Exit Checklist

ASPIRE

Exit Checklist

STUDENT
Please take a moment to help us learn more about your experience with active student participation at the IEP meeting. For each item, check all that apply.

Date: ______

Student’s Name:______Grade: ______

School ______

GNETS______

(if applicable)

Teacher’s Name: ______

How did it feel to attend and/or participate in your IEP meeting?

□Comfortable – I am glad I attended this meeting and had the opportunity to participate.

Comments: ______

______

______

□Uncomfortable – I wish I had not attended this meeting.

Comments: ______

______

______

How I participated in the planning of my IEP meeting:(Check all that apply)

□I made invitations for the meeting.
□I delivered invitations for the meeting.
□I participated in discussions with my teacher(s) before the meeting.
□I made a list of strengths, challenges, likes, dislikes and interests
□I took an interest/vocational assessment.
□I practiced what to say in the meeting / □I prepared snacks for the meeting
□I set up the room for the meeting
□I copied materials for the meeting
□I completed a portfolio
□I prepared a Power Point presentation
□Other______
______

How I participated in my IEP meeting:(Check all that apply)

□I listened and learned what the meeting was about.
□I introduced participants at the meeting.
□I advanced the power point presentation.
□I shared work from my classes.
□I contributedinformation about my IEP (Present Level of Performance, Accommodations, etc.)
□I presented ideas about what works well for me / □I presented information from my power point
□I reviewed my previous IEP goals and my progress toward those goals.
□I led the discussion of my plans for the future (transition plan)
□I recommended new accommodations
□I recommended new IEP goals
□I assisted with or wrote parts of my IEP
□I led the IEP meeting
□Other______
______

What did I learn by attending and/or participating in my IEP meeting?

□I learned:
1.______
2.______
3.______
4.______
□I did not learn anything.
Explain______
______

What I would like to do for next year’s IEP meeting: (Check all that apply)

□I want to listen and learn what the meeting is about.
□I want to make and deliver invitations.
□I want to talk to my teacher(s) about the IEP
□I want to set-up the room, snacks, and materials for the meeting
□I want to prepare a list of strengths, challenges, likes, dislikes and interests.
□I want to role play and/or practice how to participate & communicate in the meeting
□I want to take a vocational assessment
□I want to complete a portfolio or a power point about myself.
□I’d like to introduce participants at the meeting / □I want to advance the computer for my Power Point.
□I want to share some of my class work.
□I want to contribute information about my IEP (Present Level of Performance, Accommodations, etc.)
□I want to share what works well for me
□I want to present my power point
□I want to review theIEP goals and my progress toward those goals.
□I want to lead the discussion of my plans for the future (transition plan)
□I would like to recommend new IEP goals and accommodations
□I want to assist with or write parts of my IEP
□Iwant to lead my IEP meeting
□Other______
______

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