M-31
Secondary (Gr. 7-12) IEP Meeting Notes for LEA
Student: ______School: ______Date: ______
_____ A required Release of Information form (M-13) must be obtained for any person(s) attending this IEP meeting that were invited by the parent(s)/guardian(s).
_____ 1. Introduction of all Participants and their Roles in the meeting
Name / Role / Name / RoleLEA (required)
Case Manager (required)
RegEd Teacher (required)
Parent/Guardian
Parents attended: ⃝ in person ⃝ by phone ⃝ permission to proceed ⃝ 2nd attempt (not in attendance)
Permission to Proceed received by ______
_____ 2. READVERBATIM District Recording Policy :
According to Policy #2420, recording meetings is not permitted. If recording is needed as an accommodation, consult the policy. The entire policy is available on the Wentzville School District web site.
_____ 3. Purpose of Meeting: ⃝ Initial ⃝ Annual ⃝ Other: ______
_____ 4. Present Level:
- _____ Background Information ⃝ transfer information (within 2 years) ⃝ medical information
⃝ hospitalizations ⃝ manifestations ⃝ foster placement or relevant guardian information
⃝ district center placement ⃝15 years or older post-secondary goals in ed./training, employment, independent living
Discussions:- _____ How disability currently affects involvement and progress in general education-
⃝All disabilities are addressed
⃝ 15 yrs or older How will disability affect them reaching post-secondary goals
Discussions:- _____ Strengths of the Child-
⃝ 15 years or older How their strengths relate to post-secondary goals
Discussions:
- _____ Concerns of the parents/guardians-
⃝ 15 yrs or older Expectations after leaving high school
Discussions:e. _____ Changes in functioning from previous IEP-
Does the child receive adult support? ⃝Yes ⃝ No
If “Yes” how the student is supported is discussed.
Discussions:
⃝ Last IEP’s goals and percentages attained are reported
⃝ 15 yrs or older Report the impact the changes have on their ability to reach post-secondary goals
⃝ 15 yrs or older Report previous transition plan
Discussions:f. _____ Summary of the most recent evaluations/ re-evaluations-
Discussions:
g. _____ Summary of district and state test results-
Discussions:
h._____ Statement of Formal or Informal age appropriate transition assessments-
Discussions:
i._____ Statement of Alternative Assessments-
Discussions:
j. _____ Other:
Discussions: (Statement regarding modified credits for graduation.)
_____ 5. Form C: Post-Secondary Transition Plan (for 15 yrs or older) ___:Old Form Handouts Given: Yes or No
- ______Education/Training Goal
- ______Discussion of Responsibility of ⃝School ⃝Parent ⃝Student ⃝Agency
- ______Discussion of Course of Study (4 year plan- discussion of courses)
- ______Employment
- ______Discussion of Responsibility of ⃝School ⃝Parent ⃝Student ⃝Agency
- ______Discussion of Course of Study (4 year plan- discussion of courses)
- ______Independent Living
- ______Discussion of Responsibility of ⃝School ⃝Parent ⃝Student ⃝Agency
- ______Discussion of Course of Study (4 year plan- discussion of courses)
- ______Release signed for outside agency involvement
Discussions:
_____ 6. Special Considerations: State/Federal Requirements-
⃝All areas on this page were read as questions for the team to answer
⃝ If student qualifies for ESY and ESY Planning Worksheet must be filled out during this IEP
⃝ If student is 16 years explanation of transfer of rights and district brochure provided
Discussions:
_____ 7. Goals ⃝ Is there a goal for each area of eligibility? ⃝ Are the goals measurable?
⃝ Are the goals achievable in one year? ⃝ Has the goal changed from the previous IEP?
Discussion:Notice of Actions Needed for Changes in Goals: (addition, deletion of goal area)
Proposed/Refused: ______
_____ 8. Reporting Progress (only IEP goal pages and quarterly should be marked)
_____ 9. Services (always consider the least restrictive environment)
Discussion:Notice of Actions Needed for Changes in Services: (any increase, decrease, addition, deletion or change in location)
Proposed/Refused: ______
_____ 10. Transportation-
⃝ Regular ⃝ Regular with Accommodations ⃝ Special EducationDiscussions:
Notice of Actions Needed for Changes in Transportation: (addition or deletion)
Proposed/Refused: ______
_____ 11. Regular Education Participation-
a. ______Physical Education ⃝ Regular ⃝ Regular with Accommodations ⃝ Excused
b. ______Participation in Program Options, Nonacademic, and Extracurricular Activities
_____ 12. Placement Considerations-
⃝Divide total minutes in Special Education setting (including related services) by 2055 Middle
School / 1950 High School, placement is at least 80%.
⃝Divide total minutes in Special Education setting (including related services) by 2055 Middle
School / 1950 High School, placement is 40-79%.
⃝Divide total minutes in Special Education setting (including related services) by 2055 Middle
School / 1950 High School, placement is less than 40%.
⃝ Homebound
⃝ Private Separate Day Facility
Notice of Actions Needed for Changes in Placement: (any change in placement)Proposed/Refused: ______
_____ 13. Form B ESY: (This form is only presented when the student qualifies)
- Remember this is a maintenance program and minutes are NOT to exceed 720 minutes.
Discussion:
Notice of Actions Needed for Changes in ESY: (qualifies for/does not qualify and parent requests)Proposed/Refused: ______
_____ 14. Form D: State Assessments and Accommodations
⃝ accommodations being proposed are utilized on a daily basis and are related to student’s eligibility
⃝All high school students eligible for MAP-A will mark accommodations even if it is not a testing year
⃝ 8th grade student, NAEP was addressed (or 7th grade and in NAEP time cycle)
⃝ If ELL student, WIDA accommodations are denoted (all grade levels)
_____ 15. Form E: District-Wide Assessments and Accommodations
⃝ accommodations being proposed are utilized on a daily basis and are related to student’s eligibility
Discussions:
_____ 16. Alternate Form F: Modifications/Accommodations/Supports for School Personnel
⃝ accommodations and modifications are above and beyond what is done for ALL students
⃝ accommodations and modifications are related to student’s eligibility
Discussion:_____ 17. Multipurpose Page-
⃝ Explanation of service minutes on service summary page
⃝ Statement for extracurricular/nonacademic activities support
⃝ Explanation of support minutes (if applicable)
⃝ Reference of Behavior Support Plan (if applicable)
Additional Notice of Actions Needed:(addition of BIP, adding new behavior to BIP)Proposed/Refused: ______
****When to write a Notice of Action*****
Any change in service: type, amount, location (see page 2)
- Deleting an existing goal/adding a goal in an area where there had not been one before.
- Development of a BIP.
- Rewriting a BIP that focuses on a completely new behavior.
- Qualifies for ESY.
- Does not qualify for ESY but parent requested it.
- If a parent requests a service and it is refused by the district.
Additional Discussion:
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