Individualized Education Program

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IEP Date   Student Name

 
  Statement of Program Components for Pupils with Low Incidence Disabilities
  (To be used ONLY for students with Low Incidence Disabilities)
 
Deaf and Hard of Hearing
Primary Language and Mode of Communication
 
The I.E.P. Team has determined the student's primary language and mode of communication.
Primary language:
 
Mode of communication (check all that apply):
  Spoken language, with or without visual cues
  Sign language
 
Program Components:
 
The I.E.P. team has reviewed the following program components as part of the determination of placement in the least restrictive environment in accordance with Section 56345 of the California Education Code (check each component discussed)
 
The pupil receives instruction in his/her primary mode of communication by special education teachers who are proficient in that mode of communication.
There is appropriate, direct and ongoing access to specialists, support staff, assessors, administrators and other personnel who understand the unique nature of deafness and are trained to work with deaf and hard-of-hearing pupils.
There is a sufficient number of same language mode peers with whom the pupil can communicate directly and who are of the same, or approximately the same, age and ability level.
The pupil has direct and appropriate access to all components of the educational process including, but not limited to, recess, lunch, and extracurricular social and athletic activities.
 
Visually Impaired
Mode or Medium of Instruction
 
The I.E.P. team has determined the most appropriate medium or media of instruction for the student with a visual impairment based on a functional vision assessment. In accordance with Sections 56350-36352 of the California Education Code. (check all that apply):
 
 Braille
 Large Print
 Standard Print
 May need instruction in Braille in future
 Other: