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IEP-2023

The Individualized Education Plan (IEP) is designed to address learners' impairments in relation to environmental barriers, as per the World Health Organization's classification. It includes sections for personal information, difficulties faced by the learner, meeting details, and team members in attendance. The document emphasizes the importance of accommodations to enhance educational success and outlines the rights of learners as they approach adulthood.

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3 views2 pages

IEP-2023

The Individualized Education Plan (IEP) is designed to address learners' impairments in relation to environmental barriers, as per the World Health Organization's classification. It includes sections for personal information, difficulties faced by the learner, meeting details, and team members in attendance. The document emphasizes the importance of accommodations to enhance educational success and outlines the rights of learners as they approach adulthood.

Uploaded by

Japitana Reymond
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Annex 6: Individualized Education Plan

INDIVIDUALIZED EDUCATION PLAN (IEP)


Overview – This IEP has been designed in accordance with the World health Organization International Classification of Functioning Disability and Health. In
accordance with this approach Disability is defined as an impairment in interaction with a wide range of environmental barriers. In this IEP, teachers are asked to
identify the learner’s impairment in combination with their school environment. The learning barriers should be documented alongside accommodations designed to
remove the participation barriers and improve educational success.

SECTION A: PERSONAL INFORMATION

LEARNER/PARENT INFORMATION: DIFFICULTIES (select most relevant): MEETING INFORMATION

Learner: _______ Difficulty in Seeing DATE OF MEETING:


_____________________________ Sex: _______ Difficulty in Hearing __________________________
__ _______ Difficulty in Communicating DATE OF LAST IEP:
__________________________
Birthdate: _____________ _______ Difficulty in Mobility/ Walking
Grade Level: __________ _______ Difficulty in Displaying Interpersonal PURPOSE OF MEETING:
LRN: __________________________ Behaviors
_______ Difficulty in Performing Adaptive _____Interim IEP**
Current School: Skills _____ Initial IEP
___________________________________ _______ Difficulty in Basic Skills and Applying _____ Term IEP
Knowledge _____ IEP Following 3-Yr
Address of School: _______ Difficulty in Remembering Reevaluation**
_____ revision to IEP Date
___________________________________ /Concentrating ___________________
Mother Tongue Spoken: _______ Others (please specify) _____ Exit/Graduation:
___________________________________ _______ Medical Diagnosis (if yes, please _____________________
specify)
Address: _________________________________________ _____ IEP Revision Without a
___________________________________ Meeting:
Learner’s Phone (if there is): At the request of _______ Parent
__________________ _______ School
IEP Review Date:
___________________________
COMMENTS:
Parent/Guardian/Caregiver: __________________________________
___________________________________ ________
Work & Workplace: __________________________________
___________________________________ ________
Landline/Mobile/Cellphone No.
___________________________________
Email:
____________________________________
Mother Tongue Spoken:
___________________________________
Interpreter or Other
Accommodations Needed:
____________________________________

1
IEP TEAM MEMBERS IN ATTENDANCE

Parent/Guardian/Caregiver_________________________________ School
Psychologist**______________________

*Learner________________________________________________ Guidance Counselor/Designate


______________

Principal/ School Head _____________________________________ School Nurse


_____________________________

Other (name and role) _____________________________________ Therapist/Pathologist/Specialist


______________

Special Education Teacher __________________________ Speech/Language interpreter


________________

**Regular Education/receiving Teacher __________ Other (name and role)

*Learner must be invited when transition is discussed.

**The IEP team must include at least one regular education teacher of the learner (if the learner is or may be
participating in the regular education environment)

________________________________________________
Signature over Printed Name of Parent/Guardian/Caregiver

ATLEAST ONE YEAR PRIOR TO REACHING AGE 18, LEARNER MUST BE INFORMED OF THEIR RIGHTS UNDER THE LAW
AND ADVISED THAT THESE RIGHTS WILL BE ENJOYED AT AG 18.

____ Not Applicable (learner will not be 18 within one year)


____ The learner has been informed of his/her rights under law and advised of the transfer of rights at age 18
Distribution: ____Learner’s Folder
____ Parent/Guardian/caregiver Ed Special Education/Receiving Teacher

LEARNER: ____________________________________________________________________
DATE: ___________________________________

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