Services Services (Alt. year: )
Name   IEP Date

Service options considered:

* Service delivery model (Individual (I) Group (G))
Services
  Supplementary Aids and Services, Program Modifications, and/or Supports for School Personnel * Provider Start/End Date Duration Frequency Location
G I

  ESY Services * Provider Start/End Date Duration Frequency Location
Yes No [DNR]  G I - /wk
Physical Education

Attendance School Attendance School  
 
If you cannot find the school of attendance listed in the drop-down list, you can try entering the school code and/or name here:

School Type   Federal Setting
 
Preschool Setting   Early Inter/IFSP

Other Agency Services
Other:
- Student Eligible for Mental Health Services under Chapter 26.5?
  Mental Health Services Language Included on the IEP?

Student will not participate in the general education environment for
because
Extent student will NOT participate in general education classes and extra curricular activities

All special education services be provided at student's school of residence?

Transportation Transportation

Activities to support transition (e.g. preschool to kindergarten, special education and/or NPS to general education class, 8th-9th grade, etc.)
 
NOTE: Pressing CANCEL does not undo changes to the lists (above).