High School Graduation and
Commencement Participation
Tab 14 – High School Graduation and Commencement Participation
The IEP team will need to document the following information on page 12.
For students pursuing a Certificate of Completion:
The student is expected to meet the following standards:
_______Grade Level
The prescribed course of study will be:
_______General Education Core Curriculum
_______Alternative Curriculum
Final IEP for students graduating with a Diploma:
The following statement: “The prior goals and objectives and Individual
Transition Plan remain in effect until the student is no longer eligible for services
per this IEP.”
Final IEP for students who are becoming Age 22:
The following statement: “The prior goals and objectives and Individual
Transition Plan remain in effect until the student is no longer eligible for services
per this IEP.”
Voluntary election to exit from school due to participation in culmination
exercises to receive Certificate of Completion:
The following statement: "If the student elects to reenroll in school prior to
his/her 22nd birthday, an IEP team will convene within 30 days to develop an
IEP/ITP, including appropriate goals and objectives and an Individual Transition
Plan.”
All IEPs
(Page 1 of 3)
Offer of Free Appropriate Public Education (FAPE)
Tab 15–Determining Placement in the Least Restrictive Environment
__________’s disability prevents his/her needs from being met in a less
restrictive environment, even with the use of supplementary aids and services
because_________________________________________________________
________________________________________________________________
________________________________________________________________.
The following specific offer of placement is designed to meet ___________’s
unique needs, is reasonably calculated to provide educational benefit, and is in
the least restrictive environment to the maximum extent appropriate.
Recommended program(s) and services
1/2.Period of time/Name of school
“For the period beginning ___________ and ending ____________ , the
student will be placed at _________________ ES/MS/HS/.”
This ____will/will not____ include ESY and/or Intersession periods, as
appropriate.
The student ____will/will not____ participate in matriculation activities.
3. Type of school: __________________________________
Type of provider: _________________________________
Type of program: _________________________________
If collaborative (Refer to Tab 16),
Description of collaborative services delivery model: ___________
_____________________________________________________
_____________________________________________________
Collaborative service providers: ____________________________
_____________________________________________________
Frequency and total number of minutes of collaborative services
provided: ___________weekly; or monthly____________
Type of class or classes: _________________________________
If receiving ESY in different type of class, indicate description, including
related services to be provided during that period.
___________________________________________________________
___________________________________________________________
___________________________________________________________
All IEPs
(Page 2 of 3)
4. Modifications, accommodations, or supports (Include description of
activity, time, setting, and personnel, i.e. general education teacher,
special education teacher, paraprofessional, other school staff.)
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
5. Related Services
DIS/Related Services: _________________________________________
Time (minutes): ____________ Frequency: ________________________
Type of Provider: _____________________________________________
6. Any other unique relevant conditions (i.e. specialized equipment, assistive
technology, facilities): _________________________________________
___________________________________________________________
Page 8-C - Other options among the Full Continuum of Placements
General education courses and subjects to which the student will be
assigned: __________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
How the general and special education teachers will collaborate to enable
the student to maintain access to the general curriculum with any needed
modifications and continue to develop meaningful relationships with peers:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
How the student will participate with non-disabled peers, socially and/or
academically: _______________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Specific areas of specially designed instruction and plans to support the
student’s participation in and return to the general education program:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
All IEPs
(Page 3 of 3)
Use of the student’s strengths by the collaborative team in providing
instruction: _________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
The behavioral expectations of the general education classroom:
___________________________________________________________
___________________________________________________________
___________________________________________________________
7. Consideration of student behavior
The student ______has/does not have_______ behavioral issues that
need to be addressed and supported.
Is a behavior goal required? ________yes; _________no
If yes, does a Behavior Support Plan need to be developed?
_________yes
_________no
If yes, complete Behavior Support Plan IEP Supplemental Page
If a Functional Analysis is required, please refer to Bulletin No. H-50
(Rev.) – February 17, 2003.
Temporary Placement
Temporary Placement
Tab 15-Page 10
Write on page 12: “The IEP team is recommending ____________(temporary
placement) on a temporary basis not to exceed _______ days.”
If IEP includes Related Services, are services appropriate or necessary during
the temporary period? _________yes; _________no
If yes, how will they be provided, including during ESY? _______________
____________________________________________________________
State the reason why the student’s needs cannot be met in the current
placement. ______________________________________________________
________________________________________________________________
________________________________________________________________
If IEP includes assistive technology devices or services, are devices and services
appropriate or necessary during the temporary period in order for the student to
benefit from instruction in the temporary placement? ________yes; ________no