____________________________
Teacher: _____________________________
Counselor: ___________________________
Other: _______________________________
Day/Time: ___________________________
Location: ____________________________
Duration: ____________________________
Materials: ___________________________
Curriculum: __________________________
Parent Communication: ________________
Progress Monitoring: __________________
Reinforcement: _______________________
Group Rules: ________________________
Behavior Management: ________________
Termination Criteria: __________________
Evaluation: __________________________
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