IEP 4 Services IEP 4 Services (Alt. year: )
Name   Date

Describe how student's disability affects involvement and progress in general curriculum (or for preschoolers, participation in appropriate activities)
(In selecting the LRE, consideration is given to any potential harmful effect on the child or the quality of services needed) (CFR: 300.522)
Service options considered:

Services
In order for the student to advance appropriately toward attaining annual goals, to be involved and progress in the general curriculum and to participate in extracurricular and other nonacademic activities:

Extended School Year (ESY): Describe services:
Student will not participate in the general education environment for
because
Extent student will NOT participate in the general education classes and extra curricular activities
Will all special education services be provided at the student's school of residence?
Transportation Transportation
Physical Education
 
NOTE: Pressing CANCEL does not undo changes to the lists (above).