STUDENT SERVICES INFORMATION SHEET
Dear Parent/Guardian of _______________________________________.
Your child is enrolled in the ___________________________class at_____________________.
Listed below are all of the professionals who will be involved with your child
throughout this program year. You can contact any of us with your questions
and/or concerns by calling 761-2731. We look forward to working with you
to help your child have a wonderful school year!
· Your child’s classroom
team is:
| Teacher: |
| Associate Teacher: |
| Associate Teacher: |
· Your child will be receiving the following Related Services:
| Related Service | Clinician's
Name | Frequency/Group Size |
| | | |
| | | |
| | | |
| | | |
· Prime Time’s
Director is: _______________________________________·
Prime Time’s Administrative Assistant is: ______________________________________________·
Prime Time’s CPSE/Evaluation Coordinator is: ____________________________________________·
Coordinator of the Parenting Partnership Program is: __________________________________________·
Prime Time’s part time Nurse is: ______________________________________________·
Your child’s Bus Company is: ______________________________________ Phone
Number____________Again, please do not hesitate to call any of
us at 761-2731. We look forward to a great year!
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