Page 61 - The Individual Education Plan (IEP) - A Resource Guide, 2004

Sample 1
Individual Education Plan
IEP
REASON FOR DEVELOPING THE IEP
x
Student identified as exceptional by IPRC
Student not formally identified but requires special education program/services, including modified/alternative learning expectations and/or accommodations
STUDENT PROFILE
Name: Student A
School: OntarioSchool
Student OEN/MIN: 123456789
Current Grade/Special Class: 8
Most Recent IPRC Date: 06/02/2002
Exceptionality: Learning Disability
IPRC Placement Decision (check one) Regular class with indirect support Regular class with resource assistance
x Regular class with withdrawal assistance
Principal:
Gender: Male Date of Birth: 06/23/1991
B. Principal
School Year: 2004-2005
Date Annual Review Waived by Parent/Guardian: 25/05/2004
Special education class with partial integration Special education class full-time
ASSESSMENT DATA
List relevant educational, medical/health (hearing, vision, physical, neurological), psychological, speech/language, occupa- tional, physiotherapy, and behavioural assessments.
Information Source
Date
Summary of Results
Psychological report
03/05/1998
Report provides a diagnosis of learning disabilities
Audiologist report
11/03/1997
Report indicates area of need in central auditory processing
STUDENT’S STRENGTHS AND NEEDS
Areas of Strength
Areas of Need
Expressive language skills (speaking)
Receptive language skills (reading and listening)
Visual memory skills
Expressive language skills (writing)
Visual figure ground skills
Auditory memory skills
Problem-solving skills
Auditory discrimination skills
Computer keyboarding skills
Organizational skills
Health Support Services/Personal Support Required Yes (list below) x No 1
Appendix B: Samples of Completed IEP Forms 59