Strategy File

Handout 2.10

Page 1

CONNECT – 2010

http://community.fpg.unc.edu/connect-modules

Transition Plan

Child’s Name

IFSP DATE

Is this the official Transition Conference? yes no

Transition Plans and Activities

Specific Action Person

Responsible Date

Started Date

Completed

1. Explore options for Tamiya at age 3 including preschool special education, community programs.

Tamiya’s mom will contact the school district and 2 other programs– FPG & Kidscope to get more specific information about the programs, schedule and process for referral.

Mom with support from Early Intervention Service Coordinator (EISC)

5/7/xx 6/7/xx

2. Make program referral decision

Tamiya’s mom is interested in Preschool Services (Part B) and will follow-up with school district after she has made contacts with all programs.

Mom with support from EISC

6/7/xx 6/15/xx

3. Send specified information to Part B and/or other community program with parental consent.

Yes  No 

Tamiya’s mom will work with EI staff to sign appropriate consent and referral forms once a decision has been made (e.g., authorization to disclose health information; CDSA referral to public school system); Develop a plan with the new program for transfer of records.

EISC & mother

6/15/xx 6/17/xx

4. Support Tamiya in learning new skills she will need to adjust to a group setting and help her and her family prepare for changes in services.

A. Tamiya will participate in group activities such as the neighborhood playground and library story time.

B. Identify specific activities to help Tamiya adjust to new foods and group activities that she may participate in when she gets to preschool (sand/water table).

EISC, mother, PT, OT & SPL

5/7/xx 8/28/xx

Tamiya

5/6/20XX

X