Notification of Individualized Education Program Meeting

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Benjamin Sanders
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1 Notification of Individualized Education Program Meeting Date of Notice: To: Address: On Behalf of:.. An Individualized Education Program meeting has been scheduled for : We must meet with you to develop your child's education plan. It is very important that you attend this meeting. With your input, we can develop an individualized education plan that is appropriate for your child. If you would like, you may review your child's education records prior to the meeting. At the IEP meeting we will be discussing: 1. Your child's academic achievement and functional performance; 2. Any special education and related services and supplementary aids and services which your child may require. 3. Appropriate annual goals; and 4. The extent of your child's participation in the general curriculum and/or necessary modifications. In addition to yourself, the following people will be in attendance at the IEP meeting: 1. A general education teacher of your child: 2. A special education teacher: 3. A school representative: 4. And the following individuals who can help explain the evaluation results and other individuals who have special knowledge or expertise regarding your child or services that may be needed: In addition to the people we have invited, at your discretion, you may invite other individuals who have knowledge or special expertise regarding your child. The determination of whether the person has special knowledge or expertise will be made by the party inviting the individual to be a member of the IEP team. If your child will turn at least 16 during this IEP (or younger if appropriate), the local school district will begin to help him/her to plan for the future after leaving school. The needs of your child in this area will be addressed at our meeting. Your child is invited to this meeting. Staff from other agencies which may be able to provide appropriate services also will be at our meeting. If the above date, time, or place is not agreeable to you; if you would like to schedule an appointment to review your child's records; or if you have any questions regarding your rights, please contact: Name: Phone Number: Procedural Safeguards to Protect Parents' Rights Both state and federal laws concerning the education of children with disabilities include many parental rights. Receiving notices of action the school wants to take in regard to your child and being part of your child's educational planning team are examples of the rights these laws give you. These laws also require that the school follow certain procedures to make sure you know your rights and have an opportunity to exercise those rights. Parents shall receive a copy of the parental rights once per year. You should read them carefully, and if you have any questions regarding your rights, you may contact: Name: Phone Number: Form 003 (rev. 06/08) Notification of Individualized Education Program Meeting page 1

2 Team Member Absences Name of Team Member: Role: Other (Please Specify) The IEP team member's area of curriculum or related services is being modified or discussed in the meeting and in lieu of his or her attendance has submitted written input into the development of the IEP to the parent(s) and school district prior to the meeting. Excused Attendance: Input Provided in Writing: The IEP team member is excused from attending the IEP meeting, in whole or in part, when the meeting involves modifications to or discussion of the member's area of curriculum or related services area, and the member has submitted in writing input into the development of the IEP before the IEP meeting (see attached). Signature(s) not on file Individual Education Program Team Member Input Form 003 (rev. 06/08) Notification of Individualized Education Program Meeting page 2

3 Name of Team Member: Role: The IEP team member's area of curriculum or related services is not being modified or discussed in the meeting Excused Attendance: Area Not Changed: The IEP Team member is not required to attend the IEP meeting, in whole or in part, as the member's area of curriculum or related services is not being modified or discussed at the meeting. Signature(s) not on file Form 003 (rev. 06/08) Notification of Individualized Education Program Meeting page 3

4 Permission to Invite Outside Agency to Attend Meeting A review of your child's IEP and/or transition records indicates that, to the extent appropriate, an agency representative(s) may be invited to the IEP meeting to assist with the transition planning for your child. The reason that the district proposes to invite the representative(s) is that there is a possibility that the agency may provide or pay for services. Your consent to invite the agency representative(s) to the upcoming IEP meeting is required. I give my consent for the agency representative(s) listed below to be invited to the IEP meeting. I understand that my consent is voluntary and may be revoked at any time before the identified representative(s) has/have been invited. I also give my consent to release the following education records. Agency Consent to invite Yes No Consent to release Yes No Consent to release All records about Student and any other information requested by Recepient Scholastic Grades Psychological Evaluations Activity Records Discipline Records Health Records Standardized Test Scores Special Educational Records Other: I do not give consent for the above listed agency representative(s) to be invited to the IEP meeting. I do not give consent to release the listed educational records. Date of Response Form Student's Name:.. Date Sent: I plan to attend the meeting as scheduled. I am unable to attend the meeting as scheduled and I would like to schedule the meeting at the following date, time and place: I have been fully informed of all information relevant to the proposed meeting and I understand the purpose of the meeting. I have also been provided a copy of my parental rights and procedural safeguards. Please sign and date this form and return it to: School Contact: Address: City/State/Zip: Form 003 (rev. 06/08) Notification of Individualized Education Program Meeting page 4

5 Phone: Student:.. I School:. I Grade: EI 0-2 I DOB: 01/01/1995 I SRS Student ID #130B3BB Form 003 (rev. 06/08) I Notification of Individualized Education Program Meeting I page 5

LOUISIANA DEPARTMENT OF EDUCATION SPECIAL SCHOOL PROGRAMS

LOUISIANA DEPARTMENT OF EDUCATION SPECIAL SCHOOL PROGRAMS PARENTAL NOTIFICATION LETTERS PRIOR WRITTEN NOTICE BY THE LOCAL SCHOOL SYSTEM http://www.doe.state.la.us 1-877-453-2721 Date: Contact Name: School: Telephone No.: To: To the Parent(s)/Guardian(s) of: Parents