DEMOGRAPHIC INFORMATION

IEP Date: 6/10/2022 Prior IEP Date: 2/4/2013 Eligibility Category: Specific Learning Disability

Student’s Last Name: Andrews First Name: Steven M.I.: M.

Birth Date: 5/14/04 Gender: M Grade: 4th Student ID#: 993456872
Home Address: 1454 S. Kateri Ln.
City: Greenville State: TX ZIP: 75401
Primary Language of Student: English English Language Learner ☐ Yes ☒ No
Primary Language of Instruction: English
School of Residence: Preston Academy School of Attendance: Preston Academy

Parent/Guardian Last Name: Andrews First Name: Robert

Address: 1454 S. Kateri Ln.
City: Greenville State: TX ZIP: 75401
Home Phone: 555-7230 Work Phone: 555-9285 Primary Home Language: English

DOCUMENTATION OF PARTICIPATION

_______________________________ _____6/10/2022__ _______________________________ ____6/10/2022__

Parent/Guardian Date Counselor Date

_______________________________ ____6/10/2022___ _______________________________ ____6/10/2022__

General Education Teacher Date Principal Date

_______________________________ _____6/10/2022__ _______________________________ __________

Special Education Teacher Date Public Education Agency Representative Date

_______________________________ __________ _______________________________ __________

Interpreter of Evaluation Data Date Other (Specify) Date

1
STUDENT PRESENT LEVELS
Steven is below grade level in English, Language Arts and Math: reading, writing, verbal comprehension,
speed index, and problem solving. Steven’s cognitive testing or IQ score was also in the low average range
with a score of 80%. In order to be on average level a student must score between 90-110%.

Reading: Difficulty understanding questions even with a picture cue. Answers unrelated to topic of passage.
Unable to understand that his answers were not relevant to the questions being asked.

Math: Able to add and subtract, not successful with regrouping, has not mastered multiplication or
division, careless errors such as missing a sign when doing basic calculations.

Writing: Able to spell words typical f high first grade curriculum, able to write basic sentences, difficulty
when required to ass details or increase vocabulary, significant errors in grammar, sentence structure, and
vocabulary.

Short term visual memory attention and visual motor coordination: Low average range

Requires redirection when given directions or tasks.

CONSIDERATION OF SPECIAL FACTORS YES NO

Limited English proficiency ☒ ☒
Blind/Visually impaired- Braille instruction ☐ ☒
Deaf/Hearing Impaired- Communication and Language ☐ ☒
Behavior ☐ ☒
Communication ☒ ☐
Assistive Technology ☐ ☒
Transition Services ☐ ☒
Other ☐ ☒

2
MEASURABLE ANNUAL GOALS

Measurable Annual Goal: Benchmark: Benchmark:

Reading: Steven will be able to
identify the main idea and at
least 3 supporting details from
each subheading with no more
than 3 prompts in 2 out of 3
trials.

Measurable Annual Goal: Benchmark: Benchmark:

Writing: Teacher Guided pre-
writing activity. Steven will
form complete topic sentence
and 3 supporting sentences.
Steven will

Measurable Annual Goal: Benchmark: Benchmark:

Math: Solving Problem: When
given a multi-step equation,
Steven will determine the
operation to use and with no
more than one prompt will
solve with at least 80%
accuracy in 2 out of 3 trials.

PROGRESS REPORTING

How will the student’s progress be reported? Frequency?

Progress reports will be sent out with the report Quarterly

cards.

3
INSTRUCTIONAL AND ASSESSMENT ACCOMMODATIONS/MODIFICATIONS

Accommodation/Modification Instruction Assessment

Classroom: Preferential seating, breaking things down step by step.

Accommodation/Modification Instruction Assessment

Testing: Flexible setting, having test read aloud

Accommodation/Modification Instruction Assessment

Accommodation/Modification Instruction Assessment

PARTICIPATION IN STATE-WIDE ASSESSMENTS

What accommodations will students need to participate in state-wide assessments?

Flexible setting, test directions, questions, and answer choices read aloud.

Other
Pulled from class 4 times a week for 45 min sessions to work on reading, writing, math goals.

4
SPECIAL EDUCATION SERVICES
Special Education Services Start Date End Date Frequency LRE Setting Provider

EXTRACURRICULAR and NONACADEMIC ACTIVITIES

LEAST RESTRICTIVE ENVIRONMENT