KA-E1 classroom observation parent request

KA-E1
PARENT/PROVIDER REQUEST FOR CLASSROOM VISITATION
RSU 1 welcomes visits to our schools and classrooms by parents,
community members, and other interested educators.  In addition, we
encourage volunteers in our classrooms when opportunities are
presented.  However, to minimize disruptions to our students' experience
in our schools, we have established procedures governing classroom
observations.
Parents/guardians or providers will make a written request to the
Principal at least two days in advance of a requested visitation.

An administrator or other school staff member (e.g., special educator,
team leader, etc.) may accompany the observer for the duration of the
observation. Unless there are special circumstances, visitations will be
limited to one person, one visitation per child per month for a period
of up to 60 minutes.

DATE: __________________
PERSON MAKING REQUEST:
__________________________
STUDENT: _______________________SCHOOL:
_________________GRADE: _________
Requested Location and Date of Visitation:
_________________________________________________
Reason for Visitation (What specifically would you like to observe?)
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
[For Outside Agency Providers Only:]
Name of Agency: ____________________________
Purpose of the Visitation:
________________________________________________________________
(Must provide proof of release of information signed by parent within
past 12 months)
[For RSU 1 Personnel:]
Date of Pre-Conference:
_________________________________
Conference Facilitator:
__________________________________
Date of Scheduled Visitation:
_____________________________
Observer Assigned:
_____________________________________
Date of Post-Conference:
________________________________
Conference Facilitator:
__________________________________
Concerns and/or Main Points Discussed?
___________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
Adopted: March 24, 2014