EDSP 370Michael Jones
IEP Part 1 & 2
SAMPLE
School Division Letterhead
IEP MEETING NOTICE
Date: October 09,2016
To: Susie Jones and Robert Jones and Michael Jones
Parent(s)/Adult Student Student (if appropriate or if transition will be discussed)
You are invited to attend an IEP meeting regarding
Michael Jones
Transition: Postsecondary Goals,
Transition ServicesManifestation
Determination
Other:
The meeting has been scheduled for: November 01, 2016 8:00 am 1125 Main St
Date Time Location Meetings are sc
Pamela Morris IEP Case Manager/Teacher 434-434-4321
IEP Case Manager (Your name goes here) Title Phone
You and the school division may invite individuals to participate in the IEP team meeting who
have knowledge or expertise about the student’s educational needs. The determination of the
knowledge or special expertise shall be made by the party who invited the individual. If the
division intends to invite a representative of an agency that is likely to be responsible for
,providing or paying for transition services to the IEP meeting, writtenconsent of the parent or
adult student is required.
Below is a list of the participants (by name and position) the division will be inviting to attend
the IEP meeting:(list at least 5 attendees)
Dr.Sally Knowalot School Psychologist
Fred Disciplinesalot Asst. Principal
Carl Teachesalot Regular Ed. Teach
Pamela Morris IEP Case Manager/Teacher
Susie Jones / Michael Jones Parent/ Student
Page 1 of 31
TRANSITION INDIVIDUALIZED
EDUCATION
PROGRAMCOVER
PAGE
Student Name Michael Jones Date 10/09/2016 Page 1 of 26
Student ID Number 123456789 Grade 11th
DOB / / Age* 16 Disability(ies) (if
identified) Intellectual Disability
Parents Susie Jones
and Robert Jones Home
Address 111
Main Street
Nor
malville,VA 22222
Phone # (H) (434)
434-4343
Phone # (W) (434) 344-3344
You must complete this week’s reading assignment in order to complete these date intervals.
Date of Transition IEP
meeting…………………...………………………………….....……..………….. November / 01 /
2016
Date parent notified of Transition IEP
meeting…………………………………………...……………… October /
09 / 2016
,Date student notified of Transition IEP
meeting……………..…………………...……………………… October / 09 / 2016
This Transition IEP will be reviewed no later than ....................................................................................
....................................................................................................................................................................October
Most recent eligibility
date…………………………….…………………………………….……………. November / 02 /
2015
Next re-evaluation, including eligibility, must occur before
………....………………..…..…………….. Septmenber / 01 / 2018
Copy of IEP given to parent/student by (Name) Carl Teachesalot_ On(Date) Nove
IEP Teacher/Manager_Pamela Morris Phone Number (434) 434-4321
The Individualized Education Plan (IEP) that accompanies this document is meant to support the positive
process and team approach. The IEP is a working document that outlines the student’s vision for the
future, strengths and needs. The IEP is not written in isolation. The intent of an IEP is to bring together a
team of people who understand and support the student inorder to come to consensus on a plan and an
appropriate and effective education for the student. No two teams are alike and each team will arrive at
different answers, ideas and supports and services to address the student’s unique needs. The student and
his/her family members are vital participants, as well as teachers, assistants, specialists, outside service
providers, and the principal. When all team members are present, the valuable information shared
supports the development of a rich student profile and education plan.
PARTICIPANTS INVOLVED:
The list below indicates that the individual participated in the development of this Transition IEP and
the placementdecision; it does not authorize consent. Parent or student (age 18 or older) consent is
indicated on the “ Prior Notice/Consent” page. This section must be complete.
NAME OF PARTICIPANT POSITION
Dr.Sally Knowsalot School Psychologist
Fred Disciplinesalot Asst. Principal
Carl Teachesalot Regular Teacher
Pamela Morris IEP Case Manager Teacher
Page 2 of 31
Susie Jones Parent
Michael Jones Student
* The student and parent must be informed at least one year prior to turning 18 that the IDEA
procedural safeguards (rights) transfer to the student at age 18 and be provided with an
explanation of those procedural
safeguards. Date informed Noverber / 01 / 2016 Student Initials
SJ, RJ
, MJ
Parent Initials
IEP Part 1 & 2
SAMPLE
School Division Letterhead
IEP MEETING NOTICE
Date: October 09,2016
To: Susie Jones and Robert Jones and Michael Jones
Parent(s)/Adult Student Student (if appropriate or if transition will be discussed)
You are invited to attend an IEP meeting regarding
Michael Jones
Transition: Postsecondary Goals,
Transition ServicesManifestation
Determination
Other:
The meeting has been scheduled for: November 01, 2016 8:00 am 1125 Main St
Date Time Location Meetings are sc
Pamela Morris IEP Case Manager/Teacher 434-434-4321
IEP Case Manager (Your name goes here) Title Phone
You and the school division may invite individuals to participate in the IEP team meeting who
have knowledge or expertise about the student’s educational needs. The determination of the
knowledge or special expertise shall be made by the party who invited the individual. If the
division intends to invite a representative of an agency that is likely to be responsible for
,providing or paying for transition services to the IEP meeting, writtenconsent of the parent or
adult student is required.
Below is a list of the participants (by name and position) the division will be inviting to attend
the IEP meeting:(list at least 5 attendees)
Dr.Sally Knowalot School Psychologist
Fred Disciplinesalot Asst. Principal
Carl Teachesalot Regular Ed. Teach
Pamela Morris IEP Case Manager/Teacher
Susie Jones / Michael Jones Parent/ Student
Page 1 of 31
TRANSITION INDIVIDUALIZED
EDUCATION
PROGRAMCOVER
PAGE
Student Name Michael Jones Date 10/09/2016 Page 1 of 26
Student ID Number 123456789 Grade 11th
DOB / / Age* 16 Disability(ies) (if
identified) Intellectual Disability
Parents Susie Jones
and Robert Jones Home
Address 111
Main Street
Nor
malville,VA 22222
Phone # (H) (434)
434-4343
Phone # (W) (434) 344-3344
You must complete this week’s reading assignment in order to complete these date intervals.
Date of Transition IEP
meeting…………………...………………………………….....……..………….. November / 01 /
2016
Date parent notified of Transition IEP
meeting…………………………………………...……………… October /
09 / 2016
,Date student notified of Transition IEP
meeting……………..…………………...……………………… October / 09 / 2016
This Transition IEP will be reviewed no later than ....................................................................................
....................................................................................................................................................................October
Most recent eligibility
date…………………………….…………………………………….……………. November / 02 /
2015
Next re-evaluation, including eligibility, must occur before
………....………………..…..…………….. Septmenber / 01 / 2018
Copy of IEP given to parent/student by (Name) Carl Teachesalot_ On(Date) Nove
IEP Teacher/Manager_Pamela Morris Phone Number (434) 434-4321
The Individualized Education Plan (IEP) that accompanies this document is meant to support the positive
process and team approach. The IEP is a working document that outlines the student’s vision for the
future, strengths and needs. The IEP is not written in isolation. The intent of an IEP is to bring together a
team of people who understand and support the student inorder to come to consensus on a plan and an
appropriate and effective education for the student. No two teams are alike and each team will arrive at
different answers, ideas and supports and services to address the student’s unique needs. The student and
his/her family members are vital participants, as well as teachers, assistants, specialists, outside service
providers, and the principal. When all team members are present, the valuable information shared
supports the development of a rich student profile and education plan.
PARTICIPANTS INVOLVED:
The list below indicates that the individual participated in the development of this Transition IEP and
the placementdecision; it does not authorize consent. Parent or student (age 18 or older) consent is
indicated on the “ Prior Notice/Consent” page. This section must be complete.
NAME OF PARTICIPANT POSITION
Dr.Sally Knowsalot School Psychologist
Fred Disciplinesalot Asst. Principal
Carl Teachesalot Regular Teacher
Pamela Morris IEP Case Manager Teacher
Page 2 of 31
Susie Jones Parent
Michael Jones Student
* The student and parent must be informed at least one year prior to turning 18 that the IDEA
procedural safeguards (rights) transfer to the student at age 18 and be provided with an
explanation of those procedural
safeguards. Date informed Noverber / 01 / 2016 Student Initials
SJ, RJ
, MJ
Parent Initials
