Oregon Standard Individualized Education Program Page 3
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Student’s Name:
Date:
School District:
Statewide Assessment
Will the student participate in any Statewide Assessment during this IEP period?
No, Statewide Assessment not conducted at student’s grade level (at time of testing)
Yes (student’s grade level at time of testing __________). If yes, describe participation decisions below:
* Explanation
State why student cannot participate in regular assessment
Regular Assessment
Alternate Assessment
Accommodations
and why particular alternate assessment selected is
appropriate for student.
Reading/Literature:
* Extended Assessment
* Standard Administration
3, 4, 5, 6, 7, 8, and HS/11
* Scaffold Administration
Standard (may include
accommodations)
Mathematics:
* Extended Assessment
* Standard Administration
3, 4, 5, 6, 7, 8, and HS/11
* Scaffold Administration
Standard (may include
accommodations)
* Extended Assessment
Writing:
* Standard Administration
4,7 and HS/11
* Scaffold Administration
Standard (may include
accommodations)
Science:
* Extended Assessment
* Standard Administration
5, 8 and HS/11
* Scaffold Administration
Standard (may include
Form 581-5138a-P
Page 3 of 7
1/2011: Oregon Standard IEP for students age 15 and younger when IEP is in effect
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