School Sponsorship Program - Teachers Information Form
Hello!

We are looking forward to working with you to support your student's learning and development.
 
When we set up Talkshop Speech Pathology, we wanted to make sure that we supported the local community, in particular, you the teachers in your job in providing teaching and learning to the students in your care. So, for every new speech pathologist in our team, we set up a new Speech Pathology Sponsorship Program with a local school to sponsor 1 child per term with a comprehensive speech pathology assessment and a term of weekly therapy.

We remain seperate from the nomination process and allow the teaching staff of each school to freely nominate a student each term. We will see any child with any speech, language, literacy, voice, fluency, or social communication concern. 

You have this form because you have nominated a student in your class for next term's sponsorship program.

Please highlight all statements in which you have some concerns for your student's development There is a section at the end to further detail relevant information. 
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We rely on your information to provide context to your concerns from a classroom perspective. It assists our assessment process and quality of the outcome report.

*HOLD DOWN THE COMMAND KEY (Apple) or CTRL KEY (PC) TO SELECT MORE THAN 1 STATEMENT PER AREA if using a desktop browser.

Thank you,
Talkshop Speech Pathology
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Child's Information
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Teacher's Impressions
Please indicate how you feel as an educator about this child's age appropriate speech/language and literacy development 
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