IEP Checklist

Teacher:______________________

Date:__________________________

Student Name:_______________________________________________________
Disability:___________________________________________________________
Date of Birth:__________________
Classroom Acc/Mods:

Reading
Science

Race:___________________________
Math
Language
Social Studies

Supplemental Aids: _______________________________________________

Special Education Hours ________________ and Setting ____________________
Special Transportation:

yes

no

Bus#____________________

Meds @ School:

yes

no

Time:_____________________

Parent Contact Information:____________________________________________

__________________________________________________________________

*See attached sheet of accommodations/modifications for classroom and testing.