IEP Snapshot- Implementation Review
Student:
Class:
School Name:
Staff:
Date:
ESY SERVICES- (PLEASE REFLECT RESPONSES UNDER 4TH QUARTER)
1st Quarter
1
2
3
4
5
6
7
Student is in appropriate LRE / classroom
setting per IEP
*If the student is in a separate setting, the IEP
includes a goal for the subject being
taught
Specially Designed Instruction is being
implemented and number of minutes &
frequency is being provided in the appropriate
setting *Requires review of IEP doc (pg.7)
Related services are delivered / implemented
by appropriate provider(s) per IEP
Student progress towards IEP goal(s) is tracked
per evaluation procedure indicated in the IEP
Accommodations/ modifications are
implemented per IEP
2nd Quarter
3rd Quarter
4th Quarter
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Paraprofessional is utilized per IEP
Assistive technology is utilized per IEP
8
Behavior strategies are being utilized in
accordance with FBA/BIP, goals, or
accommodations/modifications
9
Prior written notice (SES14) of intent to
implement the IEP has been provided to parent
(1x requirement)
*Required for any revision made to annual IEP
(1x requirement)