WESTERN HILLS MIDDLE SCHOOL

							                                  WESTERN HILLS MIDDLE SCHOOL

Student Name_____________________________ D.O.B.________________________

                                    Preparing For The IEP Meeting

You are an integral member of the IEP team responsible for developing the IEP. Your participation is a
vital part of the ongoing IEP process. This form is a tool to organize and discuss areas of strengths and
needs in the development of the educational program. Some areas to consider may be:
                                    What motivates and interests the student?
                                    What do you feel is important to be learned this year?
                                    How does the student learn best?
                                    What are your wishes for this school year? For the future?

Please bring this completed form to the IEP meeting. If the spaces provided are not sufficient, write on
the back of this form or use additional pages.

      STRENGTHS                                                                   NEEDS

___________________________                                       _______________________________
___________________________                                       _______________________________
___________________________                                       _______________________________
___________________________                                       _______________________________
Keeping in mind what progress you would like to see in one school year, (academically, socially, self-help,
etc.) list one or more goals you feel need to be included in the IEP. _______________________________
______________________________________________________________________________________
______________________________________________________________________________________

How might the IEP meeting help to make progress in reaching goals (For example: homework, behavior,
organization)___________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Are outside support services being provided?         Yes____     No____ If yes, please
describe:_______________________________________________________________________________
________________________________________________________

What are some of the things that are done at home to reinforce school
activities?______________________________________________________________________________
______________________________________________________________________________________
Comments/Recommendations:
______________________________________________________________________________________
______________________________________________________________________________________

Form Completed By:____________________________________Date:________________________