Special Education Teacher Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience
1 = Beginner Level: Less than one year of experience
2 = Intermediate Level: One to Five years of experience
3 = Advanced: Five or more years of experience

Please rate your experience / frequency within the last year

0 = No Experience

1 = Beginner Level: Less than one year of experience

2 = Intermediate Level: One to Five years of experience

3 = Advanced: Five or more years of experience

Please rate your experience / frequency within the last year
0 = No Experience
1 = Beginner Level: Less than one year of experience
2 = Intermediate Level: One to Five years of experience
3 = Advanced: Five or more years of experience

MM slash DD slash YYYY

Ages/Grades Worked with

Birth to 3
Ages 3-5
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th

Disability Categories/Types of students worked with

Autism
Behavior
Blind/Visual Impairment
Deaf or Hard of Hearing
Developmental Delay
Emotional Disturbance
Hearing Impairment
Homebound Students
Intellectual Disability
Mild to Moderate Disability
Moderate to Severe Disability
Multiple Disabilities
Orthopedic Impairment
Other Health Impairment
Resource/Pull-out groups
Speech and Language Impaired
Traumatic Brain Injury

Experience with the following tasks:

Attending an IEP Meeting
Collaborating with General Education Teachers
Collaborating with Special Education Team (SLP, OT, PT, School Psychologist, etc.)
Conducting an assessment to determine eligibility
Developing (or collaborating on) a Functional Behavior Assessment (FBA)
Leading an IEP Meeting
Providing online instruction
Writing (or collaborating on) a Behavior Intervention Plan (BIP)
Writing an assessment report for an initial IEP
Writing an assessment report for a re-evaluation