Section | Details |
---|---|
Name: | [Student Name] |
Grade: | 4th Grade |
Age: | 9 |
Date of Birth: | January 15, 2041 |
Diagnosis/Disability: | Autism Spectrum Disorder (ASD) |
Language Proficiency: | English |
Academic Levels: Below grade level in reading and math
Functional Levels: Needs support with social interactions and communication
Services Provided: Speech therapy, occupational therapy
Frequency: Twice a week
Duration: 30 minutes per session
Service Provider: Speech Therapist: [Therapist Name], Occupational Therapist: [Therapist Name]
Goal: Improve reading comprehension
Objective 1: [Student Name] will read and understand grade-level texts with 80% accuracy by June 2051.
Target Date: June 2051
Criteria for Success: [Student Name] will answer comprehension questions correctly.
Objective 2: [Student Name] will independently summarize main ideas in writing with 70% accuracy by June 2051.
Target Date: June 2051
Criteria for Success: [Student Name] will complete written summaries.
Monitoring Method: Weekly assessments
Frequency of Monitoring: Every Friday
Person Responsible: Classroom Teacher: [Your Name]
Transition Goals: Improve social skills for better peer interactions
Transition Services: Social skills training
Agency Responsible: School Counselor: [Counselor's Name]
Accommodations: Extra time on tests, preferential seating
Modifications: Simplified assignments, visual aids
Technology Used: iPad with communication app
Purpose: Improve communication skills
Training Needed: Training provided by the Speech Therapist
Communication Plan: Weekly updates through emails and phone calls
Parent/Guardian Input: Parent input is encouraged in IEP meetings and goal-setting.
Behavioral Plan: Positive reinforcement for desired behaviors
Positive Reinforcement: Stickers and praise for completing tasks
Aids/Services Provided: Extra support in the resource room
Purpose: Provide additional help with academics
Evaluation Dates: Every 6 months
Evaluation Criteria: Progress towards IEP goals
Medical Needs: None
Social/Emotional Needs: Support for managing frustration and anxiety
Parent/Guardian Signature: | |
Date: | [Date] |
IEP Team Signature: | |
Date: | [Date] |
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