Page ___ of ___ INDIVIDUALIZED EDUCATION PROGRAM _______________County Schools Student’s Full Name ___________________________________ Date___________________ PART IX: SERVICES A. Supplementary Aids, Initiation Services/Program Modifications Location of Duration Extent/Frequency Date Services m/y m/d/y Location of Initiation Duration B. Special Education Services Services Extent/Frequency Date m/y m/d/y Initiation Location of Duration C. Related Services Extent/Frequency Date Services m/y m/d/y _____ District and parent agree to waive the 5 day initiation requirement.
Page ___ of ___ INDIVIDUALIZED EDUCATION PROGRAM _______________County Schools Student’s Full Name ___________________________________ Date___________________ PART IX: SERVICES A. Supplementary Aids, Services/Program Modifications Location of Services Extent/Frequency Initiation Date m/d/y Duration m/y B. Special Education Services Location of Services Extent/Frequency Initiation Date m/d/y Duration m/y C. Related Services Location of Services Extent/Frequency Initiation Date m/d/y Duration m/y _____ District and parent agree to waive the 5 day initiation requirement.