An important part of a special education teacher’s job is to write effective IEPs for their students. There are many different components involved in the IEP. The special education teacher must be able to write all components of the IEP to be individualized to each student’s unique needs.
Review the “Mock IEP.” Based on the “Present Levels of Academic Achievement and Functional Performance (PLAAFP) Example,” complete the highlighted sections for Lesley’s IEP to include:

Additional documentation or consideration of special factors
Three measurable IEP goals
Accommodations
Special education services to be provided
Least restrictive environment

In addition, beneath the IEP template write a 500-750 word rationale for your decisions in the highlighted sections of the IEP.

SPD-510_RS_T4-MockIEP1.docx

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Special Education Department
Individualized Education Program (IEP)
Student Name: Student Data/Cover Sheet (Form A-1) IEP Meeting Date:
Student ID: DOB:

Demographic Information

Student Number:

Student Name:

Birthdate:

Gender:

Grade:

Student Address:

Home Phone:

City, State, Zip:

Parent 1 Name:

Parent 1 Relationship:

Parent 1 Address:

Home Phone:

City, State, Zip:

Work Phone:

Parent 1 Email:

Parent 2 Name:

Parent 2 Relationship:

Parent 2 Address:

Home Phone:

City, State, Zip:

Work Phone:

Parent 2 Email:

Primary Language of Home:

Primary Language Survey Date:
Primary Language Survey Results:

Language of Instruction:

Home District:
Attendance District:

Service Coordinator:

Home School:

Attending School:

Vision Screened On:

Results:

Hearing Screened On:

Results:

Meeting Date:

Anticipated Duration of IEP:
To

Re-evaluation Due:
Current Evaluation:

Special Education Primary Category