Conference Sign-In Sheet
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1CONFERENCE
SIGN-IN SHEET
Student Name:________________________________________
Date of Meeting:______________
___ Pre-meeting
___ Eligibility Review
___ IEP
________________________________________________________________________________________
Conference Participants
Signature indicates attendance. Check appropriate yes or no to indicate which meetings were attended.
Anyone serving in a dual role should indicate so on the following lines. If a required participant participates
through written input or is excused from all or part of the IEP meeting, the required excusal and written report,
as necessary, is attached.
Any participant who disagrees with
the team’s decision must submit a
separate statement presenting
her/his conclusions.
Name
Title/Agency
Agree with
SLD Eligibility
____________________________
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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___ Yes ___ No
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