SELPA Director / CAPTAIN Cadre
Check-In Meetings
SELPA: ______________________________
CAPTAIN Cadre Member Name: _________________________________
FALL CHECK-IN | DATE:
Please outline the plan for meeting the following CAPTAIN Cadre requirements
for the upcoming school year:
CAPTAIN Cadre member will provide at least one information session for the SELPA on ASD,
EBPs for ASD and CAPTAIN
DETAILS: (target audience, date, logistics, etc.):
CAPTAIN Cadre member will provide 3 high quality trainings/workshops on specific EBPs
DETAILS: (identification of EBPs, target audience(s), logistics, data to be
collected such as pre/post knowledge assessment, satisfaction surveys,
etc.):
CAPTAIN Cadre member will provide implementation coaching for 3 teachers/programs within
their SELPA using implementation checklists and coaching process
OR
CAPTAIN Cadre member will train 3 additional coaches on NPDC-ASD model of training and
coaching EBPs for ASD
DETAILS: (how will coaching recipients be selected, frequency of
coaching, fidelity data collection and reporting, student outcome data
collection, and reporting):
SPRING CHECK-IN | DATE:
Did CAPTAIN Cadre member perform all of the duties and requirements for CAPTAIN
during this school year?
Attend CAPTAIN Summit
Complete CAPTAIN Cadre Member Survey
Provide Information Session on ASD/EBP and CAPTAIN
Provide Training/Workshop on 3 EBPs
Provide Coaching to 3 Implementers or 3 New Coaches
Attend Quarterly Regional CAPTAIN Meetings
Meet With SELPA Director to Review Training/Coaching Plans and Report
on Progress
DI
SCUSSION
What barriers prevented CAPTAIN Cadre from completing the requirements:
Y / N
Y
/ N
Y
/ N
Y
/ N
Y
/ N
Y
/ N
Y
/ N