SJ-M5-A1

Module 05 Assignment Worksheet

Student Name:

For each of the three scenarios in this assignment, provide the following information:

Name of your state's early intervention system and its website:

Scenario #1:

Scenario #2:

Scenario #3:

Step-by-step process for referral:

Scenario #1:

Scenario #2:

Scenario #3:

How long the process will take:

Scenario #1:

Scenario #2:

Scenario #3:

Who is involved in the process:

Scenario #1:

Scenario #2:

Scenario #3:

As an educator, what you would do if the child was not eligible for services:

Scenario #1:

Scenario #2:

Scenario #3:

List your research sources in the References section below. Be sure to format them according to APA guidelines.

References