Individual Service (s) Plan For Voluntarily Enrolled Private School Students (continued)
Area(s) of Need
Annual Goals and Benchmarks / Short-Term Objectives
Parents will be informed of progress
How?
How disability affects involvement and progress in general curriculum:
How disability affects involvement and progress in general curriculum:
Student will participate with non disabled children in the general education for:
Student will participate with non disabled children in the general education for:
District Personnel Responsible for implementation of Individual Service(s) Plan:
District Personnel Responsible for implementation of Individual Service(s) Plan:
Parents acknowledge that they have voluntarily chosen to place their child in private school. The parents also understand in accordance with the IDEA 97 and NCCSE Policy #19 that their right to a Free Appropriate Public Education (FAPE) does not apply in the private school setting. Parents further acknowledge that they have been informed that upon contacting their District of Residence and expressing an interest in enrolling their child in a public school placement, the District will schedule and hold an IEP team meeting and make an offer of FAPE.
(Parent Initials)
Parent/Guardian/Surrogate
Print Name
Signature
Date
District Administrator/Designee
Print Name
Signature
Date
Special Ed. Teacher/Representative
Print Name
Signature
Date
General Ed. Teacher/Representative
Print Name
Signature
Date
Additional Participant/Title
Print Name
Signature
Date
Additional Participant/Title
Print Name
Signature
Date
Additional Participant/Title
Print Name
Signature
Date