Sample Individual Education Plan Template
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9Individual Education Plan
IEP
SECTION I: EMPLOYEE PROFILE
Employee Name:
Educational Plan for the Period of:
Community/Region:
Job Title:
Regional Leader’s Name:
Supervisor’s Name:
Please Select One
New Employee IEP (first time completing the Individual Education Plan)
Annual Performance Review IEP (IEP is being completed during employee’s annual review)
SECTION II: EDUCATION PLAN
The supervisor will discuss education and development activities with the employee and then outline a plan for the employee to complete these
activities during the next fiscal year. The employee and supervisor should understand that the implementation of this educational plan is
required. The IEP is used as a performance management tool and training enrollment is driven from the IEP’s selections. The purpose of the
courses listed is to assist the employee with their job roles and responsibilities and is subject to change at the discretion if the Education and Career
Development Department and/or supervisor.
Instructions: Please complete and return to the
or fax to (614) 451-0351 ATTN: SCI.
Service Coordination
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Version 2011
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