Itinerant Tools and Treasures

Objective

Explore example forms available to increase communication among members of the team serving a student with hearing loss.

Content Information

Click on the form name to view the information in html (on a Web page). The forms can be downloaded in Microsoft Word. Note: the Word documents may need some minor modification to correct possible formating errors.

Forms for Parents and Schools

Form Name (html)	Form Description	Word
Parent Introduction to Consultation	An informative, introduction letter for parents who receive consultation service.
Parent Introduction to Itinerant Service	An informative, introduction letter for parents of students who receive direct services.
Principal Elementary	A letter for elementary principals regarding the Deaf/Hard-of-Hearing Itinerant Program.
Principal Secondary	A letter for secondary principals regarding the Deaf/Hard-of-Hearing Itinerant Program.
Student Folder Cover Letter	A letter introducing teachers serving students with hearing loss to the documents regarding deaf/hard-of-hearing services the student will receive.
What is the IEP?	A letter introducing the legal requirements of the Individual Education Plan (IEP) and the relationship to a student's educational program.
Tips for a Successful Learning Environment for Students with Hearing Loss	A form listing tips to improve student potential for success in a general education setting.
Introduction to Providing Consultation - Elementary	Introductory information regarding a deaf or hard of hearing individual to be given to any and all teachers of an elementary student served on consultation, at the beginning of the school year.
Introduction to Providing Consultation- Secondary	Introductory information regarding a deaf or hard of hearing individual to be given to any and all teachers of a secondary student who is served on consultation.
Introduction to Providing Consultation: Unilateral Loss - Elementary	Introductory information regarding a student with a unilateral loss who is served on a consultation basis at the elementary level.
Introduction to Providing Consultation: Unilateral Loss - Secondary	Introductory information regarding a student with a unilateral loss who is served on a consultation basis at the secondary level for any and all teachers.
Consultation Staff Follow-up	A form to communicate with the teacher(s) of a student on consultation after a conference. Used especially with secondary teachers.
Example Consultation Survey/Report	A form to provide teachers serving a student with hearing loss to obtain information about their classroom activity.
Introduction to Providing Service - Elementary	Introductory information regarding a deaf or hard of hearing student to be given to any and all teachers of an elementary student receiving direct services.
Introduction to Providing Service - Secondary	Introductory information regarding a deaf or hard of hearing student to be given to any and all teachers of an secondary student receiving direct services.
Introduction to Providing Service: Unilateral Loss - Elementary	Introductory information regarding a deaf or hard of hearing student with a unilateral loss to be given to any and all teachers of an secondary student receiving direct services.
Introduction to Providing Service: Unilateral Loss- Secondary	Introductory information regarding a deaf or hard of hearing student with a unilateral loss to be given to any and all teachers of an secondary student receiving direct services.
Level of Hearing Loss	Information explaining hearing losses to be attached to the form introducing a student with hearing loss to the classroom teacher(s), usually at the beginning of the school year.
Hearing Aid Check Form	A form to be used by school personnel responsible for checking hearing systems.
Forms as a Single Document	One document containing all the forms.

Bonus! Explore the option of having a Professional Web Page that you can use to share information with your students, parents, schools, and the community. Here is an example of a Web site created by an itinerant teacher, Barbara Chotiner-Solano, in Miami-Dade, Florida, called The Itinerant Connection. It is full of great resources!

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©2002 Resource Materials& Technology Center: Deaf/Hard of Hearing Webmaster

The Florida Deaf Education Professional Development Online Community (FL DEPDOC) is made possible in part by a grant from The Theodore R. and Vivian M. Johnson Scholarship Foundation. The Resource Materials and Technology Center for the Deaf/Hard of Hearing (RMTC: D/HH - FDLRS) is funded by the State of Florida, Department of Education, Division of Public Schools and Community Education, Bureau of Instructional Support and Community Services through federal assistance under IDEA, Part B and state general revenue funds.