Iep-Form-Template Fillable-Done 1
Iep-Form-Template Fillable-Done 1
Iep-Form-Template Fillable-Done 1
Individual
Education Plan
REASON FOR DEVELOPING THE IEP
Student identified as
exceptional by IPRC
STUDENT PROFILE
12345678
Gender:
Principal:
Date of Birth:
Ron Duvall
School Year:
n/a
11-06-01
2015/16
n/a
Gifted Learner
ASSESSMENT DATA
List relevant educational, medical/health (hearing, vision, physical, neurological), psychological, speech/language, occupational, physiotherapy, and behavioural assessments.
Information Source
Date
Teacher Assessment
Student Self Reflection
23/01/2015
10/06/2015
15/10/2015
12/01/2016
16/03/2016
Summary of Results
Student disengaged with class and does not make significant efforts to complete given work/assignments. Is missing important information and is falling behind in class. Is also
Jon filled out the reflection form that all students were expected to fill out, which outlined their personal evaluation on themselves as learners. Jon didn't take this seriously and
It is clear that Jon is reacting well to the new approach to teaching this class. He is more engaged and is working independently well and beginning to go above and beyond ra
His marks have raised significantly and are much more consistent. Especially in history and English he is achieving Level 3+ to Level 4 marks.
Students were asked to complete another self reflection. Jon's engagement with his studies is much more obvious as shown through his answers. He mentions his enjoyment o
Areas of Need
Debates / Discussion
Language skills
Group work
Staying on task
Focus
Independent thinking skills
Going above and beyond
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No
History
MOD
AC
ALT
6.
MOD
AC
ALT
2.
3.
English
MOD
AC
ALT
MOD
AC
ALT
French
MOD
AC
ALT
7.
8.
MOD
AC
ALT
4.
MOD
AC
ALT
9.
MOD
AC
ALT
5.
MOD
AC
ALT
10.
MOD
AC
ALT
No
Certificate of Accomplishment
ACCOMMODATIONS
(Accommodations are assumed to be the same for all subjects, unless otherwise indicated)
Instructional Accommodations
-Encourage independent
approach to learning
-Opportunities for more
class discussion and
debate
-Encourage students to go
above and beyond by
allowing them to choose
topics of interest
Individualized Equipment
Environmental Accommodations
Assessment Accommodations
No
Accommodations:
Exemptions:
No
No
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Subject/Course/Alternative Program:
12345678
HIST100
N/A
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.
Learning Expectations
Teaching Strategies
Assessment Methods
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Independent Learning
Program (ILP) handout sheets
test student's knowledge of
unit and track their
independent work. This tracks
the knowledge gained from
the lesson, their independent
progress, and can be used to
track the growth of research
and learning skills.
Daily lesson log tracks
students work completed over
the course of a class. This
tracks their progress and
ensures they are completing
the work assigned and makes
sure they are engaged in the
lesson and are aware of
what's going on.
Debate performance tracks
understanding of material with
specific regard to depth of
knowledge. Performance in
debate also tracks
engagement with the work
and successive performances
can be evaluated to track
growth in presenting, arguing
and discussion skills.
Guidance Counselor. Met Once per term for the past 2 years. Student Services.
Parent teacher conference. Met twice a year for the past 2 years. Main office.
EVALUATION
Reporting Dates:
January 31 2015 June 28, 2015 February 2nd, 2016
Reporting Format
Provincial Report Card (required unless students program comprises alternative expectations only)
Alternative Report
TRANSITION PLAN
If the student is 14 years of age or older and is not identified solely as gifted, a transition plan is required (see page 6 ).
Yes
Position
Staff Member
Position
Mr. Delve
Ms. Bodach
Teacher
Ms. Dillon
Teacher
Ms. Rutherford
Teacher
Ms. Drinnan
Teacher
Ms. Belanger
Guidance Counsellor
Provincial
Report Card
Previous IEP
Parents/Guardians
Student
Conference on the eduation of gifted learners, Sydney, Australia, November 25, 2015
Date of Placement:
January 12, 2016
February 8, 2016
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Date
Outcome
October 2015
November
2015
The principal is legally required to ensure that the IEP is properly implemented and monitored.
This IEP has been developed according to the ministrys standards and appropriately addresses the students strengths and
needs. The learning expectations will be reviewed and the students achievement evaluated at least once every reporting
period.
Principals Signature
Date
Parent/Guardian
Parent/Guardian
Parent/Guardian
It is amazing to see such dedicated teachers who are aware of what their students are
going through. Once Mr. Duvall noticed Jon was falling behind and had lost
motivation he immediately reached out and we came up with a plan to help Jon be
the best version of himself. I look forward to working with Jon's future teachers to
continue on with Jon's learning
Parent/Guardian Signature
Date
Date
5
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Student
Student
Student
Transition Plan
Students name
OEN/MIN
12345678
Person(s)
Responsible for Actions
Actions Required
Timelines
End of Grade 9.
(June 2016)
October 2016
(Grade 10)
Parents, Homeroom
teacher (grade 10 and 11),
Principal, Jon
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