Student: A. Student IEP Date: 3/16/2016 Grade: 6 Teacher: Mr. Withit
Embedded Skills Grid
Support Services / No / Yes / Frequency (i.e. consult, monitor, minutes per week)AT / X
Behavior Intervention Plan / X
Deaf and Hard of Hearing
Nursing Care Plan / X
Occupational Therapy / X / 30 minutes 2x per month
Physical Therapy / X / 30 minutes 2x per month
Speech / X / 30 minutes per week
Language / X
Vision (Orientation/Mobility)
Academics / Other
IEP Goals / ELA / Math / Science / Social Studies / Meal Times / Adapted PE
1) During structured times and social situations, A. will accurately respond with his preferred mode of communication three symbol combinations to identify and describe key details with verbal or visual cues 75% of the time by March 2017. / X / X / X / X / X / X
2) A. will safely use his power chair when wanting to interact with his peers or adults at a safe distance with verbal cues 75% of the time by March 2017. / X / X
3) A. will skip count by twos to twenty, with verbal cues 75% of the time by March 2017. / X
4)
Behavior
Token board / X
Communication
Mode: iPad, gestures
Request Assistance
Request Items to complete assigned tasks
Reject items not required
Request a Break
Request Turn
Request a preferred item
Indicate desire for Reoccurrence (Again)
Indicate when done
Wait for preferred/turn / X / X / X / X / X / X
AT
Will use personal iPad to describe details with one prompt per question / X / X / X / X / X / X
OT/PT
Will use adaptive seating and positioning throughout the day.
Gait Trainor during P.E.
Trike / X / X / X / X / X / X
Other