Page 75 - The Individual Education Plan (IEP) - A Resource Guide, 2004

Special Education Program
To be completed for each subject/course with modified expectations and/or each alternative program with alternative expectations
Student OEN/MIN:
234567891
Current Level of Achievement:
Prerequisite course (if applicable)
Letter grade/Mark
Curriculum grade level
Subject/Course/Alternative Program:
PERSONAL CARE
Current Level of Achievement for Alternative Program:
With respect to washroom visits, Student B indicates need to visit washroom, undresses, and uses facilities appropriately. Student washes hands and re-enters classroom quietly, without prompts, 2 out of a possible 10 times.
Annual Program Goal(s): A goal statement describing what the student can reasonably be expected to accomplish by the end of the
school year in a particular subject, course, or alternative program.
Student B will demonstrate greater independence in performing the sequence of skills required for a washroom visit, including readjusting clothing, hand-washing, and returning quietly to the classroom.
Teaching Strategies
(List only those that are particular to the student and specific to the learning expectations)
Learning Expectations
(List modified/alternative expectations outlining knowledge and/or skills to be assessed, by reporting period. Identify grade level, where appropriate.)
Term 1 Student B will:
1. readjust clothing and check appearance in
mirror with one verbal prompt;
2. recall hand-washing step without prompt
5 out of a possible 10 times;
3. return to the classroom without vocalization
5 out of a possible 10 times.
Assessment Methods
(Identify the assessment method to be used for each learning expectation)
1. Checklist and data collection 2. Checklist and data collection 3. Checklist and data collection
3(e)
Appendix B: Samples of Completed IEP Forms 73