School District 69 (Qualicum)

Individual Education Plan Gifted Services

Student:
School:
School Year:
Case
Goal 2: _______________________________________________________________
Manager:
Grade:
Strategies:
Gender:
PEN:

Teacher(s):
Parent/Guardian(s):
Relevant
(Include details about past interventions/assessments, medical
Background
concerns, student needs)

Information:

Person(s) Responsible:

Assessment/Measures of Success:
Students
Relative
Strengths:
How is the student doing with this outcome right now?
Not Yet
Meeting Expectations

Minimally Meeting
Expectations

Fully
Meeting Expectations

Exceeding
Expectations

Adaptations to be Provided:
Curricular Area
Areas of
Adaptation
Challenge:

Goal 1: _______________________________________________________________
Strategies:

Person(s) Responsible:

Assessment/Measures of Success:

How is the student doing with this outcome right now?

Not Yet
Meeting Expectations

Minimally Meeting
Expectations

Fully
Meeting Expectations

Exceeding
Expectations

Other comments/considerations:

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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Administrators Signature: ____________________________________________