Completed Sample IEP

 Do you wonder what type of information should be included in an IEP? The following provides a basic IEP, filled out for you to review. You can print out a blank sample IEP as well, and complete information specific to your child.

For more information:

Documentation and Reports to Bring to an IEP Meeting

The Difference Between Accommodations and Modifications

When Parents Feel Their Child Needs Special Accommodations

Suggestions for IEPs and Section 504s

How IDEA Applies to Children with ADHD

Next week, I'll provide tips to help you write an IEP for your child.

IEP For School Age Children

School: Western Middle School

Student Name:     Jennifer McCormick                  Student ID#  123456

Age:      12                                           Date of Birth:  June 23,1997

Disability Classification:  Learning Disabled/ADHD

Student Information:  

Street: 123 Barton Road

City: Any City

State/Zip:            55555

Phone:  555-555-5555                                            

County: Any County

Current Grade: 7^th Grade

Ethnic Group: Caucasian

Gender: Female

Native Language: English

Interpreter Needed:    Yes    **No

Medical Alerts: None

Additional Information:

Jennifer has been diagnosed with Learning Disabilities and ADHD.

Parent/Guardian Information

Parent/Guardian Name(s): Thomas and Marta McCormick 

Street: 123 Barton Rd       

City: Any City

State/Zip: PA

Phone:  555-555-5555                                                        

County: Any County

Ethnic Group: Caucasian

Native Language: English

Interpreter Needed:    Yes   ** No

General IEP Information

Date of Initial Referral:  09     /    15      /     2009