WOODBRIDGE SCHOOL DISTRICT
TEACHER INPUT
Student_____________________________Teacher _______________________Date_____________
An IEP meeting is scheduled in the near future for this student. Your input is very important in planning the
student's educational program. The information requested on this form is necessary for making educational
decisions at the IEP meeting and allows you input regarding this student's performance in your class and your
recommendations for the coming year. This paper may become a part of the student's special education
eligibility folder. Please complete it and return it to ________________________________ by
_____________________
1. Competencies: List at least two competencies the student has in each subject you teach him/her.
Subject:__________________________________________________ Estimate current grade: _________
Competencies:
_____________________________________________________________________________________
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Subject:__________________________________________________ Estimate current grade: _________
Competencies:
_____________________________________________________________________________________
_____________________________________________________________________________________
Subject:__________________________________________________ Estimate current grade: _________
Competencies:
_____________________________________________________________________________________
_____________________________________________________________________________________
Subject:__________________________________________________ Estimate current grade: _________
Competencies:
_____________________________________________________________________________________
_____________________________________________________________________________________
2. Teacher observations: Please check all that apply.
Attempts
all work assigned
Complies
with teacher
Page:
Automatic
Zoom
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Needs encouragement