If yes, complete the VAAP Participation Criteria. _____ I give my consent for an agency representative(s) named on the meeting notice to be invited to the IEP meeting. I c a n a t t e n d o n F O R M T E X T a t F O R M T E X T ( d a t e ) ( t i m e a n d p l a c e ) P l e a s e c o n t a c t m e a t F O R M T E X T t o d e t e r m i n e a m u t u a l l y a g r e e a b l e d a t e , t i m e , a n d p l a c e f o r t h i s I E P m e e t i n g . Type 1: Increase in General Positive Behavior. 1$ 7$ 8$ H$ gd{} hh1$ 7$ 8$ H$ ^h`gd{} The factors are addressed in other sections of the IEP if not documented on this page (for example: see Present Level of Academic Achievement and Functional Performance). To help with language and spark ideas and collaboration, the team at AAC offers this list of SLP resources and speech therapy goal banks we hope will be helpful . ( Short-term objectives/benchmarks are included for this goal. Supports for School Personnel: (Describe supports such as equipment, consultation, or training for school staff to meet the unique needs for the student) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ INDIVIDUALIZED EDUCATION PROGRAM (IEP) SERVICES LEAST RESTRICTIVE ENVIRONMENT PLACEMENT, Continued PARTICIPATION IN THE STATE AND DIVISIONWIDE ACCOUNTABILITY/ASSESSMENT SYSTEM Student Name________________________________________________________ Date ____/____/____ Page ___of___ Student ID Number__________________________________ This students participation in state and divisionwide assessments must be discussed annually. Special classes, separate schooling or other removal of the student from the regular educational environment occurs only when the nature or severity of the disability is such that education in regular classes with the use of supplementary aids and services cannot be achieved satisfactorily. (Arabic) (Chinese) English (English) . In the case of a student who is blind or is visually impaired, provide for instruction in Braille and the use of Braille unless the IEP team determines after an evaluation of the students reading and writing skills, needs, and appropriate reading and writing media, including an evaluation of the students future needs for instruction in Braille or the use of Braille, that instruction in Braille or the use of Braille is not appropriate for the student. endstream endobj 74 0 obj <>stream ^J h| hk ^J h| hK ^J h| h7% ^J h| hB CJ OJ QJ aJ h| h3 CJ OJ QJ aJ # 3 l n The impact of any modifications listed should be discussed. (pages 27, 28) District-wide Assessments: This page address a student's participation and accommodations needed when *Also commonly included is consistency (we incorporate this! The team may consider placement options in conjunction with discussing any needed supplementary aids and services, accommodations/modifications, assistive technology and/or accessible materials and supports for school personnel. All instructional setting/placement decisions shall be based on the individual needs of each student. the context of a sentence. Determination of the Least Restrictive Environment (LRE) and instructional setting/placement may be one or a combination of options along the continuum. Students with disabilities can also benefit from social and emotional learning (SEL). Mix and match the following skills, supports, and materials below to create an individualized IEP goal for vocabulary. develop short term smart goals that will allow the student to meet their long-term goals. IEP Goal Bank for Speech Therapy Goals Articulation Phonology Hearing Fluency Functional Life Skills Expressive Language Receptive Language Auditory Discrimination Phonological Awareness Social Skills/Pragmatics When the state assessments (SOL tests and VAAP assessments) were eliminated, school divisions became responsible for administering local alternative assessments in these content areas. The IEP is not written in isolation. regularly review progress toward short term and long-term goals. Virginia Alternate Assessment Program (VAAP): Instructional Manual and Curricular Design Virginia Department of Education Office of Special Education Instructional . During the duration of this IEP: Will the student be at a grade level or enrolled in a course for which the student must participate in a state and/or divisionwide assessment? With pencil and paper, STUDENT will copy words independently from a visual model with 90% accuracy 4 of 5 trials. Attach additional pages as needed. . The IEP is a working document that outlines the students vision for the future, strengths and needs. IEP goals are set using present level of performance. Suggested IEP goals for Social Behavior and Play level 3: (select only 1 or 2 goals and modify them as appropriate for the individual child) S3-a: The child will engage in cooperative, constructive, or physical play activities with peers lasting at least 15 minutes. Free Appropriate Public Education (FAPE) When discussing FAPE for this student, it is important for the IEP team to remember that FAPE may include, as appropriate: Educational Programs and Services Proper Functioning of Hearing Aids Assistive Technology and/or accessible materials Transportation Nonacademic and Extracurricular Services and Activities Physical Education Extended School Year Services (ESY) Length of School Day SERVICES: Identify the service(s), including frequency, duration and location that will be provided to or on behalf of the student in order for the student to receive a free appropriate public education. ( Short-term objectives/benchmarks are included for this goal. Formula: Given [materials] and [supports], NAME will [vocabulary skill] in [criterion*]. The IEP team will determine and/or address ESY services at a later date. No longer, however. The student will successfully spell high-frequency words when writing. Please enable JavaScript in your browser for a better user experience. The students placement should be as close as possible to the childs home and unless the IEP of the student with a disability requires some other arrangement, the student is educated in the school that he or she would attend if he or she did not have a disability. Parents, as team members, must be invited to attend these meetings. MATERIALS: a tier 2 vocabulary word. IP -The student has demonstrated Insufficient Progress to meet this annual goal and may not achieve this goal within the duration of this IEP.ES -The student demonstrates Emerging Skill but may not achieve this goal within the duration of this IEP.NI -The student has Not been provided Instruction on this goal. Federal regulations require that IEPs address a student's "involvement and progress in the general curriculum.". Additionally, summarize the discussions and decision around LRE and placement. This page is used to document the IEP team's consideration and decision. Box 2120 M -The student has Mastered this annual goal. The sample IEP form is divided into two sections. Strengths-based IEP goal: Mike will use his skills with technology to dictate and complete his history chapter notes on time with 85 percent accuracy in three out of four consecutive assignments. Richmond VA, 23218 Looking For More Executive Functioning IEP Goal Ideas? INDIVIDUALIZED EDUCATION PROGRAM (IEP) PARTICIPATION IN THE STATE AND DIVISIONWIDE ACCOUNTABILITY/ASSESSMENT SYSTEM (continued) Student Name________________________________________________________ Date ____/____/____ Page ___of___ Student ID Number__________________________________ PARTICIPATION IN STATEWIDE ASSESSMENTS TestAssessment Type* (SOL, VSEP,VAAP) Accommodations** If yes, list accommodation(s)Reading ( _______________________________________ ( Not Assessed at this Grade Level(Yes (NoMath ( _______________________________________ ( Not Assessed at this Grade Level(Yes (NoScience ( _______________________________________ ( Not Assessed at this Grade Level(Yes (NoHistory/SS ( _______________________________________ ( Not Assessed at this Grade Level(Yes (NoWriting ( _______________________________________ ( Not Assessed at this Grade Level(Yes (No * Students with disabilities are expected to participate in all content area assessments that are available to students without disabilities. A student's IEP must detail how the student's progress toward meeting their annual goals will be measured. Describe. Then, describe the placement selected in the PLACEMENT DECISION section below. The process for setting an IEP goal should be closely tied to progress monitoring, a valid and reliable method for providing frequent, ongoing assessment of a student's performance. If yes, complete the VSEP Participation Criteria for each content area considered. As seen above, speech goals should be written with 3* components in mind: the DO statement, the CONDITION statement, and the CRITERION statement. (Yes (NoBased on the Present Level of Academic Achievement and Functional Performance, is this student being considered for participation in the Virginia Standards of Learning (SOL)Assessments (select appropriate content area) ( Reading ( Math ( Science ( History/Social Science ( Grade 8 Writing(Yes (NoBased on the Present Level of Academic Achievement and Functional Performance, is this student being considered for participation in the Special Permission Request Virginia Substitute Evaluation Program (VSEP)? VAAP Stakeholder Committee. Current of September 2017. In the case of a student who is deaf or hard of hearing, consider the students language and communication needs, opportunities for direct communications with peers and professional personnel in the students language and communication mode, academic level, and full range of needs, including opportunities for direct instruction in the students language and communication mode. Your child's IEP should have goals for each area of weakness in reading skills. Please enable JavaScript in your browser for a better user experience. Extending learning beyond the year level expectations (through access to . The Virginia IEP System provides functionality as an IEP writer and compliance tool that affords educators the functionalities necessary to facilitate IEP meetings, develop IEPs, monitor student progress, and gather and submit data for state reporting purposes. Measurable IEP Goals Remember that the student's every area of need should be listed in IEP present levels. Box 2120 Parent and adult student rights are explained in the Procedural Safeguards. All students can have both the paper copy and online version of items for practice items and during a VAAP test. (Yes (NoDoes the student meet VAAP participation criteria? VAAP participants are instructed in academic Used by IEP team to determine whether a special education student fits the criteria to participate in VAAP. ( Divisionwide Assessment (list): ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ EXPLANATION FOR NON-PARTICIPATION IN REGULAR STATE OR DIVISION-WIDE ASSESSMENTS If an IEP team determines that a student must take an alternate assessment instead of a regular state assessment, explain in the space below why the student cannot participate in this regular assessment; why the particular assessment selected is appropriate for the student, including that the student meets the criteria for the alternate assessment; and how the students nonparticipation in the regular assessment will impact the childs promotion; or other matters. ______________________________________________________________________________________________________________ 8. SECTION 1: Foundation of All IEPs Cover Page: This page contains general information about the student and documentation of those individuals who participated in the development of the IEP. Now, benchmarks or short-term objectives are required only for children with disabilities who take alternate assessments aligned to alternate achievement standards.. In the past, benchmarks or short-term objectives were required elements in every child's IEP. ___________________________________________________________________________________________________ INDIVIDUALIZED EDUCATION PROGRAM PRESENT LEVEL OF ACADEMIC ACHEIVEMENT AND FUNCTIONAL PERFORMANCE Student Name__________________________________________________________ Date____/____/____ Page ___of___ Student ID Number_____________________________________________________ The Present Level of Academic Achievement and Functional Performance summarize the results of assessments that identify the students interests, preferences, strengths and areas of need, including assistive technology and/or accessible materials. Please select a domain below to begin viewing IEP goals associated with that domain. If necessary, the IEP is revised. 4, 4, 2 4, 4, 4, 4, 4, V V 2 4, 4, 4, W 4, 4, 4, 4, F] 4, 4, 4, 4, 4, 4, 4, 4, 4, : Virginia Department of Educations Sample IEP Form For Use with Students up to Age Thirteen, as Appropriate TABLE OF CONTENTS The Virginia Department of Education does not require that schools use this sample IEP format; it is offered as a best practice example. * Progress reports will be provided at least as often as parents are informed of the progress of children without disabilities. 72 0 obj <>stream Quizzes with auto-grading, and real-time student data. The strengths of the student; ______________________________________________________________________________________________________________ 3. Directions are included for use with Google Drive.This product was specially designed to assist students who are taking alternate assessments in demonstrating their knowledge when it comes to parallel and intersecting lines. P l e a s e r e s c h e d u l e t h i s m e e t i n g . Tips on Meeting Goals for Emotional Control 4. IEP goals should enable the child to learn the basic skills that are necessary for the child to be independent and self-sufcient. In selecting the LRE, consideration is given to any potential harmful effect on the student or on the quality of services that he/she needs. When students are identified as having an educational disability and require special education services to meet their unique learning needs, they are provided an Individualized Education Program (IEP) which is overseen by local public school divisions. SERVICES LEAST RESTRICTIVE ENVIRONMENT PLACEMENT, Continued Student Name_________________________________________________ Date____/____/____ Page ___of___ Student ID Number ___________________________________ Extended School Year Services (ESY): (see attached summary sheet as a means to document discussion) The IEP team determined that the student needs ESY services. J?$~C3h,T '0.vP,wR. All placement decisions shall be based on the individual needs of each student. These basic skills include: Communication skills Social skills and the ability to interact with others Reading skills The child must learn to communicate. Providing further clarification, the U.S. Department of Education issued a guidance letter in 2015 stating that all IEPs must be tied to state academic standards. IEP Goals: Given sorting boards and pictures of objects or words, STUDENT will independently place each object in the appropriate category (hot/cold, big/small, heavy/light), with 80% accuracy, in 4 out of 5 opportunities, by MONTH, YEAR. ACCOMMODATIONS/MODIFICATIONS (list, as appropriate) Accommodation(s)/Modification(s)FrequencyLocation (name of school *)Instructional SettingDuration m/d/y to m/d/y * IEP teams are required to identify the specific school site (public or private) when the parent expresses concerns about the location of the services or refuses the proposed site. 7. In these meetings, the progress of the child will be reviewed and the team will develop new goals. (page 26) Extended School Year Services: This page addresses services beyond the normal school year/day, if needed. In addition, ESSA requires each school division to submit a justification when it anticipates testing more than one percent of students using the AA-AAAS. Differentiation is a breeze with THREE different work samples at different levels- just print and go! Parents can make suggestions for changes, can agree or disagree with the IEP goals, and agree or disagree with the . t6kT^RM](Ke", zR0`'X>kQbSM(@4X|ca [=QcgW EhyX endstream endobj 73 0 obj <>stream Determine progress report schedule Document that the IEP team considered the need for short-term objectives or benchmarks for students other than those who take alternate assessments aligned to alternate achievement standards Develop short-term objectives or benchmarks for the annual goals, as needed Determine any needed accommodations and/or modifications in instruction and assessment Determine participation in state and divisionwide assessments Determine services and placement Determine if student needs ESY services Review any requests proposed and/or refused Provide prior written notice and obtain parental consent Identify how staff will be informed of their responsibilities for implementation of the IEP Special Education Meeting Notice (School Division Letterhead) Date: To:____________________________________and______________________________________ Parent(s)/Adult Student Student (if appropriate or if transition will be discussed) You are invited to attend a meeting regarding ____________________________________________ Students Name PURPOSE OF MEETING (check all that apply): IEP Development or Annual Review IEP Amendment Team Review of Referral Team Review of Existing Data Transition: PartC to Part B Eligibility Determination Team Determination of Needed Data Transition: Postsecondary Goals, Transition Services Manifestation Determination Other: ____________________________ The meeting has been scheduled for: Date Time Location Meetings are scheduled at a mutually agreed upon place and time by you and the school division. Goals reflect the findings of our scientific, comprehensive assessments, as well as our clinical opinions on appropriate developmental and academically relevant outcomes for treatment; they are anything but a "one-size-fits-all" statement to include on the goal/outcome pages of every of student served by the SLP. It is to help your child reach specific obtainable goals within the given school year. States that anticipate exceeding one percent in alternate assessment participation may submit a waiver request to the United States Department of Education (USED) 90 days before the beginning of the alternate assessment testing window. Virginia Alternate Assessment Program (VAAP) (Updated August 2021) The New Virginia Alternate Assessment Program (VAAP) is designed to evaluate the performance of students with significant cognitive disabilities instructed on academic standards that have been reduced in complexity and depth. When considering whether assistive technology is required, the IEP team may refer to the HYPERLINK "http://ttac-atsdp.gmu.edu/my_files/assessment/Resources/Consideration/VA_AT_Resource_Guide.doc" \t "_blank"Virginia Assistive Technology Resource Guide to facilitate the discussions about goals and objectives, areas of difficulty, and whether AT devices or services are needed, and whether accessible instructional materials in alternate formats are needed. Are you getting the free resources, updates, and special offers we send out every week in our teacher newsletter? Other options considered, if any, and the reason(s) for rejection are attached, or can be found in the Placement Decision section of this IEP. P.O. If yes, continue to next question. How will progress toward this annual goal be measured? Use A ction words. The IEP Team determines how the student will participate in the accountability system. " Below is a list of the participants (by name or position) the division will be inviting to attend the meeting: Please review and return the following page to assist the school staff in preparing for the meeting. These IEP goals are designed to assist in improving your student's writing skills, oral language comprehension, and written language production. There's no maximum or minimum number of goals for an IEP - you should write as many goals as your child needs in order to be successful. A listing of more than one anticipated location is permissible, if the parents do not indicate that they will object to any particular school or state that the team should identify a single school. I t h e F O R M C H E C K B O X p a r e n t F O R M C H E C K B O X s t u d e n t c a n n o t a t t e n d t h e m e e t i n g a s s c h e d u l e d . The students placement should be as close as possible to the childs home and unless the IEP of the student with a disability requires some other arrangement, the student is educated in the school that he or she would attend if he or she did not have a disability. Best practice suggests that the IEP team document that the factors were considered and any decision made relative to each. For example, if a kid is having difficulty controlling a pencil, the first goal wouldn't be for him or her to write the letter "a." An Individualized Education Plan, often referred to by the acronym IEP, is an education plan that is designed around your child's unique needs. If yes, determine for specific content area. (page 4) Present Level of Academic Achievement and Functional Performance (pages 5-6) Measurable Annual Goals/Progress Reports (page 7) Services, Accommodations/Modifications (page 8) Services, Participation in State and Divisionwide Accountability/Assessment System (pages 9-10) Services, Least Restrictive Environment, Placement (pages 11-12) Services, Least Restrictive Environment, Placement-Preschool only (pages 13-14) Prior Notice (page 15) Prior Written Notice (page 16) SECTION 2: Additional Forms as Needed Elementary IEP Process Checklist: Example list that can be used to facilitate the IEP process. Attach comments using progress report comment form located in section two. INDIVIDUALIZED EDUCATION PROGRAM (IEP) SHORT TERM OBJECTIVES OR BENCHMARKS, as determined by IEP Team (Required for students participating in the VAAP) Student Name__________________________________________________________ Date____/____/____ Page ___of___ Student ID Number________________________________ Goal # _____ Area of Need: ___________________________ Short Term Objectives or Benchmarks, as needed Objective/Benchmark #___ Objective/Benchmark #___ Objective/Benchmark #___ Objective/Benchmark #___ INDIVIDUALIZED EDUCATION PROGRAM (IEP) PROGRESS REPORT COMMENTS, Continued (This document is optional) Student Name__________________________________________________________ Date____/____/____ Page ___of___ Student ID Number________________________________ Goal #___ Progress Report Code ___ Goal #___ Progress Report Code ___ Goal #___ Progress Report Code ___ Goal #___ Progress Report Code ___ Goal #___ Progress Report Code ___ INDIVIDUALIZED EDUCATION PROGRAM (IEP) EXTENDED SCHOOL YEAR SERVICES (ESY) (Optional) Student Name_________________________________________________________ Date____/____/____ Page ___of___ Student ID Number___________________________________ Summarize the IEP teams discussions and decision about ESY: If ESY services are to be provided identify which goals in the current IEP will be addressed by the ESY services: Identify the Extended School Year services needed to meet these goals: Service(s)Frequency**School/location Instructional Setting (classroom)Duration m/d/y to m/d/y 2 3 I O Q S [ ] e f g l m n  Often as parents are informed of the child to be independent and self-sufcient at a date. 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