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Individualized Education Plan (IEP)
1. Student Information
Name: ________________________________________ Date of Birth: ___________
Year and Section: _______________________________ Student ID: ___________
IEP Start Date: _________________________________ Review Date: ___________
2. Identified Needs
Cognitive & Learning
Communication & Interaction
Social, Emotional & Mental Health
Sensory & Physical
3. Student Profile
Strengths & Interests:
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Challenges/Needs:
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Learning Style:
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4. Present Levels of Performance (PLOP)
Domain Strengths (✓ if applicable) Needs / Areas for Development (✓ if Evidence / Notes
applicable)
Academic ☐ Reads at/above grade level ☐ Requires reading support ____________________________________
☐ Strong in numeracy ☐ Difficulty with writing/spelling
☐ Independent learner ☐ Needs support in numeracy
☐ Demonstrates problem- ☐ Struggles with organization
solving skills ☐ Limited attention/focus
☐ Motivated and task-focused ☐ Requires differentiated instruction
Communication & ☐ Expresses needs clearly ☐ Limited vocabulary ____________________________________
Interaction ☐ Understands instructions ☐ Difficulty following multi-step
☐ Engages in conversation instructions
☐ Uses appropriate body ☐ Needs visual prompts
language ☐ Limited eye contact
☐ Initiates peer interaction ☐ Difficulty with social communication
☐ Needs support initiating/maintaining
conversation
Social, Emotional & Mental ☐ Positive peer relationships ☐ Struggles with peer relationships ____________________________________
Health ☐ Confident in class ☐ Shows signs of anxiety
☐ Demonstrates resilience ☐ Difficulty managing emotions
☐ Regulates emotions well ☐ Easily frustrated
☐ Participates willingly in group ☐ Needs structured routines
tasks ☐ Low self-esteem
☐ Requires adult support for behavior
regulation
Physical / Sensory ☐ Good fine motor skills ☐ Difficulty with handwriting ____________________________________
☐ Good gross motor skills ☐ Fine motor challenges
☐ Active and coordinated ☐ Gross motor difficulties
☐ Manages personal care ☐ Sensory sensitivities (noise, light, touch)
independently ☐ Needs movement breaks
☐ Requires adapted equipment/assistive
technology
5. Annual Goals (SMART)
Goal Area Target (✓ Select) Strategies (✓ Select) Responsible Staff (✓ Measurement (✓ Select)
Select)
Academic ☐ Improve reading comprehension ☐ Guided reading/writing groups ☐ ☐ Classroom teacher ☐ ☐ Teacher-made
☐ Increase writing fluency ☐ Differentiated worksheets ☐ Visual Learning assessments ☐ Standardized
Develop spelling accuracy ☐ aids/graphic organizers ☐ Step-by- Support/Resource teacher tests ☐ Portfolio/work
Improve math problem-solving ☐ step instructions ☐ One-to-one ☐ Teaching assistant ☐ samples ☐ Weekly progress
Enhance study/organization skills support ☐ Peer-assisted learning ☐ Subject teacher ☐ Parent checklists ☐ Observation
☐ Complete assignments Technology/assistive software (home practice) records ☐ Homework
independently ☐ Increase completion rates
attention during lessons
Communication ☐ Initiate conversations ☐ ☐ Social stories ☐ Role-play ☐ Speech & Language ☐ Therapist session notes ☐
& Interaction Maintain peer interaction for 3+ activities ☐ Visual cues/prompts ☐ therapist ☐ Classroom Teacher observation logs ☐
exchanges ☐ Improve vocabulary Peer-buddy system ☐ Speech teacher ☐ Inclusion/SEN Peer interaction checklists ☐
use ☐ Follow multi-step therapy sessions ☐ Turn-taking teacher ☐ Teaching Recorded speech samples ☐
instructions ☐ Use appropriate games ☐ Structured group work assistant ☐ Parents Self-reflection sheets
social greetings ☐ Improve (reinforcement at home)
listening skills ☐ Participate in
group discussions
Social, Emotional ☐ Improve self-regulation ☐ ☐ Emotion check-ins ☐ Calm corner ☐ Classroom teacher ☐ ☐ Behavior logs ☐ Self-
& Mental Health Increase confidence/self-esteem ☐ breaks ☐ Positive School counselor ☐ report scales ☐
Reduce anxiety in class ☐ Develop reinforcement/reward system ☐ Inclusion/SEN teacher ☐ Teacher/counselor
positive peer relationships ☐ Counseling sessions ☐ Visual Teaching assistant ☐ observations ☐ Incident
Follow classroom rules consistently regulation charts ☐ Structured Parents (support routines tracking forms ☐ Peer/social
☐ Reduce disruptive behaviors ☐ routines ☐ Mindfulness activities at home) interaction records
Use coping strategies effectively
Physical / ☐ Improve handwriting ☐ Increase ☐ Occupational therapy exercises ☐ Occupational therapist ☐ OT progress notes ☐
Sensory stamina for writing tasks ☐ ☐ Pencil grips/adapted tools ☐ ☐ Classroom teacher ☐ PE Handwriting samples ☐
Develop fine motor skills ☐ Movement breaks ☐ Sensory diet teacher ☐ Inclusion/SEN Physical activity records ☐
Improve gross motor coordination (weighted items, fidgets, etc.) ☐ teacher ☐ Parents Teacher observations ☐
☐ Manage sensory sensitivities ☐ PE/physical activities ☐ Typing (practice at home) Assistive tech usage logs
Use assistive technology effectively practice ☐ Visual schedules
☐ Increase independence in self-
care
6. Adaptations & Accommodations
1. Instructional / Academic Support
☐ Differentiated instruction
☐ Simplified / step-by-step instructions
☐ Visual aids (charts, diagrams, mind maps)
☐ Graphic organizers / story maps
☐ Pre-teaching of new vocabulary / concepts
☐ Use of multi-sensory teaching methods
☐ Extra practice / repetition of tasks
☐ Modified reading materials (simplified text, audio books)
☐ Alternative formats (videos, visuals, hands-on tasks)
☐ Reduced workload (quality over quantity)
☐ Small-group instruction
☐ One-to-one support when needed
☐ Extended time for classwork
2. Environmental Adaptations
☐ Preferential seating (near teacher, away from distractions)
☐ Quiet / low-stimulation workspace
☐ Sensory-friendly environment (reduced noise/light)
☐ Access to movement breaks
☐ Flexible seating options (standing desk, cushions, wobble chair)
☐ Visual timetable / daily schedule
☐ Clear, consistent classroom routines
☐ Access to calm corner or safe space
☐ Reduced transitions between tasks
3. Communication & Interaction Supports
☐ Use of visual cues / symbols
☐ Social stories / role-play activities
☐ Peer buddy system
☐ Allow extra processing time for responses
☐ Use of simplified language by adults
☐ Sentence starters / prompt cards
☐ Augmentative and Alternative Communication (AAC) devices (if needed)
☐ Opportunities for structured peer interactions
☐ Explicit teaching of social rules / conversation skills
4. Assessment Accommodations
☐ Extended time for tests
☐ Alternative formats (oral, scribed, multiple choice, practical tasks)
☐ Read-aloud support for instructions/questions
☐ Reduced number of test items
☐ Breaks during testing
☐ Separate / quiet test location
☐ Use of assistive technology (text-to-speech, speech-to-text)
☐ Grading focused on content, not spelling/grammar
☐ Option to demonstrate learning verbally or through projects
5. Physical / Sensory Supports
☐ Occupational therapy tools (pencil grips, slant boards)
☐ Access to fidgets / sensory tools
☐ Movement breaks / brain breaks
☐ Adapted PE activities
☐ Alternative methods for writing (typing, dictation)
☐ Larger print materials
☐ Use of coloured overlays / filters for reading
☐ Regular sensory diet (weighted items, chewing gum, etc.)
☐ Extra time to transition between activities
6. Behavioral & Emotional Supports
☐ Positive reinforcement / reward system
☐ Visual behavior charts
☐ Calm corner for self-regulation
☐ Check-ins with teacher / counsellor
☐ Use of break cards
☐ Access to safe adult for support
☐ Structured routines to reduce anxiety
☐ Clear, consistent expectations
☐ Mindfulness / relaxation strategies
☐ Social-emotional learning activities
Termly Curriculum & Progress Tracking
Subject / Topic Learning Objective / Skill Baseline Level (☑ Current Level (☑ A Teacher Comments
A / B / C / D) / B / C / D)
___________________ ______________________________ ☐ A = Needs ☐ A = Needs _______________________________________
Support Support
☐ B = Progressing ☐ B = Progressing
☐ C = Meeting ☐ C = Meeting
Expectations Expectations
☐ D = Exceeding ☐ D = Exceeding
Expectations Expectations
___________________ ______________________________ ☐ A = Needs ☐ A = Needs _______________________________________
Support Support
☐ B = Progressing ☐ B = Progressing
☐ C = Meeting ☐ C = Meeting
Expectations Expectations
☐ D = Exceeding ☐ D = Exceeding
Expectations Expectations
___________________ ______________________________ ☐ A = Needs ☐ A = Needs _______________________________________
Support Support
☐ B = Progressing ☐ B = Progressing
☐ C = Meeting ☐ C = Meeting
Expectations Expectations
☐ D = Exceeding ☐ D = Exceeding
Expectations Expectations
___________________ ______________________________ ☐ A = Needs ☐ A = Needs _______________________________________
Support Support
☐ B = Progressing ☐ B = Progressing
☐ C = Meeting ☐ C = Meeting
Expectations Expectations
☐ D = Exceeding ☐ D = Exceeding
Expectations Expectations
Baseline Level → filled at the start of the term (from assessment/initial observation).
Current Level → filled mid-term or end-term to measure growth.
Anecdotal Notes → space for qualitative comments (e.g., effort, confidence, engagement).
Tick boxes (Emerging → Developing → Secure → Mastery) standardize teacher judgment.
External Services (if any)
Speech & Language Therapy: ___________ (frequency)
Occupational Therapy: ___________ (frequency)
Counseling: ___________ (frequency)
Learning Support: ___________ (frequency)
9. Home strategies
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Student Voice (if appropriate)
What I like about school: ____________________________________
What I find difficult: ____________________________________
What helps me learn: ____________________________________
Team Members Involved
Classroom Teacher: ____________________
Inclusion/SEN Teacher: ____________________
School Counselor: ____________________
Parent(s)/Guardian(s): ____________________
Therapist(s) (if applicable): ____________________
Student (if appropriate): ____________________
Review & Monitoring
Review Frequency: ____________________________________
Next Review Date: ____________________________________
Notes: ____________________________________