Individualized Education Program (IEP) Page | of 2 INDIVIDUALIZED EDUCATION PROGRAM (IEP) Los Angeles Unified School District IED Reconvened Meeting D ‘cr T_T Dace of Birth Meeting D Section R: Names and Signatures (Signatures on File) ‘Team Member Print Name Signature ParenGuardan (oe ren/Guadian a Parent Guari Student Age 18-21 years : j ‘Student Under Age 18 yeas Surogte Pare fc Foster Parent | Family Foster Home Provider D ‘Adinisratr [mowed [ —————— — Administrative Designee Speci Eaton Teaser esa Naeate Sa General Education Teacher Rosales | Eee School Psychologist [Ms Viana ] School Nurse - Related Service Staff [Las Related Service Staff | Related Service Staff Interpreter Sign Language Interpreter L j Agency Representative ‘Agency Representative [ Agency Representative https://welligent.lausd.net/pls/iepweb/IEP_PKG.SHOW_DOCUMENT?LOCKSTAT=F&... 3/20/2015Individualized Education Program (IEP) Page | of 2 INDIVIDUALIZED EDUCATION PROGRAM (IEP) Los Angeles Unified School District IE} Reconvened Meeting D Succ i Date of Birth Meeting D Section : Names and Signatures (Signatures on File) Team Member Print Name ParenGuardian (Guadulupe Romero ParenuGuardian ‘Student Age 18 =21 years ‘Student Under Age 18 years Surrogate Parent Foster Parent Family Foster Home Provider Ly Administrator Administrative Designee Special Education Teacher General Education Teacher School Psychologist School Nurse Mariko Nakaza Related Service Staff Related Service Staff Related Service Stal? Interpreter Sign Languaze inert Cd \ Agency Representative Agency Representative Agency Representative Other https://welligent.lausd.net/pls/iepweb/IEP_PKG.SHOW_DOCUMENT?LOCKSTAT=F&... 4/17/2015INDIVIDUALIZED EDUCATION PROGRAM (IEP) Los Angeles Unified School isrit UEP Page 1 of Reconvened Meeting Date| Date of Birth Sia Meeting Date (6-MAR= Section R: Names and Signatures (Signatures on File) Team Member Prat Nene Sinatee Mi TS Parent Guardian [Yaseen Shatk ————==—— Sa | arentGuardian Student Age 18 -21 years Student Under Age 18 years ] ‘Surrogate Parent Foster Parent c Family Foster Home Provider | on ) Administrator Administrative Designee Spevial Education Teacher General Education Teacher ‘School Psychologist School Nurse Related Service Sut EAS 1 ‘Marko Nakava Se ee] Related Service Stat Related Service StaT Interpreter Sign Language Interpreter Agency Representative Agency Representative Agency Representative Other | Page 17 of 23