PLAAFP School Aged Development Chart for MD Online IEP

Academic & Functional Areas Assessed

Student’s Name: / Grade Level:
Category: / Academic
Area:
Information and data collected before IEP Meeting
Name of Diagnostic Test:
Results and Analysis:
Summary of Assessment Findings(including dates of administration):
Sources – Get Source
Information and data collected before IEP Meeting
Formative Assessment(s) / Summative
Assessment(s) / Benchmark
Assessment(s) / Work Sample, Portfolios, etc. / Discipline Data / Attendance
Student Input / Teacher(s) / Parent/Family Input
Strengths / Needs / Post-School Interests,
if appropriate
Instructional Grade Level Performance:(Consider private, state, local school system, and classroom based assessments, as applicable.)
Summary:
Does this area impact the student's academic achievement and/or functional performance?

Academic & Functional Areas Assessed

Category: / Behavior
Area:
Information and data collected before IEP Meeting
Name of Diagnostic Test:
Results and Analysis:
Summary of Assessment Findings(including dates of administration):
Sources – Get Source
Information and data collected before IEP Meeting
Observations / Behavioral Checklist
Student Input / Teacher(s) / Parent/Family Input
Strengths / Needs
Instructional Grade Level Performance:(Consider private, state, local school system, and classroom based assessments, as applicable.)
Results and Summary:
Does this area impact the student's academic achievement and/or functional performance?

Academic & Functional Areas Assessed

Category: / Health
Area:
Information and data collected before IEP Meeting
Name of Health Assessment:
Results and Analysis:
Summary of Assessment Findings(including dates of administration):
Sources – Get Source
Information and data collected before IEP Meeting
AdditionalHealth Assessments / Checklist
Student Input / Teacher(s) / Parent/Family Input
Strengths / Needs
Instructional Grade Level Performance:(Consider private, state, local school system, and classroom based assessments, as applicable.)
Summary:
Does this area impact the student's academic achievement and/or functional performance?

Academic & Functional Areas Assessed

Category: / Physical
Area:
Information and data collected before IEP Meeting
Name of Assessment:
Results and Analysis:
Summary of Assessment Findings(including dates of administration):
Sources – Get Source
Information and data collected before IEP Meeting
Additional Physical Assessments / Checklist
Student Input / Teacher(s) / Parent/Family Input
Strengths / Needs
Instructional Grade Level Performance:(Consider private, state, local school system, and classroom based assessments, as applicable.)
Summary:
Does this area impact the student's academic achievement and/or functional performance?

Areas Discussed

Reviewed and finalized during IEP Team Meeting
What is the parental input regarding the student's educational program?
What are the student's strengths, interest areas, significant personal attributes, and personal accomplishments? (Include preferences and interests for post-school outcomes, if appropriate.)
How does the student's disability affect his/her involvement in the general education curriculum?

(Adapted for MD Online IEP)