St. Landry Parish

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St. Landry Parish

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:

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