Special Factors
Name
IEP Date
The IEP team has considered assistive technology devices and/or services
Yes
No
Yes
No
Does the student require low incidence services, equipment and materials to meet educational goals?
Yes (specify)
No
Yes (specify)
No
Considerations if the student is blind or visually impaired:
Considerations if the student is deaf or hard of hearing:
If the child is an English Learner, consider the language needs of the child as those needs relate to the IEP:
Does student’s behavior impede learning of self or others?
Yes (describe)
No
Yes (describe)
No
If yes, specify positive behavior interventions, strategies, and supports
Yes
No
Yes
No
Behavior Support Plan (BSP) attached
Yes
No
Yes
No
Behavior Intervention Plan (BIP) attached
Participation in State/District Wide Assessments (STAR)
Yes
No
Yes
No
Grade Exempt (before grade 2 and after grade 11)
Yes
No
Yes
No
CAT-6/California Standards Test
Participation in the CAPA is appropriate because
Yes
No
Yes
No
California Alternate Performance Assessment (CAPA) - Level
[About CAPA levels]
(CASEMIS)
(CASEMIS)
Other State-Wide/ District-Wide Assessments - Accommodations/Alternate
Alternate assessments (are) appropriate because:
PROMOTION CRITERIA:
Parents will be informed of progress at the same frequency as students without disabilities.
How?