Support Team Role Participant Name Contact Information Parent Teacher FNSA SEP Coach Educational Assistant Learning Support Teacher Principal Language Teacher Speech Language Pathologist Counsellor/Behaviour Specialist Occupational Therapist Visiting Pediatrician Educational Psychologist Other IEP Review Date:_______________ (Signatures are required, but if a school would like the signatures of those who attended the IEP meeting-see below) Signatures: Adaptations & Accommodations Accessibility: time allowed (increase) other: _______ access to all areas of school fire exits & routes Behaviour Management: furniture & storage consequences - clear/consistent health & personal care expectations/rules - clear/consistent parking lot, roads & walkways home-school program play areas & equipment outside agency support showers, washrooms & fountains reinforcement (class/grp/indiv) transportation to/from school routines established & followed other: _______ school counselling program Assignments & Homework: student contract/goal setting teach/assignments at skill level alternate assignments or format teach & reinforce social skills length &/or number (decrease) other: _______ partner or group assignments
Support Team Role Participant Name Contact Information Parent Teacher FNSA SEP Coach Educational Assistant Learning Support Teacher Principal Language Teacher Speech Language Pathologist Counsellor/Behaviour Specialist Occupational Therapist Visiting Pediatrician Educational Psychologist Other IEP Review Date:_______________ (Signatures are required, but if a school would like the signatures of those who attended the IEP meeting-see below) Signatures: Adaptations & Accommodations Accessibility: access to all areas of school fire exits & routes furniture & storage health & personal care parking lot, roads & walkways play areas & equipment showers, washrooms & fountains transportation to/from school other: _______ Assignments & Homework: alternate assignments or format length &/or number (decrease) partner or group assignments time allowed (increase) other: _______ Behaviour Management: consequences - clear/consistent expectations/rules - clear/consistent home-school program outside agency support reinforcement (class/grp/indiv) routines established & followed school counselling program student contract/goal setting teach/assignments at skill level teach & reinforce social skills other: _______
TEMPLATE-Long-Form-Final-2017-18-IEP.docx