Oregon Standard Individualized Education Program (Page 4 of 7) in pdf

Oregon Standard Individualized Education Program Page 4

accommodations)

Student’s Name:

Date:

School District:

Districtwide Assessment

Will the student participate in any Districtwide assessment during this IEP period?

 No, Districtwide 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:

Regular Assessment

Alternate Assessment

State why student cannot participate in regular assessment

Accommodations

and why particular alternate assessment selected is

appropriate for student.

Assessment:

 * District Alternate Assessment

__________________

*Other:______________________

Grades administered:_______

 Standard administration

Assessment:

 * District Alternate Assessment

__________________

*Other:______________________

Grades administered:_______

 Standard administration

Assessment:

 * District Alternate Assessment

__________________

*Other:______________________

Grades administered:_______

 Standard administration

Form 581-5138a-P

Page 4 of 7

1/2011: Oregon Standard IEP for students age 15 and younger when IEP is in effect

Oregon Standard Individualized Education Program Page 4