THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION

INDIVIDUAL EDUCATION PLAN
Page 1 of ___

IEP Development Date ________________________ IEP Type:

Regular

Temporary

Reevaluation

Transition

Date of Most Recent (Re)Evaluation_______________ Grade(s) for which IEP Applies: ______________________________________
Student Name _____________________________________________
Sex M___

ID# ____________________________________________

F___ Birth Date ____________________Grade_____ School _______________________________________________

Exceptionality(ies)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

DESIRED SCHOOL/POSTSCHOOL OUTCOMES

To be completed for all students for validity period of IEP. May include outcomes regarding involvement in the general curriculum,
school programs, and extracurricular activities.
The student desires to
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Parents input for their childs education
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Additional Comments:
(medical/physical):____________________________________________________________________________________________
___________________________________________________________________________________________________________
PARTICIPANTS
LEA Representative________________________________

Regular Education ___________________________________

Parent(s)_________________________________________

ESE Teacher _______________________________________

IEP sent to parent (date) ____________________________

Evaluation Specialist_________________________________

Student (if appropriate) ____________________________

Agency Rep (if appropriate)____________________________

ADDITIONAL IEP TEAM MEMBERS:

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

The following persons provided input for the development of this IEP, however, were not present for this meeting.
IEP planning notes are attached and Draft IEP goals are provided, as appropriate.
_________________________________________________
_______________________________________________________
_________________________________________________
_______________________________________________________

This IEP is confidential and private. The information contained herein may be shared only with other school officials with a legitimate
educational interest or may be released to other officials, subject to the exceptions listed in the Family Educational Rights and Privacy
Act. Do not discuss the information herein with or release it to anyone who does not have a legitimate educational interest in reviewing
these records.
Distribution: Original: Cum File
.

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THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page ___ of ___
Student
Name_________________________________________ID#________________________Date_______________________________
GENERAL FACTORS
The IEP team has considered strengths of the child, the result of the most recent evaluation, and the parents concerns for enhancing
their childs education. (See Desired Outcomes and Goals and Objectives for this information)
SPECIAL FACTORS
[ ] Special Factors have been considered for this student. CHECK ( ) all identified needs addressed in this IEP.
[]
[]
[]
[]

Positive behavior intervention or strategies

Language (limited English proficient students)
Assistive technology strategies, devices, or services
Specially designed/adaptive physical education

[]
[]
[]
[]

Braille (blind/visually impaired students)

Communication and language
Extended school year services
Special transportation services

CHECK ( ) the statement describing the condition of the student that qualifies for weighted funding for specialized transportation
services.
___1.
___2.
___3.
___4.
___5.

Medical equipment required (e.g., wheelchair, crutches, walkers, cane, tracheotomy equipment, positioning or
unique seating devices.)
Medical condition requires a special transportation environment as per physicians prescription (e.g., tinted
windows, dust, controlled atmosphere, temperature control).
Aide or monitor is required due to disability and specific needs of students.
Describe______________________________________________________
Shortened school day required due to disability and specific needs of students.
Describe______________________________________________________
School assigned is located in an out-of-district school system.
Describe______________________________________________________

Special Factors Additional Information:

___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

CHECK () the domains and/or transition services activity areas requiring specialized instruction. Transfer the domains or areas
checked to the following goal page(s):
Is this a transition IEP _______yes

_________no

DOMAINS
__ Curriculum and Learning Environment
__ Social and Emotional Behavior
__ Independent Functioning
__ Communication

Distribution: Original: Cum File

.

TRANSITION SERVICES ACTIVITY AREAS

__ Instruction
__ Daily Living Skills
__ Related Services
__ Functional Vocational Eval.
__ Community Experience
__ Employment/Post-school Adult Living

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THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page ___ of ___
Student Name________________________________________ID________________________Date__________________________
MEASURABLE ANNUAL GOALS AND SHORT-TERM OBJECTIVES OR BENCHMARKS

PRESENT LEVEL OF ACADEMIC AND FUNCTIONAL PERFORMANCE FOR ___________________________________________

(domain/transition service area)
Based on: [ ] Initial or Most Recent Evaluation [ ] State/District Assessment [ ] Curriculum/Informal Assessment [ ] Parent
Information
[ ] Classroom Performance/Observation
[ ] Other______________________
Indicate what the student is able to do; how the students disability affects the students involvement and progress in the general
curriculum or, for prekindergarten children with disabilities, how the disability affects the childs participation in appropriate activities.
Student is able to (strengths)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
As a result of the disability (effects of exceptionality)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Priority educational need
___________________________________________________________________________________________________________
MEASURABLE ANNUAL GOAL:
Annual goals and short-term objectives or benchmarks must relate to meeting the students needs resulting from the students disability
in ways that enable the student to be involved in and progress in the general curriculum .
RESULTS
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
BENCHMARKS / SHORT-TERM OBJECTIVES

RESULTS

___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
EVALUATION PLAN
Progress toward the annual goal will be measured by (benchmarks: who, what methods, and how often; short term objectives: criteria,
procedures and schedule)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
The students progress toward annual goals and the extent to which progress is sufficient to enable the student to achieve the
annual goal by the end of the year will be reported to the students parents:
____with report cards every____ weeks
____through conferences every ____weeks

Distribution: Original: Cum File

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____through written reports every ____ weeks

____other ______________________________________

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THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page ___ of ___
Student Name________________________________ Age_____ ID#________________________Date________________________
Desired post-school outcome following completion of high school (to be completed no later than age 14):
Present area of interest for post-school
employment:______________________________________________________________________________
College
Community College
Vocational Training
Employment
Supported employment
Adult programs for students with disabilities
And
Independent living
Supervised Living
Living with family members
___________________________________________________________________________________________________________
Courses of study relating to transition service needs (to be completed no later than age 14):
College preparatory
Employment preparatory
Life skills curriculum for adult services
Vocational school preparatory
Life skills curriculum for supported employment
___________________________________________________________________________________________________________
Additional transition service needs (Complete as applicable to student no later than age 14):
___________________________________________________________________________________________________________
__________________________________________________________________________________________________________
DIPLOMA OPTION:
[ ] Standard
[ ] Special Option 1
[ ] Special Option 2
[ ] Not addressed as this age
Needed transition services (Complete area(s) applicable to student no later than age 16):
Instruction:
Specify: __________________________________________________________________________________________________
Not needed based on: _______________________________________________________________________________________
Related services:
Specify: __________________________________________________________________________________________________
Not needed based on: _______________________________________________________________________________________
Community experiences:
Specify: _________________________________________________________________________________________________
Not needed based on: _______________________________________________________________________________________
Development of employment and other post-school adult living objectives:
Specify: __________________________________________________________________________________________________
Not needed based on: _______________________________________________________________________________________
Acquisition of daily living skills:
Specify: __________________________________________________________________________________________________
Not applicable: _____________________________________________________________________________________________
Functional vocational evaluation:
Specify: __________________________________________________________________________________________________
Not applicable:
_________________________________________________________________________________________________________
Interagency responsibilities and linkages (Complete as applicable to student no later than age 16):
Vocational Rehabilitation:
Developmental Services:
Other:
Other:
If agency representative is unable to attend meeting, information was shared by:
telephone
conference
copy of IEP
other
th
Transfer of rights: Parents and student have been informed, at least one year prior to reaching age 18, that after the 18 birthday all
rights regarding the provision of exceptional student education services will transfer from his/her parents to him/her. Date notice sent to
parents and student:_______________________.

Distribution: Original: Cum File

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Copies [ ] Parent/Legal Guardians

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[ ] ESE Teacher

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page ___ of ___
Student
Name_________________________________________ID#________________________Date_______________________________
PROVISION OF SPECIALIZED SERVICES

SPECIAL EDUCATION SERVICES:

Dates
Initiation Duration

Frequency

Location

___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Dates
RELATED SERVICES:
Initiation Duration
Frequency
Location
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Dates
PROGRAM ACCOMMODATIONS/MODIFICATIONS:
Initiation Duration
Frequency
Location
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
If checked, see attached form Accommodations/Modifications

SUPPORTS FOR SCHOOL PERSONNEL:

Dates
Initiation Duration

Frequency

Location

___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

SUPPLEMENTARY AIDS AND SERVICES:

Dates
Initiation Duration

Frequency

Location

___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

Distribution: Original: Cum File

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Copies [ ] Parent/Legal Guardians

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[ ] ESE Teacher

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page___ of ___
Student
Name_________________________________________ID#________________________Date_______________________________
STATE AND DISTRICT-WIDE ASSESSMENT ACCOMMODATIONS
__ Participation in state and district-wide assessment without accommodations.
__ Participation in state and district-wide assessment with accommodations.
( If checked, complete and attach Documentation of Assessment form.)
__ Student is exempt, and will be participating in a form of Alternate Assessment
( If checked, complete and attach Documentation of Assessment form.)
PARTICIPATION IN REGULAR/VOCATIONAL EDUCATION:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
PLACEMENT (Based on percent of time with nondisabled students)
___
___
___
___
___
___
___
___

Regular Class
(student spends more than 79% of the day with non-disabled students)
Resource Room
(student spends more than 40%, but less than or equal to 79% of day with non-disabled
students)
Separate Class
(student spends less than or equal to 40% of day with non-disabled students).
Hospital/Homebound
Separate Day School
Residential Facility
Juvenile Justice Program
Other

REMOVAL FROM PROGRAMS WITH NONDISABLED STUDENTS:

Explain the extent, if any, to which the student will NOT participate with nondisabled students in the regular class and extracurricular
and nonacademicactivities:______________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________

Distribution: Original: Cum File

Copies [ ] Parent/Legal Guardians

[ ] ESE Liaison

[ ] ESE Teacher

The School Board of Sarasota County, Florida complies with State Statue on Veterans Preference and Federal Statute on non-discrimination on the basis of race, color, sex, religion, national origin, age, disability, marital status or sexual orientation.

RET: Master, 5Y GW
Dupl., 0SA

192-99-ESE
Rev. 03-24-04

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page ___of___
Student Name:____________________________School:_____________________ Grade:___Date:_______
Test Administered
Check the letter(s) that designate(s)
the appropriate test accommodations
Exempt

Assessment Instrument
Stanford 9 Achievement Test

N/A

Grade 2

Florida Comprehensive Assessment Test (FCAT)

(Required for Standard Diploma)
Grade 3 10 Reading
Grade 3 10 Writing
Grade 3 10 Math
Grade 5, 8, 11 Science

N/A
a
a
a
a

Exempt
b
b
b
b

c
c
c
c

d
d
d
d

e
e
e
e

f
f
f
f

Rationale for Exemption: Students may be excluded from statewide or district assessment programs if the following criteria are met:
1. The students demonstrated cognitive ability prevents the student from completing required coursework and achieving the
Sunshine State Standards even with appropriate and allowable course modifications, and
2. The student requires extensive direct instruction required to accomplish application and transfer of skills and competencies
needed for domestic, community living, leisure, and vocational activities

If Exempt, students will participate in the Florida Alternate Assessment.

Note: In order to receive a Standard diploma all students must participate in FCAT assessment.

Testing Accommodations Key

(Allowable accommodations are those that have been used by the student in classroom instruction as long as the accommodations are
within the limits specified in State Board Rule 6A-1.0943 and in accordance with the test administration manual.)
a.
b.

c.

d.

e.
f.

Special test accommodations not required.

Presentation. The student may be administered any statewide assessment through the following presentation formats: enlarged
print through mechanical or electronic means, large print version, Braille version, signed or oral presentation (other than reading
items), materials to enhance visual attention,
Responding, The student may use varied methods to respond to the test, including written, signed and verbal response. Written
responses may include the use of mechanical and electronic devices. A test administrator or proctor may transcribe student
responses to the format required by the test. Transcribed responses must accurately reflect the response of the student, without
addition or edification by the test administrator or proctor.
Scheduling. The student may be administered a test during several brief sessions allowing frequent breaks during the testing
sessions, within specifications of the test administration manual. Students may be provided additional time for the administration of
the test.
Setting. The student may be administered a test individually or in a small group setting. The student may be provided with
adaptive or special furniture and special lighting and acoustics.
Assistive Devices. The student may use the following assistive devices typically used in classroom instruction: calculators may be
used as authorized in the test administration manual, visual magnification and auditory amplification devices may be used,
technology may be used without accessing spelling or grammar-checking applications for writing assessments and without using
speech output programs for reading items assessed. Other assistive technology typically used by the student in classroom
instruction may be used provided the purpose of the testing is not violated. Implementation of assistive devices must assure that
the test responses are the independent work of the student.

The need for any unique accommodations for use on state assessments not outlined above must be approved by the
Commissioner of Education.

Distribution: Original: Cum File

Copies [ ] Parent/Legal Guardians

[ ] ESE Liaison

[ ] ESE Teacher

The School Board of Sarasota County, Florida complies with State Statue on Veterans Preference and Federal Statute on non-discrimination on the basis of race, color, sex, religion, national origin, age, disability, marital status or sexual orientation.

RET: Master, 5Y GW
Dupl., 0SA

192-99-ESE
Rev. 03-24-04

THE SCHOOL BOARD OF SARASOTA COUNTY, FLORIDA

EXCEPTIONAL STUDENT EDUCATION
INDIVIDUAL EDUCATION PLAN
Page ___of___
Student Name:____________________________School:_____________________ Grade:___Date:_______
INSTRUCTIONAL METHODS AND MATERIALS
Highlight important point of a text
Provide list of important vocabulary
Allow use of a study guide
Use hands on activities for abstract concepts
Allow use of sticky notes or highlighter
Provide an audio version of the material
Use a videotape that presents the same information
Provide books or tape
Provide books/instructional material in braille
Provide optical enhancer or braillewriter
Introduce new vocabulary prior to lesson
Provide an overview at the beginning of lesson
Present material logically and sequentially
Break information into steps or key components
Write important ideas on board
Provide structured organizers for notetaking
Provide copies of notes taken by peers
Key class notes to relevant pages in the textbook
Arrange for time to clarify concepts with teacher
Use real-life examples and concrete materials
Use a sign language interpreter or notetaker
Use visual information to reinforce oral instruction
Allow practice of skills on computer-based instruction
Allow use of chart or table with basic math facts
Allow use of flowchart for problem solving

ASSIGNMENTS AND ASSESSMENTS

Use attention signal before giving directions
Provide daily agenda or schedule
Read written directions orally
Assign a study buddy
Complete sample problem
Model and describe critical components
Repeat and simplify directions
Give step by step instructions
Break long-term assignments into parts
Give a choice of tasks or assignments
Use a kitchen timer to define work times
Simplify directions by numbering each step
Use clear formats for assignments and tests
Allow use of typewriter or word processor
Allow extended time for assignment completion
Allow use of a spelling dictionary
Read test items to students
Provide copies of test on tape, Braille, or large print
Allow oral responses

Distribution: Original: Cum File

Use symbols on tests such as arrow or stop sign

Reread or explain directions during testing
Provide a list of words for fill-in questions
Increase space allowed for test answers
Write on test instead of answer sheet
Extra examples for practice
Give shorter tests more frequently
Allow additional time to complete tests
Allow breaks during testing
Provide study guides prior to testing
Review corrected test with teacher

TIME DEMANDS AND SCHEDULING

Use flexible scheduling
Additional time for assignments and assessments
Give assignments ahead of time
Give shorter tasks
Give easier tasks first

LEARNING ENVIRONMENT
Work in a study carrel
Sit closer to the teacher
Allow partial participation in cooperative groups
Use of a learning center
Use of a study buddy
Give positive reinforcement for appropriate behavior
Monitor compliance of class rules
Feedback to parent regarding behavior

SPECIAL COMMUNICATION SYSTEMS

Use of total communication
Use of lip reading
Use of augmentative communication device
Use of assistive technology strategies (list below)

Use of presented symbol system

Use of interpreter for LEP
Use of personal FM
Classroom equipped with sound field system

Copies [ ] Parent/Legal Guardians

[ ] ESE Liaison

[ ] ESE Teacher

The School Board of Sarasota County, Florida complies with State Statue on Veterans Preference and Federal Statute on non-discrimination on the basis of race, color, sex, religion, national origin, age, disability, marital status or sexual orientation.

RET: Master, 5Y GW
Dupl., 0SA

192-99-ESE
Rev. 03-24-04