Individual Student Record Review Form

							                                                                 FOR TRAINING PURPOSES – not an SED document

                                                                      Individual Student Record Review Form
         School District:                                                                     Building: ____________________________________________


         Person Completing Form:                                                              Date of Record Review:


                                    Student Name/ID:                                           DOB:

                                    School/Grade/Program:                                      Classification:

                                    Diploma Anticipated:                                       Gender:

         This table below identifies the most common places to find evidence of the requested regulation action in the IEP. Remember, the IEP is the only source
                                                                    of information for this self-review.
NYS         Regulatory wording                    Where to find evidence in the IEP.                             Evidence/Source of Data/Comments         Y/N
Citation
8 NYCRR When the CSE met to consider                       If the student attended or did not attend the Annual Review, the
§200.4        transition service needs, the school         following need to be present
(d) (4)(i)(c) district invited the student. If the          Statements in the PLP’s/MAPS that are clearly attributed to the
             student did not attend, the district                student as being the source of the information.
             ensured that the student's preferences         The Measurable Post Secondary Goals are personal and the
             and interests were considered.                      result of communication with the student. Statements generated
                                                                 from drop down menus don’t usually meet that standard.
                                                            Student listed as attendee at CSE meeting is good but not
                                                                 enough proof of “ownership”.
                                                            Information in the Comments section may be attributable to the
                                                                 student.
8 NYCRR      Under the student’s present levels of          Present Levels of Performance.
§200.4(d)    performance, the IEP includes a                Information that describes who the student is now.
(2)(ix)(a)   statement of the student’s needs,              Statements generated from drop down menus generally don’t
             taking into account the student’s                   meet the above standard.
             strengths, preferences and interests, as       The descriptive information can be from any source.
             they relate to transition from school to       There may be information in the Comments section that is
             post-school activities                              descriptive of the student.
8 NYCRR      The IEP includes appropriate                   Measurable Post Secondary Goals section of the IEP. (May still
§200.4(d)    measurable post-secondary goals                     read Projected Post School Outcomes.)
(2)(ix)(b)   based upon age appropriate transition          No more soft wording: hopes to, plans to, etc
             assessments relating to training,              Statements generated from drop down menus generally don’t
             education, employment and, where                    meet criteria.
             appropriate, independent living skills.        Independent Living includes all aspects of life that are not
NYS             Regulatory wording                            Where to find evidence in the IEP.                                        Evidence/Source of Data/Comments   Y/N
Citation

                                                           covered by Employment and Education/Training.
8 NYCRR      Each IEP includes measurable annual          Look in the Annual Goals section of the IEP.
§200.4(d)    goals consistent with the student’s          Measurable annual goals with criteria, schedule and procedure.
(2)(iii)     needs and abilities, including (if           The indicated goals should be ones that, as a whole, move the
             applicable) benchmarks or short-term          student towards achieving their individual MPSG.
             objectives.
8 NYCRR      The IEP includes a statement of the          PLPs/MAPS may include a discussion on course of study.
§200.4(d)    transition service needs of the student      Coordinated Set of Activities
(2)(ix)(c)   that focuses on the student’s courses of     Programs and Services may include information on specific
             study.                                        courses or environments the student will be in.
                                                          Transcript information may indicate the type of diploma and the
                                                           number of credits earned towards that diploma.
                                                          Inclusion in general education may contain information about the
                                                           student’s course of study.
8 NYCRR      The IEP indicates the recommended            Programs and Services including Program modifications,
§200.4(d)    special education program and                 Accommodations, assistive technology
(2)(v)       services to advance appropriately            Coordinated Set of Activities (CSA)
             toward meeting the annual goals              Comments section
             relating to transition needs.
8 NYCRR      The IEP includes needed activities to        Coordinated Set of Activities.
§200.4(d)    facilitate the student’s movement from       If the generic drop down menu choices are used, the activities
(2)(ix)(d)   school to post-school activities,             of the school district may not be fully represented.
             including:
               instruction,
               related services,
               community experiences,
               the development of employment
                and other post-school adult living
                objectives, and when appropriate,
                acquisition of daily living skills and
                functional vocational evaluation.
8 NYCRR      The IEP includes a statement of the          Coordinated Set of activities/ Agency responsible
§200.4(d)    responsibilities of the school district      Clear indication and coordination between school district activities and
(2)(ix)(e)   and, when applicable, participating           participating agencies – Activities designed to help student incrementally
             agencies for the provision of such            work toward attainment of PSG
             services and activities that promote
             movement from school to post school
             opportunities, or both, before the
             student leaves the school setting.