Iepform
Iepform
Iepform
BEGINNING NOT LATER THAN THE FIRST IEP TO BE IN EFFECT WHEN THE STUDENT IS AGE 15 (AND AT A YOUNGER AGE IF DETERMINED APPROPRIATE)
12-MONTH SERVICE AND/OR PROGRAM – Student is eligible to receive special education services and/or program during
July/August: No Yes
If yes:
Student will receive the same special education program/services as recommended above.
OR
Student will receive the following special education program/services:
PROJECTED
SERVICE DELIVERY BEGINNING/
SPECIAL EDUCATION RECOMMENDATION DURATIO SERVICE
PROGRAM/SERVICES S FREQUENCY N LOCATION DATE(S)
Name of school/agency provider of services during July and August:
For a preschool student, reason(s) the child requires services during July and August:
TESTING ACCOMMODATIONS (TO BE COMPLETED FOR PRESCHOOL CHILDREN ONLY IF THERE IS AN ASSESSMENT PROGRAM FOR NONDISABLED
PRESCHOOL CHILDREN):
INDIVIDUAL TESTING ACCOMMODATIONS, SPECIFIC TO THE STUDENT’S DISABILITY AND NEEDS, TO BE USED CONSISTENTLY BY THE STUDENT
IN THE RECOMMENDED EDUCATIONAL PROGRAM AND IN THE ADMINISTRATION OF DISTRICT-WIDE ASSESSMENTS OF STUDENT ACHIEVEMENT
AND, IN ACCORDANCE WITH DEPARTMENT POLICY, STATE ASSESSMENTS OF STUDENT ACHIEVEMENT
TESTING ACCOMMODATION CONDITIONS* IMPLEMENTATION RECOMMENDATIONS**
NONE
BEGINNING NOT LATER THAN THE FIRST IEP TO BE IN EFFECT WHEN THE STUDENT IS AGE 15 (AND AT A YOUNGER AGE, IF DETERMINED APPROPRIATE).
The student will participate in the same State and district-wide assessments of student achievement that are administered
to general education students.
The student will participate in an alternate assessment on a particular State or district-wide assessment of student
achievement.
Identify the alternate assessment:
Statement of why the student cannot participate in the regular assessment and why the particular alternate assessment
selected is appropriate for the student:
SPECIAL TRANSPORTATION
TRANSPORTATION RECOMMENDATION TO ADDRESS NEEDS OF THE STUDENT RELATING TO HIS/HER DISABILITY
None.
Student needs special transportation accommodations/services as follows:
Student needs transportation to and from special classes or programs at another site:
PLACEMENT RECOMMENDATION