Iep Revision Form - South Bend Community School Corporation Special Education Department Page 7

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South Bend Community School Corporation
Special Education Department
IEP Revision
Student: ______________________________ STN: ______________________ Revise IEP of ____________________
Effective Dates:
Begin date: _____________________________ End date: __________________________________
2. Assess the student in these areas:
Needs Instruction
Needs Support to Use
Performs Adequately
Demonstrates appropriate coping
responses
Able to use self-control
Makes and keeps friends at school
Has formed an appropriate relationship with
one or more school staff
Able to function adequately in classroom
setting (can concentrate, retain information,
satisfactory attendance, etc.)
Positive Strategies/Instructional Experiences
1. Replacement Behavior:
2. Successive Teaching Steps: (Include WHO will teach, WHERE and HOW OFTEN)
3. Positive Programming and Reinforcement Strategies:
4. Redirection and De-escalation Strategies:
5. Environmental Modifications:
6. Progress Monitoring:
7. Consequences: Student will follow the Student Code of Conduct unless otherwise noted. You may want to consider the
following:
8. Crisis Management Plan:
This form is only to be used when an IEP has been finalized for future dates, and a revision is required for the currently
valid IEP. It is not to be used when there are questions of eligibility or state assessment.

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