Family Involvement and Participation Strategies

Individualized Education Program (IEP) Template

Special Education Department

Individualized Education Program (IEP)

Student Name: Charley Smith Student Goals and Performance Objectives IEP Meeting Date: 3/17/19

Student ID:  65423411 Progress Report            DOB: 01/12/17

 

Skill Area: Cognitive

Standard:

Annual Goal:

Baseline Level of Mastery:

Service Provider(s) for this goal:

Accommodations:

Modifications:

Monitoring (describe the frequency of monitoring, by whom, and what tools will be used to collect and store the data.):

 

Skill Area: Physical

Standard:

Annual Goal:

Baseline Level of Mastery:

Service Provider(s) for this goal:

Accommodations:

Modifications:

Monitoring (describe the frequency of monitoring, by whom, and what tools will be used to collect and store the data.):

 

Skill Area: Oral Language and Communication

Standard:

Annual Goal:

Baseline Level of Mastery:

Service Provider(s) for this goal:

Accommodations:

Modifications:

Monitoring (describe the frequency of monitoring, by whom, and what tools will be used to collect and store the data.):

 

Skill Area: Social/Emotional Behavior

Standard:

Annual Goal:

Baseline Level of Mastery:

Service Provider(s) for this goal:

Accommodations:

Modifications:

Monitoring (describe the frequency of monitoring, by whom, and what tools will be used to collect and store the data.):

 

Skill Area: Adaptive

Standard:

Annual Goal:

Baseline Level of Mastery:

Service Provider(s) for this goal:

Accommodations:

Modifications:

Monitoring (describe the frequency of monitoring, by whom, and what tools will be used to collect and store the data.):

 

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