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Individualized Education Program _IEP_

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					 Services Plan
                                                INDIVIDUALIZED EDUCATION PROGRAM (IEP)



Name Dr. Richards                                                 Date of Birth 5/14/1954                        Grade Level 12+                      
                                                                                                                                                       Male             
                                                                                                                                                                         Female
Student Identification Number 007
Child/Student Address Spring Valley, OH                                                                          Parent/Guardian Own guardian
Parent Address                                                                                                   Home Phone                            Work Phone
Effective IEP Dates from 8/30/08              to 8/30/09                            Meeting Date                              X Initial IEP             Periodic Review

District of Residence   U.D.                                                                    District of Service   U.D.


Step 1           Discuss future planning.
                 (Family and student preferences and interests)



Dr. Richards wishes to maintain a healthy weight and diet for 2008. He wishes to avoid increasing blood sugar levels.




Step 2           Discuss present levels of academic and functional performance.
                 (What do we know about this child, and how does that relate in the context of content standards, or for preschool children, in the context of appropriate activities and
                 how the disability affects the student’s involvement in the general education curriculum.)

Currently, in terms of exercise, he has maintained a reasonable level which could be increased. He uses ellipitical machines, treadmill, weight machines, &
                 abdominal crunches regularly.




                                                                                                                                                                                  PR-07
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                                                                                                                                                                 (Duplicate as needed)

                                                  INDIVIDUALIZED EDUCATION PROGRAM (IEP)

                                                           Annual Goals and Short-Term Objectives
                                                   Step 3: Identify needs that require specially designed instruction

Dr. Richards needs to maintain or increase his workout schedule.


                                    Step 4: Identify measurable annual goals, including academic and functional goals
Goal # 1            Content area addressed: Health

Dr. Richards will meet his weekly workout objectives for treadmill and gym machine for a minimum of 6 consecutive weeks.


Benchmarks or short-term objectives

a. Given appropriate health (i.e., not sick or injured), Dr. R. will complete a minimum of 15 miles per week on his treadmill for 6 consecutive weeks.

b. Given appropriate health (i.e., not sick or injured), Dr. R. will complete gym machine workouts for upper and/or lower body a minimum of three
days per week for 6 consecutive weeks.



Student Progress
     (Include a description of how the child’s progress toward meeting the annual goals will be measured and when periodic reports on the progress the child is making toward
     meeting the annual goals will be provided.)

Progress will be measured through self-monitoring using an excel database checksheet. The mileage completed on the treadmill & the number of workouts
    completed on the gym machine will be recorded. Data will be collected daily and compiled weekly to determine if criteria are met. Progress will be reported
    at least as often as for students without disabilities (at least every 9 weeks).



                                                                            Step 5: Identify services
Service:__________________           Initiation date: ______________          Expected duration: ______________             Frequency: (how often) ______________
           (Identify all services needed for the child to attain the annual goal and progress in the general education curriculum. Services may include specially designed
           instruction, related services, supplementary aids, or, on behalf of the child, a statement of program modifications, testing accommodations, or supports
           for school personnel)


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                                                                 Step 6: Determine least restrictive environment
Determine where services will be provided
(An explanation of the extent, if any, to which the child will not participate with nondisabled children in the regular class.)




                                                                                                                                      PR-07
                                                                                                                                  Page 3 of 7
PR-08

				
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posted:8/19/2011
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