Most of these samples have been prepared by Support Team members using Demo Students. (The age and grade level may not be consistent because of this)
Click on the Adobe icon to download each sample as an Acrobat Reader file. You can also use Preview (on Macs) to view these files.
Demo 1 is a generic IEP written with instructions
on how to fill out each text box. It has notes on it to show you where
to put information, and which tabs to use. No specific level or
disability. Includes a Notice of CC.
Demo
9 is another generic IEP written for instruction for SLPs for a speech only
student. Instead of filling in actual student information, each field
contains comments on what should go into the box.
Demo
2 is a 6th grader, Primary disability is MiMH, secondary OI and SI. She
is not up for re-evaluation, has a CAT eval and is included in GE for
much of the day. She receives a high level of service due to her
physical needs. She is on a diploma track.
Demo
11 will be in 12th grade and on the diploma track. HIs primary
disability is SLD. Consult services are provided.
Demo
12 is a primary BEST student. He is in the 3rd grade, EH primary, SI
secondary. Were this an actual IEP, a BIP would be attached.
Demo 13 is
a 4th grader female with ASD. She is included in General Ed. for
academics, gets direct service from the SLP and consultation from the
Autism Consultant. She also has Spec. Ed. transportation.
Demo 16
is a 6th grade student going into 7th grade with SLD in
Reading Fluency and Math Calculation. He is receiving services in
Language Arts in an inclusionary setting with some social
adjustment goals to help support student int the gen ed
classes . He does wear classes and takes meds as written in the
written notes section.
Demo 20
is an initial (possible LD) high school student in the 9th grade.
The student is on diploma track with no BSP. Her goals are all tied to
attending school, completing homework, and passing her classes.
Demo
22 is a high school life skills student. He follows the typical LS
curriculum. Special Ed
transportation, no retesting. (Revised 1/9/09)
Demo
24 is an incoming 11th-grader. He has autism as primary disability and
speech/language as a secondary disability. He's on certificate
track, but does well in hands-on classes (construction processes) in
general ed. His only related service is autism consultation, and
he has a BIP.
Demo 25 is a third grader with SLD. She receives support in the GE classroom for 90 minutes/day. She is not up for reevaluation. Revised 10/25/2009
SNAPer
is a 3 year old student who is going into a Buddies class next year. He
has Autism as primary disability, and Speech/Language secondary.
(Sample was developed before beginning/ending dates were given, so they
are incorrect)
This
is a Speech Only preschool IEP that came to us from Elkhart. The
student is 3 years old, and has one speech goal. His disability is LI
and SI. The goal is to be evaluated using the collection of indicators.
Demo
49 is written as a Service Plan for students who live OUTSIDE the SBCSC
district, but attend a nonpublic school within the district. The IEP is
minimally filled out, but posted just to show you what a Service Plan
would look like.