INDIVIDUALIZED EDUCATION PROGRAM

STUDENTS NAME: DOB

!"#$"! %

Everest Williams SC&OOL 'EAR *ROM

! #( ) ! #$

GRADE TO

IEP INITIATION"DURATION DATES

11/22/2013

11/21/2014

T&IS IEP WILL BE IMPLEMENTED DURING T&E REGULAR SC&OOL TERM UNLESS NOTED IN E+TENDED SC&OOL 'EAR SERVICES,

STUDENT PRO*ILE - WILL INCLUDE GENERAL STATEMENTS REGARDING:

Stre./t0s 12 t0e st34e.t: Everest is a. 5 6ear 1l4 716 801 0as me4i9al 4ia/.1sis 12 *etal Al9101l S6.4r1me, Everest als1 0as a 0ist1r6 12 4evel1:me.tal 4ela6s, Everest 8as a41:te4 at 7irt0 a.4 .18 lives 8it0 0is a41:te4 :are.ts Ri9; a.4 Carla Williams, Pare.tal 91.9er.s:

St34e.t Pre2ere.9es a.4"1r I.terests:

Res3lts 12 t0e m1st re9e.t eval3ati1.s:

T0e a9a4emi9< 4evel1:me.tal< a.4 23.9ti1.al .ee4s 12 t0e st34e.t:

Ot0er:

*1r t0e 90il4 tra.siti1.i./ 2r1m EI t1 Pres9011l< =3sti26 i2 IEP 8ill .1t 7e im:leme.te4 1. t0e 90il4s ( r4 7irt04a6:

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INDIVIDUALIZED EDUCATION PROGRAM STUDENTS NAME:

SPECIAL INSTRUCTIONAL *ACTORS Items 90e9;e4 >'ES? 8ill 7e a44resse4 i. t0is IEP: Does the student have behavior hi!h i"pedes his/her #earning or the #earning of others$ Does the student have #i"ited Eng#ish profi!ien!'$ Does the student need instru!tion in (rai##e and the use of (rai##e$ Does the student have !o""uni!ation needs )deaf or hearing i"paired on#'*$ Does the student need assistive te!hno#og' devi!es and/or servi!es$ Does the student re+uire spe!ia##' designed P.E.$ ,s the student or-ing to ard a#ternate a!hieve"ent standards and parti!ipating in the Alabama Alternate Assessment$ Are transition servi!es addressed in this ,EP ith an annua# goa#)s*$ TRANSPORTATION AS A RELATED SERVICE Student.s "ode of transportation/ % & 0egu#ar bus % & (us for spe!ia# needs % & Parent !ontra!t % & 2ES Does the student re+uire transportation as a re#ated servi!e$ ,f 'es4 !he!- an' transportation needs/ % % % % % & & & & & (us assistan!e/ % & Adu#t support Preferentia# seating (ehaviora# ,ntervention P#an 6hee#!hair #ift and se!ure"ent s'ste" 0estraint s'ste" Spe!if' t'pe/ 1ther. Spe!if'/ (us driver and support personne# are a are of the student.s behaviora# and/or "edi!a# !on!erns. NONACADEMIC a.4 E+TRACURRICULAR ACTIVITIES 6i## the student have the opportunit' to parti!ipate in nona!ade"i!/e7tra!urri!u#ar a!tivities ith his/her nondisab#ed peers$ % & 2ES. % & 2ES4 ith supports. Des!ribe/ % & 31. E7p#anation "ust be provided/ % & 5edi!a# support 'ES % & % & % & % & % & % & % & % & NO % & % & % & % & % & % & % & % &

% & 1ther/

% & 31

% & % &

MET&OD"*RE@UENC' *OR REPORTING PROGRESS O* ATTAINING GOALS TO PARENTS Annua# 8oa# Progress reports i## be sent to parents ea!h ti"e report !ards are issued )ever'
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ALSDE Approved Feb. 2012

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ALSDE Approved Feb. 2012

INDIVIDUALIZED EDUCATION PROGRAM STUDENTS NAME: % & % &

% &

9his student is in a "idd#e s!hoo# 913rse 12 st346 that i## he#p prepare hi"/her for transition. 9his student as invited to the ,EP 9ea" "eeting. After prior !onsent of the parent or student )Age 1:* as obtained4 other agen!' representatives ere invited to the ,EP 9ea" "eeting.
E+IT OPTIONS AC1m:lete 21r st34e.ts i. Gra4es B)#!C

% & % & % &

A#aba"a ;igh S!hoo# Dip#o"a A#aba"a 1!!upationa# Dip#o"a 8raduation <ertifi!ate

A.ti9i:ate4 Date 12 EDit:

M1.t0:

'ear :

PROGRAM CREDIT TO BE EARNED AC1m:lete 21r st34e.ts i. /ra4es B)#!C

*1r ea90 913rse ta;e.< i.4i9ate :r1/ram 9re4it t1 7e ear.e4,
ENGLIS& MAT& SCIENCE SOCIAL STUDIES

A#aba"a ;igh S!hoo# Dip#o"a A#aba"a 1!!upationa# Dip#o"a 8raduation <ertifi!ate TRANSITION: )(eginning not #ater than the first ,EP to be in effe!t hen the student is 1=4 or ear#ier if appropriate4 and updated annua##' thereafter* Tra.siti1. Assessme.ts AC0e9; t0e assessme.tAsC 3se4 t1 4etermi.e t0e st34e.ts meas3ra7le tra.siti1. /1alsC: % & 9ransition P#anning Assess"ents % & ,nterest ,nventor' % & 1ther

G1als 21r P1stse91.4ar6 Tra.siti1.: P1stse91.4ar6 E439ati1."Trai.i./ G1al ,f Ot0er is se#e!ted4 spe!if' Em:l16me.t"O993:ati1."Career G1al ,f Ot0er is se#e!ted4 spe!if' C1mm3.it6"I.4e:e.4e.t Livi./ G1al ,f Ot0er is se#e!ted4 spe!if' Tra.siti1. Servi9es: Base4 1. t0e st34e.tEs stre./t0s< :re2ere.9es< a.4 i.terests< t0e 21ll18i./ 911r4i.ate4 tra.siti1.
servi9es 8ill reas1.a7l6 e.a7le t0e st34e.t t1 meet t0e :1stse91.4ar6 /1als, C1.si4er t0ese servi9e areas: >o!ationa# Eva#uations )>E*4 <o""unit' E7perien!es )<E*4 Persona# 5anage"ent )P5*4 9ransportation )9*4 E"p#o'"ent Deve#op"ent )ED*4 5edi!a# )5*4 Postse!ondar' Edu!ation )PE*4 Living Arrange"ents )LA*4 Lin-ages to Agen!ies )L9A*4 Advo!a!'/8uardianship )A8*4 Finan!ia# 5anage"ent )F5*4 and if appropriate Fun!tiona# >o!ationa# Eva#uation )F>E*.

Tra.siti1. Stra.4s
A9a4emi9s"P1st Se91.4ar6 E439ati1."Trai.i./ Em:l16me.t"O993:ati1.s" Careers Pers1.al" S19ial Dail6 Livi./

Servi9eAsC

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ALSDE Approved Feb. 2012

INDIVIDUALIZED EDUCATION PROGRAM

STUDENTS NAME: F G

EVEREST WILLIAMS

9his goa# is re#ated to the student.s transition servi!es needs. Be0avi1r

AREA:

PRESENT LEVEL O* ACADEMIC AC&IEVEMENT AND *UNCTIONAL PER*ORMANCE: C3rre.tl6< Everest is a7le t1 liste. a.4 res:1.4 t1 0is :eers 8ell< 80e. /ive. 1.e)ste: i.str39ti1.s< 018ever Everest is 12te. 122 tas; a.4 .ee4s 91.sta.t rei.21r9eme.t 12 i.str39ti1.s a.4 tas; /ive. t1 0im 2r1m t0e 9lassr11m tea90er, Everest is 3.a7le t1 91m:lete assi/.me.ts i.4e:e.4e.tl6, MEASURABLE ANNUAL GOAL relate4 t1 meeti./ t0e st34e.ts .ee4s: DATE O* MASTER': T0e st34e.t 8ill 7e a7le t1 i.4e:e.4e.tl6 21ll18 t81)ste: i.str39ti1.s 80e. /ive. a tas; 8it013t rei.21r9eme.t 76 Ma6 ! #$,

T'PEASC O* EVALUATION *OR ANNUAL GOAL: % & <urri!u#u" (ased Assess"ent % & 9ea!her/9e7t 9est % 7 & 9ea!her 1bservation % & Data <o##e!tion % & State Assess"ent)s* % & 6or- Sa"p#es % & 1ther/ BENC&MARHS: #, (' 1!tober 20134 Everest !, (, $, % & 1ther/

% &

8rades

i## be ab#e to fo##o se#f?<he!- #ist ith Li"ited

Date of 5aster'/ Date of 5aster'/ Date of 5aster'/ Date of 5aster'/

reinfor!e"ent. b' De!e"ber 20134 Everest i## be ab#e to fo##o se#f? !he!- #ist ith no reinfor!e"ent. (' Febuar' 20144 everest i## be ab#e to fo##o t o?step instru!tions ith reinfor!e"ent. (' 5a' 20144 Everest i## be ab#e to fo##o t o?step instru!tions independant#'.
9his goa# is re#ated to the student.s transition servi!es needs. Mat0

F G

AREA:

PRESENT LEVEL O* ACADEMIC AC&IEVEMENT AND *UNCTIONAL PER*ORMANCE:

<urrent#'4 Everest is ab#e to or- ith a peer he#per to !o"p#ete his "ath guided pra!ti!e4 ;o ever4 Everest is unab#e to do tas- independent#' and is strugg#ing in "ath.
MEASURABLE ANNUAL GOAL relate4 t1 meeti./ t0e st34e.ts .ee4s: DATE O* MASTER':

(' 5a' 20124 the student i## be ab#e to

T'PEASC O* EVALUATION *OR ANNUAL GOAL: % & <urri!u#u" (ased Assess"ent % & 9ea!her/9e7t 9est % & % & Data <o##e!tion % & State Assess"ent)s* % & % & 1ther/ % & BENC&MARHS: #,
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9ea!her 1bservation 6or- Sa"p#es 1ther/

% &

8rades

Date of 5aster'/
ALSDE Approved Feb. 2012

!, (, $,
INDIVIDUALIZED EDUCATION PROGRAM

Date of 5aster'/ Date of 5aster'/ Date of 5aster'/

STUDENTS NAME: F G

EVEREST WILLIAMS

9his goa# is re#ated to the student.s transition servi!es needs. Rea4i./

AREA:

PRESENT LEVEL O* ACADEMIC AC&IEVEMENT AND *UNCTIONAL PER*ORMANCE:

MEASURABLE ANNUAL GOAL relate4 t1 meeti./ t0e st34e.ts .ee4s:

DATE O* MASTER':

T'PEASC O* EVALUATION *OR ANNUAL GOAL: % & <urri!u#u" (ased Assess"ent % & 9ea!her/9e7t 9est % 7 & 9ea!her 1bservation % & Data <o##e!tion % & State Assess"ent)s* % & 6or- Sa"p#es % & 1ther/ BENC&MARHS: #, !, (, $, F G 9his goa# is re#ated to the student.s transition servi!es needs. % & 1ther/

% &

8rades

Date of 5aster'/ Date of 5aster'/ Date of 5aster'/ Date of 5aster'/

AREA: PRESENT LEVEL O* ACADEMIC AC&IEVEMENT AND *UNCTIONAL PER*ORMANCE:

MEASURABLE ANNUAL GOAL relate4 t1 meeti./ t0e st34e.ts .ee4s:

DATE O* MASTER':

T'PEASC O* EVALUATION *OR ANNUAL GOAL: % & <urri!u#u" (ased Assess"ent % & 9ea!her/9e7t 9est % & % & Data <o##e!tion % & State Assess"ent)s* % & % & 1ther/ % & BENC&MARHS: #, !, (, $,
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9ea!her 1bservation 6or- Sa"p#es 1ther/

% &

8rades

Date of 5aster'/ Date of 5aster'/ Date of 5aster'/ Date of 5aster'/

ALSDE Approved Feb. 2012

INDIVIDUALIZED EDUCATION PROGRAM St34e.ts Name: SPECIAL EDUCATION AND RELATED SERVICEASC: )Spe!ia# Edu!ation4 Supp#e"entar' Aids and Servi!es4 Progra" 5odifi!ations4 A!!o""odations 3eeded for Assess"ents4 0e#ated Servi!es4 Assistive 9e!hno#og'4 and Support for Personne#.*

S:e9ial E439ati1.
Servi9eAsC A.ti9i:ate4 *reI3e.96 12 Servi9eAsC Am13.t 12 time Be/i..i./"E.4i./ D3rati1. Dates L19ati1. 12 Servi9eAsC

to to

Relate4 Servi9es
Servi9eAsC

% & 3eeded
A.ti9i:ate4 *reI3e.96 12 Servi9eAsC

% & 3ot 3eeded

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S3::leme.tar6 Ai4s a.4 Servi9es

Servi9eAsC

% & 3eeded
A.ti9i:ate4 *reI3e.96 12 Servi9eAsC

% & 3ot 3eeded

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to to

Pr1/ram M14i2i9ati1.s
Servi9eAsC

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A.ti9i:ate4 *reI3e.96 12 Servi9eAsC

% & 3ot 3eeded

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A991mm14ati1.s Nee4e4 21r Assessme.ts

Servi9eAsC

% & 3eeded
A.ti9i:ate4 *reI3e.96 12 Servi9eAsC

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to to

Assistive Te90.1l1/6
Servi9eAsC

% & 3eeded
A.ti9i:ate4 *reI3e.96 12 Servi9eAsC

% & 3ot 3eeded

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Servi9eAsC
Page of

% & 3eeded
A.ti9i:ate4 *reI3e.96 12 Servi9eAsC

% & 3ot 3eeded

Am13.t 12 time Be/i..i./"E.4i./ D3rati1. Dates L19ati1. 12 Servi9eAsC
ALSDE Approved Feb. 2012

to to INDIVIDUALIZED EDUCATION PROGRAM STUDENTS NAME: TRANS*ER O* RIG&TS )(eginning not #ater than the ,EP that i## be in effe!t hen the student rea!hes 1@ 'ears of age.* Date student as infor"ed that the rights under the ,DEA i## transfer to hi"/her at the age of 1: 9he ,EP 9ea" has !onsidered the need for e7tended s!hoo# 'ear servi!es. % & 2es % & 3o

LEAST RESTRICTIVE ENVIRONMENT Does this student attend the s!hoo# )or for a pres!hoo#?age student4 parti!ipate in the environ"ent* he/she nondisab#ed$ % & 2es % & 3o ,f no4 e7p#ain/ Does this student re!eive a## spe!ia# edu!ation servi!es ith nondisab#ed peers$ % & 2es % & 3o ,f no4 e7p#ain )e7p#anation "a' not be so#e#' be!ause of needed "odifi!ations in the genera# !urri!u#u"*/ ou#d attend if

F G J)!# 'EARS O* AGE Least 0estri!ted Environ"ent/

F G ()% 'EARS O* AGE

COP' O* IEP 6as a !op' of the ,EP given to parent/student )age 1:* at the ,EP 9ea" "eeting$ % & 2es % & 3o ,f no4 date sent/

COP' O* SPECIAL EDUCATION RIGHTS 6as a !op' of the Special Education Rights given to parent/student )age 1:* at the ,EP 9ea" "eeting$ % & 2es % & 3o ,f no4 date sent/

Date !op' of ame.4e4 ,EP provided/sent to parent/student )age 1:*

THE FOLLOWING PEOPLE ATTENDED AND PARTICIPATED IN THE MEETING TO DEVELOP THIS IEP.

P1siti1.
Parent Parent 8enera# Edu!ation 9ea!her Spe!ia# Edu!ation 9ea!her LEA 0epresentative So"eone 6ho <an ,nterpret 9he ,nstru!tiona# ,"p#i!ations 1f 9he Eva#uation 0esu#ts Student <areer/9e!hni!a# Edu!ation 0epresentative 1ther Agen!' 0epresentative

Si/.at3re

Date

IN*ORMATION *ROM PEOPLE NOT IN ATTENDANCE

P1siti1.
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Date
ALSDE Approved Feb. 2012