapter
11,
Conflict
Resolution,
pages
85-111
of
Educational
Rights
and
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more
information.
Date
of Conversation/Meeting:
______________________________________________
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more
information.
With Whom? ____________________________________________________________
Page 36
What was discussed?_______________________________________________________
________________________________________________________________________

School
Year 20____-20____
School Year
20____-20____
was
the outcome?
____________________________________________________
Date
of
______________________________________________
What wasWhat
the outcome?
____________________________________________________
With of
Whom?
____________________________________________________________
Date
______________________________________________
Date
______________________________________________
Whatof
was
discussed?_______________________________________________________
With
Whom?
____________________________________________________________
______________________________________________
With
Whom?
____________________________________________________________
________________________________________________________________________
What
was discussed?_______________________________________________________
With Whom?
____________________________________________________________
was discussed?_______________________________________________________
________________________________________________________________________
What wasWhat
discussed?_______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What
was the outcome? ____________________________________________________
________________________________________________________________________
wasyour
the outcome?
____________________________________________________
V.
discussions
with the district worked out a way to solve the problem(s)?
What wasWhat
theHave
outcome?
____________________________________________________
Yes_____
No_____
V. Have
your discussions
with the district worked out a way to solve the problem(s)?
Have
your
with
the
district
worked
out
a waythose
to solve
problem(s)?
If
yes,
list
whatdiscussions
next
steps,
if any,
need
to out
happen
and
nextthe
steps
have to be
Yes_____
No_____
V. Have V.
your
discussions
with
the district
worked
a way
to when
solve
the
problem(s)?
Yes_____
No_____
completed.
Make
sure
to list
things
youtoneed
to do,
any. those next steps have to be
If
yes, list
what
next
steps,
if any,
need
happen
andif when
Yes_____
No_____
If
yes,needs
list what
next
steps,
if any,
need
happen
and
What
to occur?
_____________________________________________________
Make
toneed
list
things
youtoand
need
to do,
if when
any.
If yes, listcompleted.
what
next
steps,
ifsure
any,
to happen
when
those
nextthose
stepsnext
havesteps
to behave to be
completed.
Make
toit list
things
need
to do, if any.
Whats
the
deadline
for_____________________________________________________
to
happen?
What
needs
totooccur?
completed.
Make
sure
listsure
things
you
need you
to_________________________________________
do,
if any.
What
needs
to_____________________________________________________
occur?for_____________________________________________________
Whats
the deadline
it to happen? _________________________________________
What needs
to occur?
Whats
the for
deadline
for_____________________________________________________
it to_________________________________________
happen? _________________________________________
_______________________________________
What
needs
to itoccur?
Whats the
deadline
to happen?
What
needs
to_____________________________________________________
occur?for_____________________________________________________
Whats
the deadline
it to happen? _______________________________________
What needs
to occur?
Whats
the for
deadline
for_____________________________________________________
it to_______________________________________
happen? _______________________________________
_________________________________________
What
needs
to itoccur?
Whats the
deadline
to happen?
What
needs
to_____________________________________________________
occur?for
_____________________________________________________
If you
and
district
havent
been able
to solve the problem at this point, proceed to the
Whats
thethe
deadline
it to happen?
_________________________________________
What needs
to occur?
Whats
thethe
deadline
for
it to_________________________________________
happen?
_________________________________________
next
If
yousection.
and
district
havent
been able
to solve the problem at this point, proceed to the
Whats the
deadline
for
it to happen?
Ifthe
yousection.
and the
districtbeen
havent
ablethe
to solve
theatproblem
at this
point,toproceed
to the
If you andnext
district
havent
ablebeen
to solve
problem
this point,
proceed
the
next
section.
Mediation
next section.
I. Would a person who doesnt work for the district help resolve the problem?
Mediation
Mediation
Yes_____
No_____
I.
Would
a person
who doesnt work for the district help resolve the problem?
Mediation
Would
a person
whowork
doesnt
work
for the
district
helpthe
resolve
the problem?
Yes_____
No_____
I. WouldI. a person
who
doesnt
for the
district
help
resolve
problem?
No_____
II. Yes_____
Would
you be
willing to sign a written agreement to solve the problem if a solution
Yes_____
No_____
could beyou
worked
out? to
Yes_____
No_____
II. Would
be willing
sign a written
agreement to solve the problem if a solution
Would
betowilling
to
sign agreement
a written
agreement
to solve
theifproblem
if a solution
could
beyou
worked
out?
Yes_____
No_____
II. WouldII.you
be willing
sign
a written
to solve the
problem
a solution
could beout?
worked
out? Yes_____
could be worked
Yes_____
No_____ No_____
See11,
Chapter
11,Resolution,
Conflict Resolution,
pagesof85-111
of Educational
See Chapter
Conflict
pages 85-111
Educational
Responsibilities:
Understanding
Special
Education
in
Illinois
Page 37

School
Year 20____-20____
School Year
20____-20____
III.willing
Are you
to beabout
flexible
theoutcomes
possible outcomes
(in other
III. Are you
towilling
be flexible
the about
possible
(in other words,
arewords,
you are you
prepared
change
youron
position
on some
things
the end
result
be an
prepared to
changeto
your
position
some things
if the
end ifresult
would
be would
an
to you)? Yes_____
acceptableacceptable
solution tosolution
you)? Yes_____
No_____ No_____
Is the
district
also
to work
withoutside
a personthe
outside
to and
help you and
IV. Is the IV.
district
also
willing
towilling
work with
a person
districtthe
todistrict
help you
district
reach atosolution
to the problem(s)?
the districtthe
reach
a solution
the problem(s)?
Yes_____Yes_____
No_____ No_____
If the
all four questions
is contact
yes, thenISBE
contact
ISBE Mediation
Coordinator
If the answer
toanswer
all fourtoquestions
is yes, then
Mediation
Coordinator
Sherry Colegrove
at 217-782-5589
arrange
for a state-appointed
mediator
to meet with
Sherry Colegrove
at 217-782-5589
to arrangetofor
a state-appointed
mediator to
meet with
youdistrict.
and theIfdistrict.
If the
any one isquestion
no, thentoproceed
you and the
the answer
toanswer
any onetoquestion
no, thenisproceed
the nextto the next
section.
youre
unsure
to any question,
treat the as
question
section. (If
youre(If
unsure
about
the about
answerthe
toanswer
any question,
treat the question
if you as if you
yes to it.)
answered answered
yes to it.)
State Complaint
or Due Process?
State Complaint
or Due Process?
you stillachieved
havent aachieved
a satisfactory
to the problem(s),
you may
If you stillIfhavent
satisfactory
solution tosolution
the problem(s),
you may need
to need to
consider
the of
next
stepaofformal
filingcomplaint
a formal complaint
hearing Please
request.
Please refer
consider taking
thetaking
next step
filing
or hearingorrequest.
refer
to pages
Understanding
to pages 95-96
of Educational
Rights andRights
Responsibilities:
Understanding
Special Special
for a comparison
the two processes.
EducationEducation
in Illinoisin
forIllinois
a comparison
of the twoofprocesses.
When whether
decidingtowhether
to file a complaint
or for
a request
for a duehearing,
process hearing,
When deciding
file a complaint
or a request
a due process
consider
some
of the following
before initiating
your complaint
consider some
of the
following
questions questions
before initiating
your complaint
or hearingor hearing
request: request:
Has theoccurred
problem within
occurred
the last year?
calendar
(If thearose
problem
arose more
1) Has the1)problem
thewithin
last calendar
(Ifyear?
the problem
more
than ago,
one year
ago, have
you may
only onefiling
choice:
filingprocess.)
for due process.)
than one year
you may
onlyhave
one choice:
for due
Are you to
prepared
the ifoutcome
notsatisfaction?
to your satisfaction?
(If your answer
2) Are you2)prepared
appeal to
theappeal
outcome
its not if
toits
your
(If your answer
yes, duemay
process
maybest
be your
best
optionitbecause
provides
for an
is yes, dueisprocess
be your
option
because
providesit for
an appeal
to appeal
a court to
ofa court of
law.)
law.)
See11,
Chapter
11,Resolution,
pages
of Educational
See Chapter
Conflict
pages 85-111
of85-111
Educational
Responsibilities:
Understanding
Special
Education
in
Illinois
Page 38

School
Year 20____-20____
School Year
20____-20____
3)have
Do you
you
have(and
the time
time
(and if
if necessary
necessary
thetomoney)
money)
toformal
make presentation
formal presentation
presentation
of
Do
have
the
(and
the
make
aa formal
of
3) Do you3)
the time
if necessary
the money)
make ato
of
yourinposition
position
in the
the(If
matter?
no,
process
may
be
to
your
in
matter?
(If
no, the
the complaint
complaint
process
may
betothe
the
way
to go
go because
because
your position
the matter?
no, the(If
complaint
process may
be the
way
goway
because
it
less
formal
wayofyour
ofmaking
making
yourcase.)
case.)
it is
is aless
formal
way
your
it is less formal
way
of making
case.)
4)willing
Are youtowilling
to use
a legal representative
if necessary
to argue
for your position?
4) Are you
use a legal
representative
if necessary
to argue for
your position?
(Ifyou
no, may
then want
you may
want to aconsider
a complaint
because
the complaint
process doesnt
(If no, then
to consider
complaint
because the
complaint
process doesnt
involveyour
arguing
case
as you
in a duehearing.)
process hearing.)
involve arguing
caseyour
as you
would
in awould
due process
yourtoanswers
to the questions
If yourtoanswers
to the questions
Consider Consider
your answers
the questions
above. Ifabove.
your answers
the questions
suggest suggest
that a complaint
to go,toproceed
the nextIfsection.
If thesuggest
answersthat
suggest that
that a complaint
is the wayistothe
go,way
proceed
the nexttosection.
the answers
dueisprocess
is the preferred
course,
thentoproceed
to theonsection
on duewhich
process, which
due process
the preferred
course, then
proceed
the section
due process,
follows
on complaints.
follows the
sectiontheonsection
complaints.
State Complaint
State Complaint
(thedate):
mailing
date): _______________________________________________
Date FiledDate
(theFiled
mailing
_______________________________________________
NameInvestigator:
of ISBE Investigator:
_________________________________________________
Name of ISBE
_________________________________________________
Contactofnumber
of Investigator:
_____________________________________________
Contact number
Investigator:
_____________________________________________
Email of Investigator:
_____________________________________________________
Email of Investigator:
_____________________________________________________
Contact
Log (remember
to keep
of all correspondence
or notes
Contact Log
(remember
to keep copies
of copies
all correspondence
or notes from
eachfrom each
contact): contact):
Type of(phone
Contact
(phone call/email/letter):
_____________________________________
Type of Contact
call/email/letter):
_____________________________________
Date of Contact:
_________________________________________________________
Date of Contact:
_________________________________________________________
Contact
by/to______________________________________________________
whom: ______________________________________________________
Contact by/to
whom:
of Contact:______________________________________________________
SummarySummary
of Contact:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See11,
Chapter
11,Resolution,
pagesof85-111
of Educational
See Chapter
Conflict
pages 85-111
Educational
Responsibilities:
Understanding
Special
Education
in
Illinois
Page 39

Next Steps, if any:_________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
Next Steps,
if any:_________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Type of Contact (phone call/email/letter): _____________________________________
________________________________________________________________________
Date of Contact: _________________________________________________________
Date of(phone
Contact:
_________________________________________________________
Type of Contact
call/email/letter):
_____________________________________
Contact
whom:
______________________________________________________
Type
of by/to
Contact
(phone
call/email/letter): _____________________________________
Date of Contact: _________________________________________________________
Contact _________________________________________________________
by/to whom: ______________________________________________________
Date of Contact:
Summary
of Contact:______________________________________________________
Date of Contact:
_________________________________________________________
Contact by/to whom: ______________________________________________________
Summary
of ______________________________________________________
Contact:______________________________________________________
Contact by/to
whom:
________________________________________________________________________
Contact
by/to whom: ______________________________________________________
Summary of Contact:______________________________________________________
Summary________________________________________________________________________
of Contact:______________________________________________________
________________________________________________________________________
Summary
of Contact:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
Next Steps,
if any:_________________________________________________________
________________________________________________________________________
Next
Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date of Contact: _________________________________________________________
Date of(phone
Contact:
_________________________________________________________
Type of Contact
call/email/letter):
_____________________________________
Contact
whom:
______________________________________________________
Type
of by/to
Contact
(phone
Date of Contact: _________________________________________________________
Contact _________________________________________________________
by/to whom: ______________________________________________________
Date of Contact:
Summary
of Contact:______________________________________________________
Date
of Contact:
_________________________________________________________
Summary
of
Contact:______________________________________________________
________________________________________________________________________
Contact
by/to whom: ______________________________________________________
Summary________________________________________________________________________
of Contact:______________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
Next Steps,
if any:_________________________________________________________
________________________________________________________________________
Next
Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Responsibilities:
Understanding
Special
Education
Illinois for more
information.
See
Resolution,
pages
Rights
and
Responsibilities:
Understanding
Special
Education
Illinois for more
information.
See
Resolution,
pages
Rights
and
Responsibilities:
Understanding
Special
Education
Illinois for more
information.
See Chapter 11, Conflict
Resolution,
pages
Rights
and
Page 40

________________________________________________________________________
________________________________________________________________________
Type of Contact (phone call/email/letter): _____________________
________________________________________________________________________
Date of Contact: __________________________________________
________________________________________________________________________
Contact by/to whom: _______________________________________
Summary
of Contact:______________________________________________________
Type of Contact
(phone
call/email/letter): _____________________
________________________________________________________________________
Date of Contact:
__________________________________________
________________________________________________________________________
Contact by/to
whom: _______________________________________
Summary________________________________________________________________________
of Contact:______________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps,
if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date of Contact: _________________________________________________________
________________________________________________________________________
Summary
of Contact:______________________________________________________
Type of Contact
(phone
________________________________________________________________________
Date of Contact:
_________________________________________________________
________________________________________________________________________
Contact by/to
whom: ______________________________________________________
Summary________________________________________________________________________
of Contact:______________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps, if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Next Steps,
if any:_________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Page 41

Due Process Hearing Request First Steps
Due Process Hearing Request First Steps
Refer to pages 100-101 of Educational Rights and Responsibilities: Understanding
Refer to pages 100-101 of Educational Rights and Responsibilities: Understanding
Special Education in Illinois for completing a due process hearing request, or use ISBE
Special Education in Illinois for completing a due process hearing request, or use ISBE
suggested request form at http://www.isbe.net/spec-ed/pdfs/dp_parental_19-86a.pdf.
suggested request form at http://www.isbe.net/spec-ed/pdfs/dp_parental_19-86a.pdf.
Date request sent to the local district: _________________________________________
Date request sent to the local district: _________________________________________
Date local district received your request, if known: _____________________________
Date local district received your request, if known: _____________________________
Date you received your initial hearing packet from ISBE: _________________________
Date you received your initial hearing packet from ISBE: _________________________
(Remember that you have 5 calendar days from this date to decide if you want to
(Remember that you have 5 calendar days from this date to decide if you want to
request a substitute hearing officer.)
request a substitute hearing officer.)
Name of Hearing Officer: __________________________________________________
Name of Hearing Officer: __________________________________________________
Contact
for Hearing
Hearing Officer:
Officer: _________________________________________
Contact Number
number for
Contact number for Hearing Officer: _________________________________________
(The following dates can be found in your initial hearing packet from ISBE)
(The following dates can be found in your initial hearing packet from ISBE)
Preliminary Pre-hearing
Pre-hearing conference
Conferencedate:
Date: ______________________________________
Preliminary
Preliminary Pre-hearing conference date: ______________________________________
Preliminary Hearing Date: _________________________________________________
Preliminary Hearing Date: _________________________________________________
(Remember that
that these
these dates
dates are
are subject
subject to
to change
change by
by the
the hearing
hearing officer.
officer. Please
make
(Remember
Please make
(Remember that these dates are subject to change by the hearing officer. Please make
note
they areare
EXTREMELY
IMPORTANT)
note of
of any
anychanges
changestotothese
thesedates
datesthey
EXTREMELY
IMPORTANT)
note of any changes to these dates they are EXTREMELY IMPORTANT)
Due
Hearing
Pre-hearing
Due Process
Process Hearing
Pre-hearingsteps
Steps
Due Process Hearing Pre-hearing steps
Are you and the district going to conduct a resolution session? Yes_____ No_____
Are you and the district going to conduct a resolution session? Yes_____ No_____
(Remember unless you and the district agree in writing to skip the process or conduct a
(Remember unless you and the district agree in writing to skip the process or conduct a
mediation instead of a resolution session, you MUST participate in the resolution
mediation instead of a resolution session, you MUST participate in the resolution
session.)
session.)
If yes, when is the resolution session and where?__________________________
If yes, when is the resolution session and where?__________________________
__________________________________________________________________
__________________________________________________________________
See Chapter
pages Special
85-111 Education
of Educational
Rightsfor
and
Responsibilities:
Understanding
in Illinois
more information.
Page 42

School
Year 20____-20____
School Year
20____-20____
If yes,
did youthe
contact
theofficer?___________________________
hearing officer?___________________________
If yes, when
did when
you contact
hearing
__________________________________________________________________
__________________________________________________________________
If you
no, have
you contacted
theofficer
hearing
explain
that the resolution
If no, have
contacted
the hearing
to officer
explaintothat
the resolution
session session
will notYes_____
occur? Yes_____
will not occur?
No_____ No_____
andfor
time
for the pre-hearing
conference
(if from
different
from the preliminary
date
Date and Date
time set
theset
pre-hearing
conference
(if different
the preliminary
date
listed ___________________________________________________________
above): ___________________________________________________________
listed above):
of the pre-hearing
conference:
_______________________________________
Location Location
of the pre-hearing
conference:
_______________________________________
for submission
& document
lists: ____________________________
Deadline Deadline
for submission
of witnessof&witness
document
lists: ____________________________
Witness
list completed?
Witness list
completed?
Yes_____Yes_____
No_____ No_____
When submitted?
__________________________________________________
When submitted?
__________________________________________________
list completed?
DocumentDocument
list completed?
Yes_____Yes_____
No_____ No_____
When submitted?
__________________________________________________
When submitted?
__________________________________________________
Pre-hearing
Conference
Pre-hearing
Conference
OutcomeOutcome
What
the final scheduled
date
for the hearing?
________________________________
What is the
finalisscheduled
date for the
hearing?
________________________________
Where
will theoccur?
hearing______________________________________________
occur? ______________________________________________
Where will
the hearing
Is theopen
hearing
open
to the____________________________________
____________________________________
Will
the
hearing
be or
open
closed
topublic?
the public?
Is the hearing
or closed
to closed
theorpublic?
are the issues/questions
theofficer
hearing
officer
willataddress
at the hearing?__________
What are What
the issues/questions
the hearing
will
address
the hearing?__________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
See11,
Chapter
11,Resolution,
pagesof85-111
of Educational
Rights and 37
See Chapter
Conflict
pages 85-111
Educational
Rights and
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more
information.
37
Page 43

School
Year 20____-20____
School Year
20____-20____
Are any
district witnesses
from the hearing?
Are any district
witnesses
excluded excluded
from the hearing?
Yes_____Yes_____
No_____
School No_____
Year 20____-20____
If yes, who?________________________________________________________
If yes, who?________________________________________________________
Are
any district witnesses excluded from the hearing? Yes_____ No_____
________________________________________________________________________
________________________________________________________________________
If yes, who?________________________________________________________
____________________________________________________________
____________________________________________________________
________________________________________________________________________
Are
anywitnesses
of your witnesses
from the hearing?
Are any of____________________________________________________________
your
excluded excluded
from the hearing?
Yes_____Yes_____
No_____ No_____
If yes, who?________________________________________________________
If yes, who?________________________________________________________
Are
any of your witnesses excluded from the hearing? Yes_____ No_____
________________________________________________________________________
________________________________________________________________________
If yes, who?________________________________________________________
____________________________________________________________
____________________________________________________________
________________________________________________________________________
____________________________________________________________
Are any
district documents
from the hearing?
Are any district
documents
excluded excluded
from the hearing?
Yes_____Yes_____
No_____ No_____
If yes,
which ones?__________________________________________________
If yes, which
ones?__________________________________________________
Are any__________________________________________________________________
district documents excluded from the hearing? Yes_____ No_____
__________________________________________________________________
If
yes, which ones?__________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
anydocuments
of your documents
from the hearing?
Are any ofAre
your
excluded excluded
from the hearing?
Yes_____Yes_____
No_____ No_____
If yes,
which ones?__________________________________________________
If yes, which
ones?__________________________________________________
Are any__________________________________________________________________
of your documents excluded from the hearing? Yes_____ No_____
__________________________________________________________________
If
yes, which ones?__________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
for submission
of your
finallist
witness
list and documents:
__________________
Deadline Deadline
for submission
of your final
witness
and documents:
__________________
for
submission
of your Yes_____
final
witness
list and documents:
Any
other
rulings
by theofficer?
hearing
officer?
Yes_____
No_____ __________________
Any otherDeadline
rulings
by
the
hearing
No_____
If yes,
were they?_______________________________________________
If yes, what
werewhat
they?_______________________________________________
Any other
rulings by the hearing officer? Yes_____ No_____
__________________________________________________________________
__________________________________________________________________
If
yes, what were they?_______________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
you
received
the pre-hearing
conference
report? Yes_____
Date you Date
received
the
pre-hearing
conference
report? Yes_____
No_____ No_____
Date you received the pre-hearing conference report? Yes_____ No_____
See11,
Chapter
11,Resolution,
pagesof85-111
of Educational
Rights and
See Chapter
Conflict
pages 85-111
Educational
Rights and
Responsibilities:
Understanding
Special
Education
in
Illinois
for
more
information.
Page 44
See Chapter 11, Conflict Resolution, pages 85-111 of Educational Rights

andRecord Keeper October 2010
ISBE Student

The Hearing Are you ready to go?
The Hearing Are you ready to go?
Final witness list prepared and submitted to the district and the hearing officer?
Final witness list Yes_____
prepared andNo_____
submitted to the district and the hearing officer?
Yes_____If yes,
No_____
when submitted? _____________________________________________
If yes, when submitted? _____________________________________________
Clean copies of your supporting documents prepared and submitted to the district and the
Clean copies
of your
supporting
documents
prepared and submitted to the district and the
hearing
officer?
Yes_____
No_____
hearing officer? IfYes_____
No_____ _____________________________________________
yes, when submitted?
If yes, when submitted? _____________________________________________
For witnesses who do not work for the district, have you provided them with the date,
For witnesses
do notfor
work
the district,
have
youshould
provided
them with
the date,No_____
time who
and place
the for
hearing
and when
they
appear?
Yes_____
time and place for the hearing and when they should appear? Yes_____
No_____
If you need subpoenas for some witnesses, have you obtained signed subpoenas from the
If you need
subpoenas
for some
witnesses,
have you obtained signed subpoenas from the
hearing
officer?
Yes_____
No_____
hearing officer? Yes_____
No_____
Have you served the subpoenas on those who require them? Yes_____ No_____
Have you served If
theyes,
subpoenas
require
how didon
youthose
servewho
them
and when?________________________________
If ________________________________________________________________________
yes, how did you serve them and when?________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Have you reviewed both your documents and the districts documents carefully before
Have youthe
reviewed
bothYes_____
your documents
and the districts documents carefully before
hearing?
No_____
the hearing? Yes_____
No_____
Have you reviewed both your witness list and the districts witness list carefully so
Have youyoure
reviewed
bothofyour
and theatdistricts
witness
list carefully
so
aware
whowitness
may be list
testifying
the hearing?
Yes_____
No_____
youre aware of who may be testifying at the hearing? Yes_____
No_____
If you have answered yes to all the questions above, you should be ready to
If you have
answeredinyes
to all the questions above, you should be ready to
participate
the hearing.
participate
in the hearing.
Remember
to listen carefully to everything being said at the hearing and to take notes
Remember
to listen carefully
to everything being said at the hearing and to take notes
throughout
the hearing.
throughout the hearing.
Responsibilities:
Understanding
in Illinois
more information.
See Chapter
pagesSpecial
85-111 Education
of Educational
Rightsforand
Page 45

The Hearing Decision

The Hearing Decision
Date the hearing ended: ___________________________________________________
Date the hearing ended: ___________________________________________________
Date you received the decision: _____________________________________________
Date you received the decision: _____________________________________________
Do you need to clarify anything in the hearing officers decision or order?
Do you need to clarify
anything
in the hearing officers decision or order?
Yes_____
No_____
Yes_____
No_____
(Remember you must file a written request for clarification of the hearing officers
(Remember
you must
file5acalendar
written request
for you
clarification
of the
hearing officers
decision
within
days after
receive the
decision.)
decision within 5 calendar days after you receive the decision.)
Did the result of the hearing favor you or the district? ____________________________
Did the result
of the hearing favor you or the district? ____________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(If
noteissue
which
issues
wereby
decided
in your
favornote
and which
which issues
ones were
(If necessary,
more than one
was
decided
the hearing
officer,
weredecided
decided
(If necessary,
note
which
issues
inissue
yourin
favor
and which
ones
were decided
in the
your
favor
and
which
onesdecided
wereone
decided
thedecided
districts
in
districts
favor
ifwere
more
than
was
byfavor.)
the
hearing
officer.)
in the districts favor if more than one issue was decided by the hearing officer.)
***Remember that you can seek a review of the hearing officers decision with regard to
***Remember
you
canwhich
seek ayou
review
of the Your
hearing
officers
decision
withberegard
to either
those that
issues
with
disagree.
request
for review
must
filed in
those issues
with
disagree.
Yourcalendar
request days
for review
bethe
filed
in either
State
or which
Federalyou
court
within 120
of the must
date of
hearing
officers
State or Federal
court within 120 calendar days of the date of the hearing officers
decision.
decision.
Responsibilities:
Understanding
in Illinois
more information.
See Chapter
pagesSpecial
85-111 Education
of Educational
Rightsforand
Page 46

Call List
School: ____________________________________
Who?
Name
Phone:__________________
Phone
Email
General Education
Teacher
Special Education
Teacher
Related Service
Provider (OT, PT,
Speech)
School Psychologist;
School Social
Worker
School Nurse
Principal
Superintendent
Case Manager
Special Education
Administrator
Board of Education
Member(s)
41
Page 47
TELEPHONE LOG:
Date
Page 48
Person Contacted
Notes:
42
A publication of the Illinois State Board of Education

October 2010
Illinois State Board of Education

100 North First Street Springfield, Illinois 62777-0001
www.isbe.net

Illinois Student Records Keeper

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Special Education and

The Hearing Are you ready to go? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

How to Use This Book

This 2010 edition was written and produced by:

ISBE Student Record Keeper October 2010

ISBE Student Record Keeper October 2010

Identifying Information for 20___ - 20___ School Year

School District: _____________________________________________________________________________________

The school principal is: ____________________________________________________________________________

Special Education Teachers

ISBE Student Record Keeper October 2010

20__ - 20__ School Year

20__ to 20__ School Year

Things to Think About Before Your Childs

My childs strengths at school are:

A few things my child likes to do are:

A few things my child does not like to do are:

My child is good at:

Things to Think About Before Your Childs

Problems my child has at home are:

Problems my child has at school are:

Concerns I have for my childs education are:

How do I think my child feels about himself or herself?

ISBE Student Record Keeper Octoberpage

20__ - 20__ School Year

20__ to 20__ School Year

Things to Think About Before Your Childs

The supports my child

My dreams for my child are:

ISBE Student Record Keeper - November 2009

Things to Think About Before Your Childs

ISBE Student Record Keeper - November 2009

20__ to 20__ School Year

20__ - 20__ School Year

Things to Think About Before

What kinds of paying jobs has my son/daughter done or want to do?

What kind(s) of volunteer work has my son/daughter done or want to do?

Is my young person interested in going on to school past high school?

What services does my son/daughter receive from state or community agencies?

ISBE Student Record Keeper October 2010

Things to Think About Before

My son/daughter is aware of different types of jobs available in our community.

What kind of jobs or career paths would my son/daughter like to have?

ISBE Student Record Keeper October 2010

20__ to 20__ School Year

20__ - 20__ School Year

Things to Think About Before

ISBE Student Record Keeper October 2010

20__ to 20__ School Year

School Year 20____-20____

School Year 20____-20____

ISBE Student Record Keeper October 2010

20__ to 20__ School Year

20__ to 20__ School Year

ISBE Student Record Keeper October 2010

20__ to 20__ School Year

School Year 20____-20____

School Year 20____-20____

Did you get a written

ISBE Student Record Keeper October 2010

20__ to 20__ School Year

20__ to 20__ School Year

Identifying Information for 20_ - 20_ School Year

20 - 20 School Year

20 to 20 School Year

20 - 20 School Year

20 to 20 School Year

20 to 20 School Year

20 - 20 School Year

20 to 20 School Year

20 - 20 School Year

20 to 20 School Year

School Year 20-20

School Year 20-20

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

School Year 20-20

School Year 20-20

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

School Year 20-20

School Year 20-20

20 to 20 School Year

20 to 20 School Year

School Year 20-20

20 to 20 School Year

20 to 20 School Year

Did you ask for a copy of the records? Yes_ No_

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

School Year 20-20

School Year 20-20

20 to 20 School Year

20 to 20 School Year

School Year 20-20

School Year 20-20

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

20 to 20 School Year

School Year 20-20

20 to 20 School Year

20 to 20 School Year