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Group Assignment Confirmation Form: I confirm that I am aware of the entire contents
of this group assignment and that I have reviewed all group members’ contributions to
the assignment. I also acknowledge that each group member will be awarded the same
mark for this group assignment.
IPP Template
Administrative Information
School History
Unknown – Kindergarten to grade 5
W. R. Middle School – Grade 6 to grade 9
Dormouse High School – Grade 10 to present
Report Cards
Kindergarten to Grade 5: Specific information unavailable.
Grades 6-9: Specific information unavailable.
Alex’s teachers noted that Alex had some difficulty with all areas of academics. Alex was
provided with intensive support in these areas and was determined to be achieving at grade level
by the end of Grade 9.
Grades 10-11: Specific information unavailable.
His attendance has impacted his Grade 10 gym credit and has had to repeat the course twice. He
has also been suspended for not going to class, but this behavior and his attendance is
improving.
Alex is taking regular programming at school but is allowed to go to a teaching aide’s room for
help, which he rarely uses. Alex uses a tablet throughout the day and performs best when
provided with small group instruction.
Alex has difficulty with organization.
Curriculum-Based Measurement
Specific information unavailable.
Student Strengths
Provide Alex with the opportunity to use various types of learning tools to assist him (ie.
computer-based programs, voice-to-text, fidget toys, timers, tablet, etc.)
Giving structure in the classroom to keep him on task and managing distractions (i.e.
using checklists or tablet apps to manage assignments and to aid in organization and
memory)
Increased repetition to create a strong foundation and relation of new concepts and
information to previously learned material
Give Alex positive reinforcement to ensure that he feels like a valued member of the
school
Foster Alex’s relationship with teachers and caring adults at his school. Building and
maintaining a strong relationship with teachers and caring adults is critical for teaching
Borderline/MID learners.
Teacher to reduce pace of instruction and teach some lessons in small group settings
Modify tasks to be direct and simplified
Alex will require more time to complete assignments
Long-Term Goal #1:
Alex will incorporate his favorite anxiety-reducing/ emotional regulation tools and strategies in
two of his classrooms by June 1, 2019.
Alex will research to 4 Alex, with the guidance of his Achieved by October 1, 2017.
preferred anxiety-reducing teacher, will research and log,
techniques and 2 to 4 using a journal, different
emotional regulation anxiety-reducing and
techniques to use in all of his emotional regulation
classes by October 1, 2017. techniques. He will try out the
different techniques he has
researched. His teacher will
check his journal weekly and
together they will determine
2-4 techniques that he
determines to be most useful
during his day.
Alex will implement at least 1 Using his journal, Alex will Achieved by February 1, 2018.
anxiety-reducing and 1 use one of the techniques he
IPP Template 5
Alex will consistently use his Alex will have determined his Achieved by June 1, 2018.
favorite anxiety-reducing and favorite techniques and will
emotional regulation implement them in two of his
techniques in two of his classes daily. In his journal he
classrooms by June 1, 2018. will keep track of when and
where he used the techniques.
His teacher will review the
notebook once a month.
His teacher, once daily during Alex will be told what his Achieved by December 1,
Alex’s individual work time limit is to complete an 2017.
period, will keep time to assignment and his teacher
remind him of how long he will set the timer and display
has left to complete his in it on his desk. His teacher will
class assignments within the also give him periodical
allotted time with 75% reminders of how much time
accuracy by December 1, he has left to complete his
2018. assignment.
Alex will time and monitor Once daily Alex will set his Achieved by March 1, 2018.
himself at least once a day and timer for the allotted time to
his teacher will monitor him complete his assignments.
once a day, during individual Once daily his teacher will set
IPP Template 6
Alex will time and monitor Alex will set his timer twice Achieved by June 1, 2018.
himself twice a day during his daily and monitor himself and
individual work period to be able to appropriately
ensure that he is aware of how mange the time he has to
he is using his time and is able complete his assignments.
to complete his assignments in His teacher will monitor his
the allotted time by June 1, use of the timer once daily.
2019.
Alex will and his teacher use a Along with his teacher Alex Achieved by November 1,
checklist five times a day of will create a checklist for each 2017.
all materials he needs to bring of his classes and everyday in
to class and be prepared for each class his teachers will
class with 70% accuracy by check that he has brought the
November 1, 2017. appropriate materials to class.
Alex and his teacher will use a Alex will now construct the Achieved by April 1, 2018.
checklist three times a day of checklist by himself for three
all the materials he needs to of his classes that his teachers
bring to class with 70% feel he is most unprepared for.
accuracy by April 1, 2018. His teachers will monitor his
checklists once a day for the
first month and then once a
week after that.
Alex will use a checklist once Alex will construct one Achieved by June 1, 2018.
daily and have brought all checklist on his own for the
appropriate materials to all his class he feels he is most
classes with 80% accuracy by unprepared for.
IPP Template 7
*IPP template modified from Alberta Education (2006). Alberta Education (2006).
Individualized program planning (IPP) ECS to grade 12: Working through the IPP
process.
Parent Summary
During the parent meeting, I would walk Alex’s parents through the IPP, making
sure they have a copy available, should they want to reference it later. I would explain
that I read through the psychoeducational report, which has revealed some areas where
Alex will require some extra support, but also offered some insights into his personal
strengths which will be very helpful in helping us bridge the gaps. I would highlight his
personal strengths first.
Alex requires help with emotional regulation and anxiety reduction. He will need
help to employ strategies to clam him down when he begins to get overwhelmed. Alex
also requires help with time management. He displays difficulty in keeping on task and
completing assignments on time. As well, Alex will need assistance with his
organizational skills. He is often unprepared for class because he has lost track of his
essential materials.
I would then highlight the ways in which we would use Alex’s strengths to
overcome his challenges. I would describe how his strengths have been incorporated into
his goals to help him more easily achieve them. Because Alex follows through on his
commitments I have incorporated into his three goals commitment based objectives. I
would then break down each goal and its corresponding objectives.
IPP Template 8
Goal 1 is to get Alex to be able to regulate his emotions and reduce his anxiety on
his own. The objectives are to ensure that he is aware of techniques he can use in his
daily life and ensure that he finds techniques that are effective and useful for him.
Goal 2 is to get Alex to improve his time management skills. The objectives will
help to ensure that he is aware of how much time a task is supposed to take and how
much time he has left to complete it. Eventually he will be ale to self-monitor his time
management and complete tasks on time.
Goal 3 is to increase Alex’s organizational skills and ensure that he comes to class
prepared to learn. The objectives will help to ensure that he has remembered to bring the
appropriate materials to class and his learning will not be disrupted or delayed by located
essential items.
I would finish by reiterating Alex’s strengths and reminding his parents how this
IPP will only increase his academic performance and help him have a smoother transition
into adulthood.