STATE SELPA IEP TEMPLATE - Download as DOC

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					                              SAN LUIS OBISPO COUNTY SPECIAL EDUCATION LOCAL PLAN AREA

                                  OFFER OF FAPE: EDUCATIONAL SETTING
                                                                                                              Page ____ of ____

Name                                                                                              IEP Date _____/_____/_____
Physical Education                General       Specially Designed        Other
District of Service                                                 School of Attendance
School Type                                                         Federal Setting
Federal Preschool Setting _______________________
All special education services provided at student’s school of residence?           Yes      No (rationale)
_______% of time student is outside the regular class & extracurricular & non academic activities
_______% of time student is in the regular class & extracurricular & non academic activities
Student will not participate in the regular class & extracurricular & non academic activities
because


Other Agency Services
                      California Children’s Services (CCS)                 Regional Center
                      Probation                                            Department of Rehabilitation
                      Department of Social Services (DSS)                  County Mental Health (CMH)
                      Other


Promotion Criteria             District         Progress on Goals        Other
Parents will be informed of progress
                      Quarterly           Trimester      Semester           Other
        How?          Progress Summary Report            Other


                                         ACTIVITIES TO SUPPORT TRANSITION
       (e.g., preschool to kindergarten, special education and/or NPS to general education class, 8th – 9th grade)



                                                 GRADUATION PLAN
                                                 (Grade 7 and Higher)
Projected graduation date and/or secondary completion date ___/___/___
            To participate in high school curriculum leading to a Diploma
            To participate in high school curriculum leading to a Certificate of Completion




9/11                                                     Form 5B

				
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