ࡱ> 0/ '@`\p Min L. Yee Ba=̯=<X@"1Arial1Arial1Arial1Arial1 Arial1$Arial1.@Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman1.Times New Roman"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)"Yes";"Yes";"No""True";"True";"False""On";"On";"Off"                + ) , *          "@ )    *  " )     ( )  + +  (@ ) (@ )  +8@ +0@  " "      ( )     )   8@@  8@  8 @  8@  # (@ )  #8@  +x@ +p@ ( )  @@ )  @ )   @ )  (@  (   8@     )   )  ( )  1"@ )  " )  `IEP Invitation Form`ix p  b  s)w>0 n s)w>0PNG  IHDR+H`PLTE`i04p@穷ީթrN'{Av[nPPf܄U1tRNS'4 5bKGDug2gIFg1 cmPPJCmp0712HsIDATx^Zk8 ]*VCi58 ,UM$'\>iIdVCZ>pc6Nﶃu2Pjb3 `(CybR֕k,!k h}@zFC߻9C@VL6V*9d($UN&( ZzX9)v("(/1TUOoaNE0<8L**]KPbu3s^JKP2Rً"&iiWj_Hm6uC+S%7⪥A˒KmBhs7.@R4ihM8*R+wܼĶ+ ~(.㓳@JieK?Xz /L!dbA:TH%OӇ1\ztjտLPTd @F/@E/81vh,P꧖!(?a5Zl*-H܂I]&>P$ҕ^!3]͑ pn.g(X"prYyj."c4`ª&v2ubGn=+|Ra,/p|Հ|k+XiJjNawkEp $q[W!gYPW`mm;XYʗk|}}S p4IENDB`3  @@  O? Student Name Student IDGradeBuildingother:TThe IEP Amendment form allows for the revision of the components of an existing IEP.0Individualized Education Program Amendment Form Student InformationDate of amendmentDate of IEP being Amended Date of BirthEligibility categoryPrimary language of studentDate of most recent evaluationIEP case managerDate of initial eligibility!Primary language used in the home Three-year reevaluation due date Provider Code Adult Studentyesno#Parent/Guardian Contact InformationNameAddress Home phoneE-mailparentguardian surrogateReason for this Amendment#amend present levels of performance(amend participation in general education,amend annual goals and objectives/benchmarks amend service matrix informationinclude/amend transition plan#include/amend aversive therapy plan'include/amend extended school year planNamend plan for non-certificated staff providing specially designed instruction&amend consideration of special factors)amend participation in physical education5amend participation in district and state assessmentsamend placement,include/amend functional behavior assessmentinclude/amend health care planDescription of the AmendmentTeam Member SignaturesVPlease print, sign, and indicate agreement (A) or disagreement (D) by circling A or D. Printed Name Signature(Attach amended information to this form."__ Parent __ Guardian __ Surrogate__ Student __ Adult StudentAdministrator or DesigneeSpecial Education TeacherGeneral Education TeacherRelated Service Provider:Other:A D(include/amend behavior intervention plan Relationship:Work phone parent #1Work phone parent #2B uJ3T1g '@ 2}'28  dMbP?_*+%&L&"Times New Roman,Regular"&8Amendment &D&C&"Times New Roman,Regular"__ Parent __ Teacher File __ Therapist File __ Compliance File(?)\(\?M\\snocpr02\PSSCPUB0024W odXLetterCanon   Canon iR330-400 PCLtdddd     ddd@@d     dd d     d d"  edddd     d!d     ddA     A8o @@/ o @@/ d2CONFIDENTIALCONFIDENTIALHArial AXX\SRGBCO~1.ICM\SRGBCO~1.ICM\SRGBCO~1.ICMDefault Settings22"dX?RQ?cU} 2@@Z@ @    @ ***+++++++++ * *+++++ ,*-----------------. /*//////////////////  0 0000)))))  0  000011111 ' ((( @11D@@@@@@    @D @@@@@@@   !!!!!!!  A 2 22       !!!!!!                   '*(((((((((((((((((( 55555 <          . !!! 3=444!""  #> $$$!"" .  B B  '  B  B  (  B !B  )  B "B  *  B #B  ;  B $B  +  B %B  ,  B &( B (< R<<**TTTj<@l@^^^^^^^H @!F@#%&'()*@+,@-./01 -,!6777777777777777778 #%2*#&&&&&&&&&&&&&&&&&& %'.%(((( &*/*&****************** '0' '1 ' ' 0'  '1( (:( (:( )93)9999: ) ;4) ;;;* *:* *:* +93+9999: + ;5+ ;;;, ,:, ,:, -<6-<<<<< - <8- ===>????. .:. .:. /97/9999: / 99/ 95550 0:0 0:0 19919555 1 991 9555$,0< <n\R\R\R\R\phP(    S AC:\Documents and Settings\tahoang\Desktop\Special Ed\IEP_CD_Package\images\logo_sub_trans_1.gif|]&``C> @ [111111 11 //000000 00// // --...... ..-- --**++++ ,,,,,, ,,)))) ****** (((((( ((&&!!%%                ##           7 Oh+'0HPp SPS-Special Education Min L. Yee Microsoft Excel@n2@(Z+@GZY՜.+,0 PXx  Seattle Public Schools IEP Invitation Form  Worksheets  !"#$%&()*+,-.Root Entry F wDWorkbook=SummaryInformation(DocumentSummaryInformation8'