IEP Form 4B is required for students who take the
CAPA. These students require annual goals AND objectives.. Best practice would
be to use Form 4B for any students
who are working on pre-academic or functional skills.
1.
Area of Need: Indicate the area of need for each goal
developed. These areas of need
should match the Ňareas of needÓ on Form 3. (i.e., math, reading, behavior)
2.
Baseline:
Specify the studentŐs baseline performance. The baseline should describe the
childŐs current performance on the skills identified in the goal. The baseline
should be a quantifiable description of classroom performance in the specified
area. (i.e., reads 20 sight words, writes a simple paragraph of 2-4 sentences,
etc.)
3.
Measurable Annual
Goal #: Enter the number of
the annual goal.
4.
Standard: First
consider standards at the studentŐs chronological grade level. Also consider
pre-requisite skills, levels of the cognitive domain, accommodations,
modifications, and assistive technology.
5.
Annual Goal:
Annual goals must be measurable and relate to the baseline data. Goals must include:
á
Who student
á
Does What observable
behavior
(will
add single digit numbers)
á
When by
reporting date
á
Given What conditions
(when given a paragraph to read)
á
How Much mastery,
criteria
(90%
accuracy, 3 consecutive days)
á
How Will It Be
Measured performance
criteria
(as
measured by teacher data)
6.
Enables The student
to be Involved and Progress in the General Curriculum: Select if student is
working on the goal written to California content standards.
7.
Addressed other
Educational Needs Resulting from Disability: Select if the student is
working on other educational needs. (i.e., behavior, social skills, self help,
etc.)
8. Secondary
Transition Goal: If the goal is related to secondary transition, check the
box and then check the appropriate area: Education/Training, Employment, or
Independent Living.
9.
Progress Reports:
Document the date and the summary of the progress.
[Source: State SELPA IEP Manual (draft), July 2008]