Sanbalka Codsiga Qiimaynta Sababta Habdhaqanka (FBA)/Request for a Functional Behavior Assessment (FBA)
Taariikhda:/Date:
Maareeyaha Kiiska IEP/Macalinka Waxbarashada Gaarka ah ama Maamulaha Qaaliga ahoow/Dear IEP Case Manager/Special Education Teacher or Principal
Ujeedo: Codsiga FBA/Re: Request for FBA
Waxaan codsanayaa in Qiimaynta Sababta Habdhaqanka (FBA) lagu sameeyo cunugayga./I am requesting a Functional Behavioral Assessment (FBA) for my child.[Ku dar magaca ilmaha oo dhamaystiran/Add child's full name]
Waxaan walaac ka qabaa in habdhaqanka cunugaygu uu carqalad ku yahay waxbarashadiisa. [Halkaan ku qor faahfaahin dheeri ah, tusaale: wax hormar ah kama uu samaynaayo higsiyada IEP-da ama waxay ka hor istaagaysaa inuu waqti badan ku qaato waxbarashada guud.]/I am concerned that my child’s behavior is interfering with their education. [Add more detail here, for example: they are not making progress on IEP goals or it is keeping them from spending more time in general education.]
Waxaan sidoo kale codsanayaa kulanka kooxda IEP da (ama kooxda 504) si looga doodo qorshe ku aadan FBA. [Halkaan ku cadee haddii ay jiraan dad gaar ah oo aad doonayso inay kulanka kasoo qaybgalaan. Tusaale: Waxaan doonayaa in dhakhtarka dhimirka ee dugsiga ama taqasuslaha habdhaqanka uu kasoo qaybgalo kulanka.]/I am also requesting an IEP team (or 504 team) meeting to discuss a plan for the FBA. [Make a note here if there are specific people you want to have at the meeting. For example: I would like the school psychologist or a district behavior specialist to attend the meeting.]
Waxaan kulanka imaan karaa: _______________[taariikhaha/waqtiyada]./I can meet on: _______________[Add dates/times].
Waxaan sugayaa jawaabtaada./I look forward to your response.
Daacadnimo,/Sincerely,
__________________________________
(Saxiixa)/(Signature)