Slp Workload Summary Revised

SLP Workload Summary (Reflecting CT SLPs’ SRBI and Special Education Roles)

SLP: ____________________ School: __________________________

Tier I Impact Grade Level

Teacher/Class

Number of Students Served

Time Per Week

Comments/Information

Number of Students Served

Time Per Week

Comments/Information

Totals

Tier II Impact Grade Level

Teacher/Class

Totals

Donna D. Merritt, Ph.D., CCC (SERC, 2009)

Tier III Impact Grade Level

Teacher/Class

Number of Students Served

Time Per Week

Comments/Information

Number of Students Served

Time Per Week

Comments/Information

Totals

Special Education Impact Grade Level

Teacher/Class

Totals

Workload Totals Numbers of Classes ____________ Number of Students ___________ Amount of Time Per Week ______________

Donna D. Merritt, Ph.D., CCC (SERC, 2009)