Parent IEP Input Form

Parent IEP Input Form
What is an Individual Education Plan (IEP)? The purpose of an IEP is to support student
success. An IEP describes individualized goals, adaptations and/or modifications for a
student. It also includes the supports and services that will be provided and the measures
for tracking student achievement.
What is an IEP meeting? The IEP meeting is a tool to help teachers and parents work
together in collaboration. Through the IEP we can create a plan that will address the
unique needs of your child. The IEP meeting is a way to communicate and brainstorm
together. It allows us to meet as equal participants to jointly decide what your child’s
needs are, what services can be provided to meet those needs, and what the anticipated
outcomes will be.
Why fill out this form? You know your child best! You can offer insights into how your
child learns best, what his/her interests are, strengths and needs. Filling out this form
allows us to get to know your child. Because we have a limited time to meet together, it is
beneficial to start the conversation before we meet face to face. The information will give
us insight for your child’s annual IEP and help us to start the planning process.
IEP meetings will be coming up throughout the month of November. We will be sending
out more information for dates and times shortly. In the meantime, please share your
thoughts with us, using this form, and returning it to school as soon as possible.
Thank you for filling out this parent form. We look forward to hearing from you soon!
Please return this form to either

Adrienne Hung (Resource Chair) or Michelle Lau (Resource Teacher)
Student Name _________________________________________ Date: _____________________
Mother’s Name ____________________________________ Phone #:_______________________
Father’s Name _____________________________________ Phone #:_______________________
Mother’s Email: ____________________________________________
Father’s email: _____________________________________________
My child has these strengths:

 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
My child has these interests/talents/hobbies:

 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
My child has these needs:

 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
 ____________________________________________________________________
My child learns best with: (check which ones apply)

Social: Noise: Learning style: Physical:
___group-work ___silence ___hands-on ___wiggle cushion
___partner work ___some noise ___visuals ___fidget tool
___individual ___class discussion ___walking break
___1:1 adult support ___reading books
Other information we should know about your child’s learning:

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Core Competency Goals (friendships, solving problems, confidence, waiting, asking for
help, self-regulation of emotions, communication, listening respectfully).
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Academic goals (math, reading, writing):

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Physical development goals (fine motor, gross motor skills, sports):

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
List supports outside of school that have/will help your child achieve their potential:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
~ Thank you ~

Parent IEP Input Form

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Parent IEP Input Form

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Parent IEP Input Form

Please return this form to either

Mother’s Name ______________ Phone #:_

Father’s Name _______________ Phone #:_

Mother’s Email: ____________________________________________

Father’s email: _____________________________________________

My child has these strengths:

My child has these interests/talents/hobbies:

My child has these needs:

My child learns best with: (check which ones apply)

Other information we should know about your child’s learning:

Academic goals (math, reading, writing):

Physical development goals (fine motor, gross motor skills, sports):

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