Hamilton Professional Learning Opportunities Hamilton Professional Resource Library The Studio ASCY School Age Program (ASAP) Supervisors’ Professional Learning Community Infant Toddler Preschool Professional Learning Community CONSULTATION PROCESS Request for Support Initial Consultation On-going Consultation Consultation Notes & Recommendations Closing and Feedback Contact Us ASCY School Age Program (ASAP) Form ASAP QuestionnaireSection 1: Program Eligibility (Screening)Is your program a Before and After School Program (BASP) with a Service Agreement with the City of Hamilton? Yes NoSection 2: Site InformationIs this placement currently considered at risk? Yes NoSite name and addressBell TimesMorning (AM) bell time:Afternoon (PM) bell time:Primary Contact PersonNameRole/TitleEmailPhone NumberSection 3: Educator Support NeedsWould your educators benefit from additional strategies to support children with diverse learning and developmental needs? Yes NoIf Yes, please indicate which areas apply: Communication differences Transitions, changes in routine, or flexibility during activities Sensory differences (e.g., noise, movement, busy routines)Section 4: Additional Supports and Classroom ContextAre there any other community programs currently involved with the centre? (e.g., Resource Consultant, Inclusion Facilitator, Ron Joyce Children’s Health Centre)Please list support staff and include contact information where applicablePlease provide the following information for the group requesting consultation support:Age groupCurrent group sizeEducator to child ratioPlease provide the name the educator(s) who will be involved in this consultation.What support ideas or training topics have these educators already been offered?Please briefly describe the situation that led to this consultation request.Include observed behaviours, challenges, or concerns, and how they are impacting the classroom environment.Are there specific times, routines, or activities when these challenges are most likely to occur?e.g., transitions, circle time, outdoor play, group activities, end of daySection 5: Desired OutcomesWhat outcomes would you like to see from our involvement?Please identify your top three goals for support based on your program’s current needs.SubmitThank you for your interest. This program is currently available only to before- and after-school programs.
