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Form Title	PDF	Word
Initiating Inclusive Early Childhood Programs for Young Children with Severe Disabilities
Selecting a Preschool or Child Care For Young Child
Placement Option Visiting Notes
Parent Questionnaire
Environmental Assessment
Child Summary Form
Classroom Checklist for Teachers
Parent Inventory
Personnel Preparation Checklist
Letters to Parents: sample
Letters to Parents: blank

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Initiating Inclusive Early Childhood Programs for Young Children with Severe Disabilities

Thompson, B., et al. (1993). Handbook for the inclusion of young children with severe disabilities: Strategies for implementing exemplary full inclusion programs. Lawrence, KS: Learner Managed Designs, Inc.

A list of things needed to be done to initiate an inclusive early childhood program such as identifying stakeholders and securing a funding source. This may provide you with a "Blueprint" of how efforts toward initiating an inclusive early childhood program in your community should be formed.

 Selecting a Preschool or Child Care For Young Child

Stroup, V. & Cripe, J. W. (1997). Collaborative community agreements. In J. Bates, & J. Keating; The Preschool Inclusion Manual, Unpublished master’s thesis, University of Kansas, Lawrence, KS.

A checklist for families to take when visiting a potential program for their child. Items that are observed at a program may be checked with the highest totals providing the best program for their child.

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Placement Option Visiting Notes

This form is also included in the" Guideline: Empowering Families".

A list of questions for the family which might be asked of the staff when the family observes potential programs for their child. Some questions also can be used as a component of an "Environmental Assessment" needed when planning adaptations to accommodate the child's needs.

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 Parent Questionnaire

Keating, J. (1997). Supporting children in inclusivepPrograms. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.

A questionnaire for parents to provide information about their child such as his/her needs, preferences, and communication style. This will be valuable information for the receiving program when making accommodation plans for the child.

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 Environmental Assessment

Keating, J. (1997). Supporting children in inclusive programs. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.

An example of inventories that will guide an observation of the target classroom, it's routines, and materials used. Helpful in assessing and planning adaptations to meet the needs of a child with disabilities. See completed example

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 Child Summary Form

Keating, J. (1997). Transitioning from inclusive early childhood programs to kindergarten. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.

This is a form that covers basic child-related information such as phone numbers, birthday, address, and names of family members so that team members have an easy access to pertinent information.

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 Classroom Checklist for Teachers

Keating, J. (1997). Transitioning from inclusive early childhood programs to kindergarten. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.

This provides a series of questions that will guide observations on environmental features and routines in a classroom. It will assist in planning adaptations in the classroom environment to promote the child’s full participation.

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 Parent Inventory

Keating, J. (1997). Transitioning from inclusive early childhood programs to kindergarten. In J. Bates, & J. Keating; The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.

This will assist the parent(s)’ in obtaining input on their child and in identifying their support needs. It also provides the parent(s) opportunities to express their preference on parent/teacher communication style and on the contents of information they would like to receive from staff of the program.

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 Personnel Preparation Checklist

This form is also included in "Circle of Inclusion Guidelines: Preparing Personnel".

This is a checklist for personnel preparation planning in an inclusive setting. Topics include positioning and handling, individual education plans, basic instruction procedures, etc.

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Letters to Parents ( Sample letter / Blank form)

Rosenkoetter, S. E., Hains, A. H., & Fowler, S. A. (1994). Bridging early services for children with special needs and their families: A practical guide for transition planning. Baltimore, MD: Paul H. Brookes, Inc.

An informal letter might be a nice introduction of the child who has special needs to other classroom parents. This sample letter is from the child's family to all other families. Read a sample letter written by one family. You may print out a blank form that may help in writing an introduction about your child.

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