Notice of Meeting
Individualized Education Program

 
Purpose Purpose  
 
Student's Name , Birthdate
 
Address (line 1)
 
Address (line 2)
 
City State
 
Zip
 
  Today's Date Today's Date Pick a date
Dear   ,
 
An Individual Education Program (IEP) Meeting has been scheduled for your child. Your participation is important in the development of an appropriate education for your child. Your child could benefit from participation in the IEP Meeting and is invited to attend. Secondary students age 15 or older should attend the IEP Team meeting as appropriate. You may bring someone with you to the meeting. If this is your child's initial IEP meeting and your child was receiving services under Part C, through an IFSP you may request that the district invite the Part C Service Coordinator or other representative.
 
You are requested to attend this meeting as a participating member of the IEP team. The meeting is scheduled for:
 
Date Date Pick a date Time Time   
 
School/Location School/Location Room Room   
 

 
We anticipate that the following members will also attend:
 
Administrator/
Designee
Administrator/
Designee
Other Other   
 
Special Education Teacher Special Education Teacher Other Other   
 
General Education Teacher General Education Teacher Other Other   
 
Student Other Other   
 
Psychologist Psychologist Other Other   
 
Specialist Specialist Other Other   
 

 
If you would like further information about your Procedural Safeguards or the purpose of this meeting, please call:
 
Name Title  
 
School/District Phone  
 

 
Please complete and sign this form, and return to:  
 

 
Check the following items, as appropriate:
 
_____ YES, I plan to attend the meeting
 
_____ I do not plan to attend the meeting, but am available by teleconference
 
_____ I request a different time and/or place.
Please call me at home (______) _________________ work (______) _________________
 
_____ I give my consent for the district to invite other agency personnel to attend the meeting if secondary transition is being addressed.
 
 
 
 
  Signature   Date
 
_____ NO, I cannot attend the meeting, but hereby give my permission for the meeting to be held without me (CFR 300.345d). I understand the IEP and related documents from this meeting will be provided to me for my signature, and I agree to return them in a timely manner.
 
_____ NO, I cannot attend, but I will send __________________________________________ as my representative to speak for me. I understand the IEP and related documents from this meeting will be provided to me for my signature, and I agree to return them in a timely manner.
 
 
 
 
  Signature   Date