Interview Assignment Template – Questions for Student or Parent
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School
University Of Georgia *
*We aren’t endorsed by this school
Course
504
Subject
Communications
Date
Jan 9, 2024
Type
docx
Pages
3
Uploaded by kariantolbert
EDLC
510
INTERVIEW
ASSIGNMENT
TEMPLATE
—
QUESTIONS
FOR
STUDENT
OR
PARENT
Interviewer,
you
may
type
the
interview
responses
directly
onto
this
template.
First
name
or
initials
of
interviewee:
Kian
&
Khelie(mom)
Age
of
individual
discussed
in
the
interview:
7
&
26
Relationship
to
the
individual
with
special
needs:
None
Description
of
the
individual’s
special
needs,
including;:
¢
Name
of
condition,
syndrome,
or
disorder
0
Autism
Physical
challenges
0
Lacked
motor
skills,
coordination
skills.
Intellectual
challenges
0
Memorization
challenges
0
Comprehension
between
right
and
wrong
0
Doesn’t
like
anything
outside
of
routine
Emotional
challenges
0
None
verbal;
results
in
not
being
able
to
speak
needs/wants
properly.
Social
challenges
0
Temperature
0
Anxiety
0
Secluded
Equipment,
therapies,
additional
support
needed
to
address
the
individual’s
unique
needs:
Speech
therapy
IEP
Activities
the
individual
enjoys.
Include
a
description
of
any
adaptations
required
for
the
individual
to
be
able
to
participate
in
these
activities.
Loves
spending
time
with
his
“Gi-Gi”
(Grandmother)
Loves
watching
YouTube
videos/
facetiming
his
Aunt
Loves
playing
with
Milo
(Aunt’s
dog)
Loves
watching
the
movie,
Bruno
EDLC
510
Does
this
individual
require
additional
care
(education,
physical,
entertainment)?
If
so,
what
skills
are
required
of
the
caretaker(s)?
Yes.
Due
to
his
autism,
it
causes
lack
with
his
integration.
Is
placed
in
an
IEP
level
class.
The
first
half
of
Kian’s
day
at
school
includes
him
being
in
a
special
needs
class.
The
second
half
in
a
regular
classroom
setting
to
help
break
routine
and
integrate
him
into
things
on
his
level.
Kian
also
has
speech
therapy
every
Tuesday
and
Thursday.
He
was
nonverbal
up
util
the
age
of
3.
Speech
therapy
helps
him
to
talk
and
voice
his
words.
He
often
just
made
noises
to
talk.
How
has
your
life
been
impacted
by
the
special
needs
of
this
individual?
Khelie
stated
that
her
life
has
had
major
changes,
especially
when
having
a
child
with
Austism.
Khelie
stated
that
she
never
knew
much
about
autism
but
had
to
learn
very
quickly
due
to
Kian
and
making
sure
he
has
everything
that he
needs.
Khelie
stated
that
at
first,
the
doctors
did
not
know
he
had
Austism,
but
he
showed
unusual
behaviors,
such
as
not
talking,
constantly
mumbling,
making
noises,
and
refusing
to
eat.
Khelie
stated
that
she
had
to
get
Kian
tested
multiple
times.
Also,
with
his
schooling
and
food
it
was
hard
due
to
him
not
wanting
to
break
routine.
She
had
to
develop
and
routine
that
matched
his
whole
day
when
the
school
year
was
active,
as
well
as
at
home
and
going
to
his
“Gi-Gi’s”
house.
Student
choice
question:
With
Kian’s
autism,
and
noticing
that
he
did
not
start
talking
until
the
age
of
2,
does
he
start
conversations
with
you
now?
How
are
his
communication
skills
now
versus
when
he
was
2?
Yes,
Khelie
stated
that
now
Kian’s
vocabulary
is
very
wide
now.
He
constantly
comes
up
and
tells
you
exactly
what
he
wants.
He
doesn’t
mumble
or
use
his
fingers
anymore.
Kian
can
tell
you
his
favorite
color,
favorite
teacher,
favorite
movie,
and
so
much
more.
Khelie
stated
that
now
Kian
is
so
verbal,
that
he
doesn’t
hold
back
at
all.
He
will
be
quick
to
say
when
he
is
upset,
mad,
hungry,
has
to
use
the
bathroom,
and
so
much
more.
Kian
also
plays
with
his
little
sister
and
speaks
with
her.
She
also
stated
that
Kian
has
gotten
Student
of
the
Month
multiple
times,
he
interacts
in
classrooms
more
and
often
volunteers
a
lot.
After
you
have
completed
the
interview,
you
will
write
a
200-word
summary
of
what
you
learned
from
the
interview
and
a
300-word
conclusion.
The
conclusion
must
include
citations
from
at
least
one
scholarly
resource
and
the
course
textbook.
A
reference
page
should
be
included.
The
interview
template,
summary,
and
conclusion
should
be
submitted
in
one
document.
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