Team Roles and Responsibilities Checklist

Chase
Student(s) __________________________________________________________ September 2012
Date ______________________

Teaching and support team members

Teachers Flannery (4th grade) and Diaz (special education)

Instructional assistant(s) Johannsen, Barnes

Others Mrs. Taylor (parent)

Key: P, primary responsibility

I, input into implementation and/or decision making

Who is responsible?

Classroom Special Instructional

Roles and responsibilities teacher educator assistant Others

1. Developing lesson and unit plans P I

2. Developing Individualized Adaptations and Parent

I P I
Support Plans input

3. Providing instruction (with accommodations

and modifications; list subject areas):

a. Communication, social, and behavior I P I SLP

b. Functional skills and school participation I P I OT

c. Academics: Reading, language arts, and math I P I

d. Academics: Science and social studies P I I

P (content P (basic
4. Adapting instructional materials I
areas) skills)
5. Assigning grades to report card P I I

6. Monitoring progress on individualized educa- P (reports,

tion program (IEP) goals I I (data log)
IEP)

7. Assigning duties to and supervising instruc-

P (daily) P (long term)
tional assistants

8. Training instructional assistants I P

9. Scheduling or facilitating team meetings P (core team) P (IEP)

10. Daily communication with parents P I I

11. Communication and coordination with related P (service

I I (logs)
services coordinator)

12. Facilitating peer relationships and supports P (peer

P (lunch
(modeling and prompting appropriate ways to support I
bunch)
interact, organizing formal peer supports) network)

13. Assigning student to partners or cooperative

P I
groups

Figure 1.6.  Team Roles and Responsibilities Checklist. (Key: OT, occupational therapist; SLP, speech-language patholo-
gist.) (See Appendix A for a blank, photocopiable version of this form; from Ford, A., Messenheimer-Young, T., Toshner, J.,
Fitzgerald, M.A., Dyer, C., Glodoski, J., & Laveck, J. [1995, July]. A team planning packet for inclusive education. Milwaukee:
Wisconsin School Inclusion Project; adapted by permission.)

In Teachers’ Guides to Inclusive Practices: Modifying Schoolwork, Third Edition by Rachel Janney and Martha E. Snell (2013, Paul H. Brookes Publishing Co.).