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#18-005059-0003
Supplemental Questionnaire

Last Name
First Name
1

Do you have experience developing and implementing standards aligned
Individual Education Plans (IEPs)?

Yes No
2

Please describe in detail your experience developing and implementing
standards aligned Individual Education Plans (IEPs). Include in your
answer employer name(s) and dates of employment. If you do not possess
this experience, enter N/A.

3

Do you have experience creating and presenting professional development
around special education topics (i.e.: disproportionately, specially
designed instruction, Least Restrictive Environments (LRE), etcetera)?

Yes No
4

Please describe in detail your experience creating and presenting
professional development around special education topics (i.e.:
disproportionately, specially designed instruction, Least Restrictive
Environments (LRE), etcetera). Include in your answer employer name(s) and
dates of employment. If you do not possess this knowledge and experience,
enter N/A


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