IEP Page 4 of 10

ANNUAL GOALS
Name _________________________________ IEP Date: __/__/____

___________________________________________________________
Area of Need

Baseline: ___________________________________________________________

Measurable Annual Goal #1

Person(s) Responsible: SPECIAL EDUCATION TEACHER

Short Term Goal/Benchmark #1

Short Term Goal/Benchmark #2

Goal Annual Review: Date ________________________

Short Term Goal # __1__ Met: YES NO
Short Term Goal # __2__ Met: YES NO
Annual Goal Met: YES NO

Comment:
___________________________________________________________________
___________________________________________________________________

Name/Title of the person responsible to assist the child to meet his/her goal.
________________________________/ SPECIAL EDUCATION TEACHER

Signature(s) of the person(s) responsible: _________________________________

FORM 4- ANNUAL GOAL