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INDIVIDUALIZED EDUCATION PROGRAM (IEP)

A. SAMPLE. INDIVIDUALIZED . EDUCATION . PROGRAM . (IEP). - INDIVIDUALIZED EDUCATION PROGRAM (IEP) Format ** School Age IEP Team Meeting Date: __November 12, 2001___. IEP Implementation Date (Projected Date when Services and programs Will Begin): ___11_/_17_/_01__. Mo Day Yr Anticipated Duration of Services and programs : __11_/__16_/02__. Mo Day Yr Student Name: ____Eddie Carlson_____ DOB: _5/1/93_____ Age: 8. Grade: ___3_____ Anticipated Year of Graduation: _2011_____. School District: __Universal School District _____. Parent Name: Barbara Carlson Address: 200 North Brighton Street_____ Phone: (H) 239-562-8456. New Chasm, Pa 19050_____ (W) 239-568-8437. County of Residence: Chester_____ Other Information: IEP TEAM/SIGNATURES*. The INDIVIDUALIZED EDUCATION PROGRAM (IEP) Team makes the decisions about the student's PROGRAM and placement.

Individualized Education Program HOW THE STUDENT’S DISABILITY AFFECTS INVOLVEMENT AND PROGRESS IN GENERAL EDUCATION CURRICULUM (Include the child’s strengths and needs which will effect the student’s

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