IEP

Child's Name:
 * Gifted Individualized Education Program (GIEP) ||


 * GIEP Team Meeting Date: ||||||  || School Year: ||||||   ||

GIEP TEAM PARTICIPANTS
 * Student Name: ||  || Birth Date: ||   ||
 * ID: ||  || E-mail: ||   ||
 * Age: ||  || Grade: ||   ||
 * Parent Name: ||  || Phone: (H) ||   ||
 * Address: ||  || Phone: (W) ||   ||
 * E-mail (H): ||  || E-mail: (W) ||   ||
 * School District: ||  || County of Residence: ||   ||
 * Other Information: ||


 * The Gifted Individualized Education Plan (GIEP) Team makes the decisions about the student’s program and placement. Required members of the GIEP team are: the student’s parent(s), the student (if appropriate), one or more of the student’s current teachers, a school district representative, other individuals at the discretion of either the parents or district and a teacher of the gifted. ||


 * **__NAME__** || **__POSITION__** || **__SIGNATURE__** ||


 * || Parent ||  ||
 * || Parent ||  ||
 * || Student* ||  ||
 * || Teacher of ||  ||
 * || Teacher of ||  ||
 * || Teacher of ||  ||
 * || Teacher of ||  ||
 * || School District Representative (Chairperson)** ||  ||


 * *The student may participate if the parents choose to have the student participate. ||
 * ** The district representative is one who is knowledgeable about the availability of resources of the district and who is authorized by the district to commit those resources. ||


 * I. Present Levels of Educational Performance ||

Child's Name:
 * A. || Ability and assessment test scores: ||
 * B. || Group and individual achievement measures: ||
 * C. || Grades: ||
 * D. || Progress on goals: ||
 * E. || Instructional levels: ||
 * F. || Aptitudes, interests, specialized skills, products and evidence of effectiveness in other academic areas: ||
 * C. || Grades: ||
 * D. || Progress on goals: ||
 * E. || Instructional levels: ||
 * F. || Aptitudes, interests, specialized skills, products and evidence of effectiveness in other academic areas: ||
 * E. || Instructional levels: ||
 * F. || Aptitudes, interests, specialized skills, products and evidence of effectiveness in other academic areas: ||
 * E. || Instructional levels: ||
 * F. || Aptitudes, interests, specialized skills, products and evidence of effectiveness in other academic areas: ||
 * F. || Aptitudes, interests, specialized skills, products and evidence of effectiveness in other academic areas: ||
 * F. || Aptitudes, interests, specialized skills, products and evidence of effectiveness in other academic areas: ||


 * II. Goals and Outcomes ||


 * A. |||||||| ANNUAL GOAL ||
 * B. |||||||| SHORT-TERM LEARNING OUTCOMES ||
 * ^  || Short Term Objectives || Objective Criteria || Assessment Procedures || Timelines ||
 * ^  || 1. ||   ||   ||   ||
 * ^  || 2. ||   ||   ||   ||
 * ^  || 3. ||   ||   ||   ||
 * ^  || 3. ||   ||   ||   ||
 * C. || SPECIALLY DESIGNED INSTRUCTION TO BE PROVIDED TO THE STUDENT.(Include this information for each annual goal). ||
 * ^  || || {#IFEDIT} || Goal || {#ENDIF} || SDI || Projected Date for Initiation || Anticipated Frequency || Location || Anticipated Duration ||


 * D. || SUPPORT SERVICES NEEDED TO ASSIST THE GIFTED STUDENT TO BENEFIT FROM GIFTED EDUCATION. ||
 * ^  || || Support Services || Projected Date for Initiation || Anticipated Frequency || Location || Anticipated Duration ||