Professional Documents
Culture Documents
Questionnaire
Please read the following statements. Circle the answer which best fits the way your feel about
each of the statements. The way you answer the statements will have no effect on your grade.
There are no wrong answers. If you do not understand any of the statements, please ask the
teacher for clarification.
QUESTIONS Strongly Agree Disagre Strongly
Agree e Disagree
I feel comfortable around people in
wheelchairs
I am sometimes embarrassed to be
seen with individuals with disabilities
Do you have experience working with/being around socializing with individuals who
have disabilities? If so, what disabilities have you been around?
What does the term “peer” mean and who would that term include?
Is there something else you would like to express/explain/say about you or your
experiences?
Sandra Carolina Hernández Rivera
Why did you become a peer tutor? Circle the answers that apply to you. There are no
wrong answers, and this will have no effect on your grade.
4. I heard that peer tutors get to go out into the community with students.
Confidentiality Statement
OPTION 1
[http://contentmanager.med.uvm.edu/docs/tutorconfidentiality/medical-education-
documents/tutorconfidentiality.pdf?sfvrsn=2] -edited
Sandra Carolina Hernández Rivera
OPTION 2
My signature below indicates that I acknowledge the high school’s policy and agree to its mandate. I will
not disclose any information acquired while working as a peer tutor, nor will I use my position to seek
information that is not required for my duties.
I understand that violation of these policies will lead to my immediate job termination and possible
disciplinary action.
Parent/Guardian signature Date
[https://sites.google.com/a/needham.k12.ma.us/peer-tutoring/for-tutors/confidentiality-statement]
Sandra Carolina Hernández Rivera
For Tutors:
Responsibilities
o they should not take pictures or videos of the students who have special needs
o they should not talk about the specific needs of students to anyone else besides
the SPED teacher and other appropriate school staff
o they should not talk about the students' personal lives to anyone outside of the
classroom
o They should not discuss students' grades outside of the classroom
o they should not talk about the students' IEP information
o they specifically should not talk about student's unique situations outside of the
classroom by name
o there are legitimate consequences for violating FERPA, and they should know
what these are
Sandra Carolina Hernández Rivera
Additional Information:
Sandra Carolina Hernández Rivera
There are many ways it can be done. A daily log can help where they can list certain
tasks that were completed or if they were not. The progress made can be done after the
end of each week. Where they can either just check the goals and write if there is any
progress or if the PLOP has changed at all. This can probably be done in a template
done by me and they can just fill it out and put it in the student’s file. Journaling is also a
good idea.
Peer Tutor Signature: _______________________ (Must be turned in at the end of class or no credit will
be given for the day.)
Peer Tutor Signature: _______________________ (Must be turned in at the end of class or no credit will
be given for the day.)
Sandra Carolina Hernández Rivera
Comments: ___________________________________________________
_____________________________________________________________
Date
Class
Total #
Probes
Total #
Correct
Percent
Correct
Date
Class
Total #
Probes
Total #
Correct
Percent
Correct
Date
Class
Total #
Probes
Total #
Correct
Percent
Correct
This form can be used as a weekly or monthly check on a specific behavior or activity
that needs to be measured.
Sandra Carolina Hernández Rivera
Syllabus
Assignments
Write observations or daily log of what they do with the students, the progress,
important things, check goals, different behavior patterns, new ideas, etc.
Weekly Journal
Write what you have seen, learned, would want to improve, questions. No length
required.
Grading
Needs to do every week assignments to pass.