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Student Information

Student Name
Parent / Guardian Name
Address

Current Academic Performance

Strengths, weaknesses, and any notable achievements.
PLOP
A review of the student's existing goals and objectives, including progress made and areas needing improvement.
Specific modifications, accommodations, or assistive technologies being used to support the student's learning.
e.g. Speech Therapy, Occupational Therapy

Evaluation and Assessment Results

e.g. teachers, specialists, parents, administrators
Cognitive, academic, behavioral, or social-emotional assessments.
Summary of assessment results, highlighting strengths, weaknesses, and recommendations for future interventions or support.

Recommendations and Follow-Up

Suggestions and recommendations for any necessary changes, interventions, or supports for the student.
Specific steps or strategies to be implemented to address the identified needs and goals.
If applicable.
To review progress and make any further adjustments, if needed.
Clear Signature
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Do you want to document and outline the educational program for an individual student directly from your site? If so, then you need the Individual Education Plan Form Template from WPForms.

This individual education plans template is incredibly useful for those in educational settings, social services, or any other organization that utilizes an IEP.

Using the Individual Education Plan Form Template

The IEP serves as a document that guides the implementation of appropriate accommodations to help special education students succeed academically. So, it needs to collect accurate data.

On our Individual Education Plan Form Template, the form user first provides the student information. The following fields are included in this section:

  • Student Name
  • Date of Birth
  • Student ID Number
  • Grade / Level
  • Parent / Guardian Name
  • Address
  • Email
  • Phone

Next, the form covers the student’s current academic performance. Paragraph-sized text boxes are provided for these fields and prompts:

  • Academic Progress
  • Present Level of Educational Performance
  • Goals and Objectives
  • Modifications and Accommodations
  • Assistive Technology Needs
  • Transition Services
  • Related Services

Then, the Individual Education Plan Form Template provides ample space with additional boxes for the user to describe the evaluation and assessment results. Users will find these fields in this section:

  • Review Team
  • Assessments Conducted
  • Results

Lastly, the form user provides answers for the Recommendations and Follow-Up section. Fields here include:

  • Recommendations
  • Action Plan
  • Behavior Management Plan
  • Follow-Up Meeting

The form user then dates and signs the form before submitting it. And don’t worry, we’ve included a bit of extra information within the form builder to help you utilize digital signatures on your form. That way, you can feel confident in adding this extra layer of authorization.

Get started with WPForms today to create and customize your own Individual Education Plan Form. Signing up with WPForms gives you access to this and thousands of other pre-made templates.