Application for Billings Public School S

Application for Billings Public School’s SPECIAL EDUCATION Continuous Improvement Process Review Team

Dear applicant: Thank you for your interest in serving on a team to review Billings Public School’s Special Education programs to be held February 1-3, 2005. The review team will consist of approximately 20 parents and 20 teachers as well as other practitioners and interested personnel from our city and the state for a total of about 50 people. During the review you will be involved in an intense three-day process which will consist of (a) one day (7:30-4:30) of staff presentations of programs and relevant performance data and (b) two days (7:30-4:30) of visitations to classrooms throughout the district to view existing programs. The review will result in an exit report of Commendations and Recommendations which will be given to the Trustees and staff and will assist in the Continuous Improvement Process goal-setting that is required by state and federal regulations and by the Board’s 2004-2005 strategic planning direction.

Use your tab key to move from field to field. Name: Address: Home Phone: Work Phone: Cell Phone: Parent of student(s) attending BPS schools? If yes, which school(s)? Yes no Representative position you would be able to fill: (Check all that apply.) Parent: Teaching Staff: ECI Resource Room ECI Resource Room Pre-school Life Skills Pre-school Life Skills K-6 Independent Living/ K-6 Independent Living/ 7-8 Basic Skills 7-8 Basic Skills 9-12 Delta 9-12 Delta Extended Studies Regular Education Regular Education Related Services representative: Building Administration: Speech Therapy Occupational Therapy ECI, Pre-school K-6 Physical Therapy School Psychology 7-8 9-12 Nurse Social Worker OPI Representative: Title-- BPS Trustee: representing committee-- Representative from which outside agency: Team facilitator

Have you ever been convicted of a felony? Yes No Why do you want to serve on this review team?

I understand that I am committing to the entire three days of this vital process and am confident of my ability to fulfill that obligation. Return to: Kathy Olson, [email protected] Or mail to: Director of Elementary Education Billings Public Schools 415 N. 30th St. Billings, MT 59101-1298