1A: Parents IEP Input Guide

Your contribution to planning for your child is important in developing a meaningful

IEP. This form is for you to write down observations and points for school staff to
consider. If you need additional space, feel free to attach another sheet of paper.

The main achievement

(s) of last year was
(were):

Recommendations you
feel are important from
the last report card
were:

Progress you have seen

with individual goals:

One or two concerns

are:

What my child likes

best about school, in
his or her own words:

What my child would

like to accomplish this
year, in his or her own
words:

What my child says

would help him or her
learn better at school:
1B: Family Goal Setting
Identifying priorities is important in developing a meaningful IEP. This form will provide
important information for school staff to consider. If you additional space, feel free to attach
another sheet of paper.

Students Name: _______________________________ Date:____________________

Parents Name: _________________________________________________________

My child has these strengths:

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

My child has these needs:

_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

My first priority for my child this year to:

_______________________________________________________________________

________________________________________________________________________
Family Goal Setting, contd
This is what I will do at my home to help my child make progress:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

How I will know my child has made progress:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Another important priority for my child this year is:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

This is what I will do at my home to help my child make progress:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

How I will know my child has made progress:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Parents Name:_______________________________________ Date:_______________

1C: Teacher/Parent Communication
You are invited to share information that would assist in developing an education
program to meet the needs of your son/daughter. Please give thought to the below
and return the sheet to the teacher.

Students Name ___________________________________ Date______________

Physical development (e,g. medical information we should know, special interest

and talents):

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Social development (e.g, friends, interaction with others, behavior, clubs, sports):

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Artistic (e.g, interest, talents):

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Emotional development (e.g, self-image, previous school experiences, concern):

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Other (e.g, recent changes in friends/commitments/family):

___________________________________________________________________

___________________________________________________________________
1D: Informal Student Interview
Teacher: ____________________________________________ Date: ________________

Students Name: ______________________________________ Grade: _______________

Birth date: ___________________________________________ Age: ________________

Schools previously attended:

_________________________________________________________________________
_________________________________________________________________________

Best year in school? Why?

_________________________________________________________________________
_________________________________________________________________________

Impression of parent school year (easy parts/hard parts).

_________________________________________________________________________
_________________________________________________________________________

Ways to change school to make it better?

_________________________________________________________________________
_________________________________________________________________________

Favorite friends in school/adult friends at home:

_________________________________________________________________________
_________________________________________________________________________

Family- parents, siblings:

_________________________________________________________________________
_________________________________________________________________________
What will you be when you are older?

_________________________________________________________________________
_________________________________________________________________________

Favorite fun activities at home/at school:

_________________________________________________________________________
_________________________________________________________________________

Three wishes you might have:

_________________________________________________________________________
_________________________________________________________________________

Additional comments:

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
1E: Knowing My Strengths and Challenges
Name: ______________________________________________ Date: ________________

Learning Strengths Learning Challenges

List some things you are good at doing outside of school-draw a picture in the box of one
of these strengths.

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

List some things you find challenging doing outside of school-draw a picture in the box of
one of these challenges.

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
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