Preschool to Kindergarten Transition Amendment
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Name
,
Changes to IEP dated
Changes to IEP dated
Meeting Date
Birth date
Current
Proposed
School of Attendance
-
Services
Current
Proposed
(There are no services listed for this IEP. To add services, go to the Services tab.)
Current
Proposed
Extended School Year
Yes No
Yes
No
Yes
No
Educational setting
Federal School Setting
-
Services provided at Sch of Attd
Yes
No
Yes
No
Yes
No
Yes
No
% OUTSIDE general ed environment
% of time IN general ed environment
Transportation
Yes No
Yes
No
Yes
No
Physical Education
Testing
Participation in State/Districtwide Assessments (STAR)
DRDP: Yes No
DRDP-Access: Yes No
Additional Changes
Summary of Kindergarten Readiness/Functional Skills:
Activities to Support Transition/Notes:
Action Items:
(initial)
I agree to the contents of the amendment to the IEP dated:
Parent/Guardian/Surrogate
Date
Parent/Guardian/Surrogate
Date
Special Education Preschool Teacher/Provider
Date
General Education Teacher
Date
Additional Participant/Title
Date
School District Representative
Date
Additional Participant/Title
Date
Additional Participant/Title
Date
NCCSE 151