Blank Transition Iep (For Students 14 And Older) Page 3

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Student:
STN:
DOB:
Age:
Grade:
Gender:
Are there considerations regarding the student's language and communication needs, opportunities for direct
communications with peers and professional personnel in the student's language and communication mode, academic
level, and full range of needs, including opportunities for direct instruction in the student's language and communication
mode? (Only Deaf or Hard of Hearing or Deaf-Blind eligibility areas require this response.)
__Yes __No
If yes, please describe the student’s language and communication needs:
Are there considerations regarding the instruction in Braille and the use of Braille? (Only Blind or Deaf-Blind Eligibility
Areas require this response.)
__Yes __No
If yes, please describe the considerations regarding Braille:
Does the Behavior of this student impede his or her progress or that of others?
__ Yes __ No
If yes, please complete the following prompts:
Behaviors of Concern: (Please describe the patterns of concerning behaviors.)
Functions of the Behavior: (Please include evidence of factors affecting behavior.)
Positive Strategies/Instructional Experiences: (Please articulate the plan to provide behavioral support/intervention.)
Outcomes:
Summary of findings from Age Appropriate Transition Assessment:
Post Secondary Goals:
Regarding Employment after high school, I will…
Regarding Education and Training after high school, I will…
Regarding Independent Living Skills after high school, I will…
Page 3 of 13

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