St. Landry Parish
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Revised May 2015 ST. LANDRY PARISH PUPIL APPRAISAL CENTER FOLLOW-UP REPORT
NAME OF STUDENT CASE NO.
SCHOOL
DATE OF INTERPRETATION
DATE OF DISSEMINATION
EXCEPTIONALITY
RELATED SERVICES
CASE INTERPRETED TO (Check the one appropriate):
Principal SBLC Chairperson
Teacher Guidance Counselor
Other
A complete evaluation report was interpreted and discussed with school personnel. Recommendations as set forth by the Pupil Appraisal team were accepted.
*Initial IEP due on or before: *Updated IEP for new exceptionality due on or before:
Copy of this follow-up given to: Teacher/Therapist and IEP Specialist (If new exceptionality)
SIGNED:
Principal Teacher
Guidance Counselor Pupil Appraisal Staff Member
SBLC Chairperson Other COMMENTS: