Page 69 - The Individual Education Plan (IEP) - A Resource Guide, 2004

Sample 2
Individual Education Plan
IEP
REASON FOR DEVELOPING THE IEP
x
Student identified as Student not formally identified but requires special education program/services, exceptional by IPRC including modified/alternative learning expectations and/or accommodations
STUDENT PROFILE
Name: Student B
School: OntarioSchool
Student OEN/MIN: 234567891
Current Grade/Special Class: 9
Most Recent IPRC Date: 28/05/2004
Exceptionality: Developmental Disability
IPRC Placement Decision (check one) Regular class with indirect support Regular class with resource assistance
x Regular class with withdrawal assistance
Principal:
Gender: Female Date of Birth: 03/03/1990
B. Principal
School Year: 04-05 Sem 1 Date Annual Review Waived by Parent/Guardian:
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
09/04/1995
Report indicates moderate developmental delays.
Behaviour assessment
25/01/2000
Report indicates moderate adaptive functioning delays.
Speech report
13/11/2001
Report indicates mild articulation difficulty.
STUDENT’S STRENGTHS AND NEEDS
Areas of Strength
Areas of Need
Visual acuity skills
Receptive language (comprehension and decoding)
Kinesthetic learning style
Expressive language (written)
Gross motor abilities
Cognitive understanding and memory skills
Self-regulatory skills
Social skills
Self-help skills Fine motor skills
Health Support Services/Personal Support Required x Yes (list below) No Personal care support
1
Appendix B: Samples of Completed IEP Forms 67