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Home Page Special Education Resources Referral Form For Early Childhood Special Education [microsoft format] [pdf format] Evaluation Template [microsoft format] [pdf format] Exit Summary Form [microsoft format] [pdf format] FBA Form and Support Plan [microsoft format] [pdf format] Goal Writing Tutorial [pdf format] Graph Data for Intervention [spread sheet format] Graph Data for Intervention 2 [spread sheet format] Hearing Request Form [microsoft format] [pdf format] IEP Meeting Facilitation Checklist [microsoft format] [pdf format] Manifestation Determination Form [microsoft format] [pdf format] MN Special Education Mediation Service [pdf format] NOTICE OF PROCEDURAL SAFEGUARDS [microsoft format] [pdf format] Parent - Guardian Consent to Exchange Private Information [microsoft format] [pdf format] Problem Solving Team Referral Form [microsoft format] [pdf format] Request for Facilitated IEP-IIIP-IFSP [pdf format] Request for Mediation [pdf format] Student Profile for General Education Teachers [microsoft format] [pdf format] The Stranger Test and Dead Man's Test IEP Goals and Objectives [microsoft format] [pdf format] Info proc Summary Grid [microsoft format] [pdf format] Behavioral Function Chart [microsoft format] [pdf format] Functional Behavior Evaluation Interview [microsoft format] [pdf format] Director Director   Carol Anhalt, Director of Special Education canhalt@zumbroed.org Coordinators Coordinators   Lynna Reese, Special Education Coordinator, Blooming Prairie Carolynne White, Special Education Coordinator, Byron Diana Orr, Special Education Coordinator, Hayfield Darcy Reker, Special Education Coordinator, Kasson-Mantorville Christian Wernau, Special Education Coordinator, Pine Island Janet Hartman, Special Education Coordinator, Stewartville Linda Clapham, Special Education Coordinator, Triton Dan Przybylski, Coordinator, Futures/CHOICE/Connections Colleen Johnson, ECSE Coordinator, ZED reeselynna@blossoms.k12.mn.us carolynne.white@byron.k12.mn.us orrdi@hayfield.k12.mn.us d.reker@komets.k12.mn.us cwernau@pineisland.k12.mn.us jhartman@ssd.k12.mn.us lclapham@triton.k12.mn.us dprzybylski@zumbroed.org cjohnson@zumbroed.org

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