IEP Teacher Summary - Jr/HS Inst Form
This form will provide valuable information in determining student IEP goals and accommodations. Please be as specific and detailed as possible.
Student's Name
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First Name
Last Name
Instructor's Name
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First Name
Last Name
Subject
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Period
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1st
2nd
3rd
4th
5th
6th
7th
Positive strengths and interests of the student (list at least 3) Do NOT include academic.*
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Classroom Summary - Provide a description of the skill(s) students are currently working on within your classroom, (this could be the unit/subject you are working on.)*
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Classroom Summary - How is the student doing with learning the skill/concept being currently taught in your classroom? Provide a description.
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What academic strengths does the student display within your classroom? What skills does he/she show proficiency?
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What academic skills are a concern? What area or concept is causing the student to struggle?
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What classroom assessment has the student recently completed(i.e.. chapter quiz, unit test, etc.) How did the student score (i.e. 60%) PLEASE include class average for the assessment. (i.e.. class average, 79%) Please do NOT include District Assessment.
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List all accommodations/modifications this student is currently receiving for classroom assignments and homework (i.e. shortened assignments, fewer choices, etc.)
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List all accommodations/modifications this student is currently receiving during quizzes and tests. (i.e., teacher read direction, teacher read test, word bank, multiple choice vs short answer, etc.)
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Do you have any behavior concerns?
Do you have any additional information the IEP team may need to be aware of or other concerns not listed above.
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