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Title Date of Meeting

Initial/Most Recent Re-determination IEP Date

Description This the actual date of the meeting

Date of Last IEP Birthdate Ethnic Group Gender Grade

Initiation of Services Duration of Services

This is the date of the previously held IEP Birthdate of student Students gender Students current grade This is the start date of IEP. It is usually the same date of the IEP meeting This date will be one year of Initiation of Services Age of student Demographic Information Primary parent/ guardian address Information of primary/ guardian Information of primary/ guardian This should show EAST JACKSON COMMUNITY SCHOOLS This should show EAST JACKSON COMMUNITY SCHOOLS This should show current building student is attending- EAST JACKSON MIDDLE SCHOOL This will list the reasons for IEP

Age
Student Information Line

Student Home Address

Parent/ Guardian/Surrogate 1 Information Parent/ Guardian/Surrogate 2 Information Resident District Operating District Residential Status Attending Building Purpose of Meeting IEP Invite Information