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Drafted courtesy of
Calvin and Tricia Luker
Letter requesting Functional assessment of behavior
and positive behavior support plan
Date
(Name of Special
Education Director)
(Name of School
District)
(Address of School)
Dear (Name of Special
Education Director):
My child, (child’s name)
(date of birth) attends (school name). I believe that (child’s name)
behavior is beginning to interfere with his/her ability to learn and
to reach his/her IEP goals and objectives. The following difficulties
support my concern:
(List your observations – here are some examples)
-
S/he does not know how to respond constructively to
name calling or teasing;
-
S/he is not cooperative in groups;
-
S/he needs assistance to distinguish between socially
acceptable and unacceptable behavioral
responses to various situations and environments;
-
S/he does not recognize situations in his/her
self-control is needed;
-
S/he does not know how to cope with stress-provoking
situations he/she cannot avoid; and
-
S/he does not understand the consequences of
appropriate and inappropriate expressions of his/her
feelings.
Please provide (child’s name) with a functional
assessment of behavior as is required by the Individuals with
Disabilities Education Act [IDEA]. Please consider this letter my
formal request for and consent for the school district to provide the
functional assessment. I understand that a positive behavior support
team will be assembled to review the functional assessment of behavior
and develop an appropriate behavior intervention plan. I expect to be
included in the functional assessment of behavior and as active
participant on the team developing the behavior intervention plan
Please provide me with copies of all FBA data and results as soon as
they become available to you. I hope that this request can be
expedited as (child’s name) already has been suspended in/from school
on (number of times) for a total of (number of days) days.
Thank you for giving this request for a functional
assessment of behavior your immediate attention. I will work with you
to address and achieve (child’s name) educational goals using positive
behavior support and an effective behavior intervention plan.
Sincerely,
(Your name)
(Your address)
(Your telephone number)
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