VI Program Caseload Summary: Sample

Staff Name and Position	# of students direct & consultation	# of schools served	# hours per/wk of direct	# hours per/wk consultation	# hrs/wk activities in support of instruction	# hours per/wk of travel	# hrs/wk total time commitment	# hours in work week	total # hours over or under
Hardy, Carey	direct: 8 consult: 2	9	12.5	3.5	18	4	38	37.5	.5 hr over
Williams, Tammy	direct: 2 consult: 12	14	4	20	10	5.5	39.5	37.5	2 hrs over
	direct: consult:
Total # Staff: 2 # Braille/ Dual Students: 4	direct: 10 consult: 14	*23 schools*	*16.25*	*23.5*	28	*9.5*	*77.5*	75	*2.5 hrs over*
INSTRUCTIONS: Enter information from the "VI Staff Member Caseload Profile" or the "VI Staff Member Caseload Review Form". For each staff member, add the totals of columns 4,5,6 & 7 and enter the total in column 8. Subtract the figure in column 8 from the figure in column 9 to arrive at the time commitment per week over or under the staff member's work week required by his/her caseload. Enter that figure in column 10 preceded by a plus or minus.

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Last revision: July 30, 2002
programs/caseload-summary-sample.htm