JISD HS - IEP Teacher Input Form 
THIS FORM BECOMES A LEGAL PART OF THIS STUDENT’S ARD and MUST BE COMPLETED IN ITS ENTIRTY

Remember to submit documentation that supports the student's strengths/weaknesses mentioned in this form to Ashley Craig.
Email *
Student Name *
Survey Completed By *
Subject(s) Taught *
Required
What is the student's current average and how has he/she performed over the past grading periods in your class? *
How often has the parent/guardian been contacted concerning behavior and grades that are being reported in this document? Please explain topics addressed and any noticeable changes with the student afterwards. *
Overall, how is the above mentioned student performing in your class (not TEKS based)?  Please give an overall summary of the student's performance. *
Please list at least three present strengths that the student possesses for your content area. (What can the student do?)  - TEKS based. THIS SECTION MUST HAVE BASELINE DATA INCLUDED.   For example, Student A was able to complete successfully Govt 2.B - analyzing the impact of political changes based on Unit 2 Test (75%),  Important Individuals in U.S. gov't worksheet (83%), and the group project FDR's impact on the Great Depression and WWII (90%).  Remember to submit documentation that supports the student's strengths to Ashley Craig. *
Please list at least three present weaknesses or areas that need improvement that you have observed in your content area (what can the student not do) - TEKS based.  THIS SECTION MUST HAVE BASELINE DATA INCLUDED.  See example in competencies section above and apply it the same way, but with the student's weaknesses.  Remember to submit documentation that supports the student's weaknesses to Ashley Craig.
If this student has a goal for your subject, which area of weakness listed above would be applicable for their new annual goal?  Please be specific on how you would like this goal to be monitored (you may adjust the selected TEKS to meet the need of the student) and measured (how many trials each six weeks and what would the success rate be for that student based on those trials).

NOTE: If you would like to keep their current goal, explain how you would like to approach it differently than it is currently being tracked. Also, include how you want to measure it.
*
Is the above mentioned student *
Significantly Below Grade Level based on his/her grade level peers
Above Grade Level based on his/her grade level peers
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