Format A – Individualized Program Plan (IPP)

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					                  Grande Prairie & District Catholic School                                                                  214B 1 of 7

                                       Individualized Program Plan (IPP)
Student Name:                                                                 Date:

Student Information

Alberta Education #:                                         IPP for coded student Coding #                                 IPP for non coded student


    Adapted          Modified               Behaviour
Birth date (mm/dd/yyyy):                                                          Gender:                       M           F
Address:
Telephone:
Parent/Guardian:                                                                        Email:
School:                                           School Year:                                           Grade:


                              Signature indicates that you understand the IPP
        Team Members                          Position                                         Signature                                      Date
                                      Parent/guardian

                                      Student (if applicable)

                                      Principal

                                      Classroom Support
                                      Teacher
                                      Teacher(s)

                                      Teacher(s)




          Individual               Review Date              Initial          Review Date              Initial          Review Date               Initial
Teacher

Parent/Guardian

Classroom Support Teacher

Student (if applicable)

Principal or Designate

Other




                    We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                           GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                              Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                               Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005
                                                                                                                           214B 2 of 7



Individualized Program Plan (IPP) (cont’d) Student Name:

A. Formal Assessment Results (for example psychometric, OT/PT/SLP/ WISC-R…)

   Date Given            Assessment Tools/Assessor                   Results




B. Informal Assessment Education Performance and Achievement; (for example teacher observation,
   interview, informal assessment)

   Date Given            Assessment Tools/Assessor                     Results




   Relevant Medical Information

      No medical information available at this time




                     We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                            GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                               Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                                Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005
                                                                                                                          214B 3 of 7

Individualized Program Plan (IPP) (cont’d) Student Name:

 Special Education and Related Support Services (additional school staff/support personnel/agencies and Literacy
 Intervention)




 Areas of Strength for Student                                               Areas of Needs for Student




Required Classroom Accommodations (changes to instructional and assessment strategies, materials and resources,
facilities or equipment) (See Additional Checklist)




 Parental Expectations and Involvement




 Student Expectations and Involvement (if applicable)




                    We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                           GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                              Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                               Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005
                                                                                                                                          214B 4 of 7

Methods of Instruction                                                            Materials
(General structure or content of lesson)

         Post daily schedules                                                                 Modify textual materials (add, adapt or substitute)
         For advanced students, compact the amount of material to                             Use audiovisual aides; e.g., tape recorder
         be learned                                                                           Supply student with samples of work expected
         For advanced students, compact the amount of material to                             (Exemplars)
         be practiced                                                                          Highlight important concepts and information and/or
         For advanced students, compact the amount for practice                               passages
         activities                                                                           Use a desk top easel or slant board to raise reading
         Use advance organizers                                                               materials
         Allow previewing questions                                                           Prepare audiotapes of reading/textbook materials,
         Cue student to stay on task; e.g., private signal                                    tasks
         Use student cueing (facilitate the student providing cues to                         Allow students to have extra set of books at home
         the teacher)                                                                         Use checklists or cueing devices
         Repeat directions or have student repeat directions                                  Allow use of personal word lists, dictionaries,
         Shorten directions                                                                   thesaurus
         Pair written instructions with oral instructions                                     Allow use of calculators
         Use computer assisted instruction                                                    Allow use of word processor/spell checkers
         Use visual aids in lesson presentation                                               Increase use of pictures, diagrams, concrete
         Other: _____                                                                         manipulatives
                                                                                              Break materials into smaller task units
Task/Response                                                                                 Use materials cooperatively – specify required tasks
       Reduce or substitute required assignments                                              Use graph paper for writing, mathematics
       Differentiate by academic level                                                        Increase print size in photocopying
       Break long-term assignments into shorter tasks                                         Use daily homework assignment book
       Adjust amount of copying                                                               Use raised lined paper for printing
       Teach test-taking skills (multiple choice, T/F,                                        Other: _____
       matching, short answer, paragraph writing)
       Use strategies to enhance recall; e.g., cues, exit cards                   Assessment Methods
       Allow student to tape record class discussions
       Provide student with a copy of notes                                                   Adjust the test appearance; e.g., margins, spacing,
       Accept dictated or typed-in-class homework assignments                                 print size
       Use performance contracts                                                              Adjust the test design
       Provide extra time to complete assignments                                             Adjust to recall with cues, cloze, word lists
       Permit student to print                                                                Read test questions
       Use Reading In The Content Areas Strategies, identify                                  Allow use of a scribe
       strategy                                                                               Allow oral exams
       Give spelling of words/sentences in advance of weekly                                  Use alternate evaluation criteria
       tests                                                                                  Inform student frequently of his/her performance and
       Provide a study guide                                                                  progress
       Other: _____                                                                           Design assessment based on readiness
                                                                                              Design assessment based on ability
Organization for Instruction                                                                  Other: _____
The student works best:
                                                                                  Evaluation
         In large group instruction                                               Vary assessment for:
         In small group instruction                                                       Homework
         When placed beside an independent learner                                        Tests
         With individual instruction                                                      Class discussions/participation
         With peer tutoring                                                               Special projects
         With cross-aged tutoring                                                         Other: _____
         Using independent self-instructional materials
         In learning centres
         With preferential seating
         With allowances for mobility
         In a quiet space outside of classroom
         Other: _____
                           We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                                  GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                                     Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                                      Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005
                                                                                                                                      214B 5 of 7

Reinforcement Systems                                                            Communication (Home/School)
                                                                                       More frequent updates to parents (notes, phone,
        Provide immediate reinforcement                                                email, communication booklet)
        Give verbal praise for positive behavior                                       Parents will contact the teacher _________________
        Use tangible reinforcers                                                       Other: _____
        Send notes home
        Complete progress charts
        Give free time
        Allow special activities
        Assist student in self-monitoring; i.e., following directions,
        raising hand to talk
        Other: _____

Behaviour
       Define Limits, rules, tasks, expectations
       Praise appropriate behaviour in others
       Identify consequences of behaviour
       Redirect
       Planned ignoring
       Teach alternative appropriate behaviours
       Use appropriate reinforcers

                 Tangible


                 Intangible



        Other




                          We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                                 GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                                    Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                                     Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005
                                                                                                                         214B 6 of 7


Individualized Program Plan (IPP) (cont’d) Student Name:


Long-term goal related to assessment results:



Current Level of Performance:


Short-term Objectives
                                                                                                                        Results and
Related to Long-term Goal               Review Dates                    Assessment Procedures
                                                                                                                     Recommendations
(observable/measurable)




                   We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                          GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                             Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                              Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005
                                                                                                                           214B 7 of 7



Individualized Program Plan (IPP) (cont’d) Student Name:


 Transition Plans (recommendations, services required, goals and objectives requiring ongoing focus and materials
 that were effective)




                                                  Signatures for Transition Plan
       Team Members                           Position                                           Signature                                    Date
                                    Parent/guardian
                                    Student (if applicable)
                                    Principal
                                    Classroom Support Teacher
                                    Teacher(s)
                                    Teacher(s)
                                    Other
Year-end Summary                                                         Date:
 Goals and Objectives Achieved




 Strategies That Worked Well




 Goals and Objectives Requiring Ongoing Focus




 Support Services Required




 Recommendations



                     We are a Catholic Faith Community dedicated to learning and to achieving high standards by supporting one another.
                            GRANDE PRAIRIE ROMAN CATHOLIC SEPARATE SCHOOL DISTRICT NO. 28
                               Catholic Education Centre, 9902 - 101 Street, Grande Prairie, AB T8V 2P4
                                Phone: 532-3013 Fax: 532-3430 E-mail: cec@gpcsd28.ab.ca                                                   Revised Oct 2005