Embong, Quim M.

INDIVIDUALIZED EDUCATIONAL PROGRAM (IEP)

STUDENT’S PROFILE
Student’s Name: Hawkin Nam Date of Birth: April 2, 2006
School: Queen’s Secondary National High School Place of Birth: Seyete City
Category of Special Education Needs: ADHD Grade level: Grade 7

COMMITTEE/ TEAM
Name and Signature Date

Parent/Guardian

Principal

SPED Teacher

Regular Teacher

Regular Teacher

Adviser

PARENTAL APPROVAL
1. I acknowledge that I was properly oriented on the IEP of my child and that I fully
understand about the program.
2. I agree with this IEP.
3. I received a copy of this IEP.
4. I approve of the education placement.

__________________________ ______________
Parent/Guardian Date

SCHOOL AUTHORITY/APPROVAL

On behalf of (school) _____________________________________, I approve this

IEP.

__________________________ ______________
Principal Date
__________________________ ______________
Supervisor Date
 IEP for Hawkin Nam 2019
GOAL OBJECTIVE TIME PERSONS REMARKS
FRAME INVOLVED
Stay still in his In 10 months, Hawkin will be 10 months Teacher Use positive and
sit and will not able to sit in place without any Buddies negative
interrupt the unnecessary movements. performance and
class. lessen its frequency
as he improves.
He will be able In 5 months, Hawkin will not 5 months Teacher Fading of
to keep quiet cause noises and distractions Classmates reprimands as
and not like shouting and laughing behavior positively
interrupt the loudly in an inappropriate improves.
class. manner.
Appropriate Hawkin will be able to 3 months Teacher Use reinforcements
response to demonstrate understanding and and apply fading of
questions. paying attention to the lesson. reinforcements as
his behavior
improves.
Establishing a Hawkin will establish working 4 months Teacher Fading of
quiet and calm and friendly relationships with Classmates interventions if
relationship/ his classmates through group positive outcomes
interactions activities. are observed.
with fellow
classmates.
He will be able Given a set of activities, 4 months Teacher Application of
to complete his Hawkin will be able to reinforcements and
tasks. accomplish all of his tasks its eventual removal
without any interruptions or as time goes by.
problems along the way.
He will be able Given a set of tasks and 2 months Teacher Application of
to organize activities, Hawkin will be able consequences and its
tasks and to classify and organize it eventual removal as
activities. according to the most priority to time goes by.
the least.
Improvement of Through repetitive activities, he 4 months Teacher Application of
his memories. will remember his daily tasks consequences and its
and activities. eventual removal as
time goes by.
Improvement in Hawkin will be able to pay By the end of Teacher Fading of
attention span. attention for a whole hour the school intervention as
without getting irritated or year. independence is
throwing a tantrum observed.

Parent Signature: School Administrator Signature:

Class Teacher Signature: Special Education Teacher Signature