The madison social relationship inventory



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Realities

On The Current Regular Education Experience (CRE) Chart report the name of the school the student attends, whether it is an elementary, middle-junior or senior high school and the day of concern. Then record the subjects the student studies, the settings and time periods each subject is studied. Then record the activities in which the student engages in each subject and the persons with whom the student interacts in each setting. Topics, content areas, courses, classes, recess, periods, etc., in this context, are considered subjects. If additional information is relevant, record it on the page entitled "Other Information."

THE CURRENT EDUCATIONAL EXPERIENCE CHART

School Day
Elem. M T W T F
Middle-Jr
High

CRE


Subject

Setting Time

Activity From - To Student Interacts With


CRE-1 - ______
___________

Regular Education Teacher
Special Education Teacher
Paraprofessional
Supportive Companion
Students with Disabilities
Nondisabled Students
Therapist


THE CURRENT EDUCATIONAL EXPERIENCE CHART



School Day
Elem. M T W T F
Middle-Jr
High

CRE


Subject

Setting Time

Activity From - To Student Interacts With


CRE-_ - ______
___________

Regular Education Teacher
Special Education Teacher
Paraprofessional
Supportive Companion
Students with Disabilities
Nondisabled Students
Therapist


THE CURRENT EDUCATIONAL EXPERIENCE CHART



School Day
Elem. M T W T F
Middle-Jr
High

CRE


Subject

Setting Time

Activity From - To Student Interacts With


CRE-_ - ______
___________

Regular Education Teacher
Special Education Teacher
Paraprofessional
Supportive Companion
Students with Disabilities
Nondisabled Students
Therapist


THE CURRENT EDUCATIONAL EXPERIENCE CHART



School Day
Elem. M T W T F
Middle-Jr
High

CRE


Subject

Setting Time

Activity From - To Student Interacts With


CRE-_ - ______
___________

Regular Education Teacher
Special Education Teacher
Paraprofessional
Supportive Companion
Students with Disabilities
Nondisabled Students
Therapist


THE CURRENT EDUCATIONAL EXPERIENCE CHART



School Day
Elem. M T W T F
Middle-Jr
High

CRE


Subject

Setting Time

Activity From - To Student Interacts With


CRE-_ - ______
___________

Regular Education Teacher
Special Education Teacher
Paraprofessional
Supportive Companion
Students with Disabilities
Nondisabled Students
Therapist



Other Information

Record any other information needed to generate a reasonable understanding of the current Regular Education Supportive Companion Relationships of the student.





Current Regular Education Experience #1

Are nondisabled classmates providing support to the student in Regular Education Experience #1?


Yes
No

Are the supportive companion relationships operative in Current Regular Education Experience #1 acceptable?


Yes
No
If "Yes," report why the supportive companion relationships in Current Regular Education Experience #1 are acceptable.

If "No," report why the supportive companion relationships are unacceptable.

Are there supportive companion relationships that should be operative in Current Regular Education Experience #1 that are not?
Yes
No

If "Yes," report the supportive companion relationships that should be operative in Regular Education Experience #1.





Additional Information

Record additional information that should be considered in the process of determining whether the supportive companion relationships operative in Current Regular Education Experience #1 are in reasonable accordance with the values.







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