District 6 Transition Information and Planning Form

School Year: _______

This form MUST be completed for all grade 5 & 8 students on a Special Education Plan to assist with
the transition planning.

Student Name: ___________________________________ Grade: ___________

Feeder School: _________________________________

Receiving School: ________________________________________

Feeder School Resource: _____________________ Phone Number: _____________________


Date of Birth: ______________________________ Student No.: ________________________

Parent(s): _________________________________ Parent Contact Info: _________________


Type of Plan: (Check all that apply) ACC MOD IEP
Subjects: Reg. Acc. Mod. Individualized:
( )
French Functional ClassroomSkills

LA Communication/Language

Math Personal Care

Science Physical/Motor

Soc. Studies Pre-Vocational Skills

Art Relaxation/Coping Skills

Music Social Skills

P.E. Other:




ESSENTIAL INFORMATION: (Please complete each section with information or an N/A)

Policy 704 Essential Routine
Care /Emergency Care Plans

Medication Information
Unstructured Time:
Supervision required?

Teacher Assistant Support
Hours/Week/Noon

Specific Official Diagnosis
Recent Testing/Evaluations

Academi c Testing- Yes No Psych Ed- Yes No



Grade Level and/or
Performance Level
Language Arts ___________ Mathematics __________Other_____________
District Office and/or
Outside Agencies/Contacts

Special Transportation




Alternate Program or
Special Projects/Initiatives

Assistive Technology Specify what is currentl y used_______________________________________
Spring technology requests _________________________________________



AREAS OF CONCERN
Attendance
Organization


Behaviour Issues IBSP- Yes No NOTE: Please attach current plan
Social Skills
Self Care/ Issues toileting


Safe Place/ Down Time
Communication Book




Transition Meeting Information
Additional Information and Comments

Date of Meeting: _________________________________________

Participants:





Notes:





Follow-up:






This information on this form is to assist Resource Teachers and other members of a students team with
his/her smooth transition from middle school to high school. The students Special Education Plan
remains the primary document that guides educational planning and the delivery of services.

Copies to: Resource Teacher File
Attached to June /Year end copy of students grade 8 SEP
Cum Record
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