SPED: Student Teaching IEP Assessment

Millersville University
Student Teaching IEP Assessment

STUDENT INFORMATION

P ID#

Student First Name

Student Last Name

Subject

Grade Level

Program 1

Term

Cooperating Teacher

Cooperating Teacher's Email

Placement School

Placement District

MU Faculty Liaison/Supervisor

MU Faculty Liaison/Supervisor Email

MAJOR(S)

BSE Early Childhood - PreK-grade 4
BSE Special Education

(3) Expectations Met

(2) Partially Met

(1) Not Met

(0) No Score

1. Personal Information, Present Education Levels

Comments

2. Special considerations

Comments

3. Participation in assessment

Comments

4. Transitions Services

Comments

5. Goals and objectives, academic and functional

Comments

6. a. Related Services, b. Program Modifications, c. Specially Designed Instruction , Supplementary Aids and Services, Supports for School Personnel, d. Gifted Services e. Extended School Year (ESY)

Comments

7. Educational placement, and location of student’s program To be decided with Cooperating teacher

Comments

8. Reflection & Self Evaluation

Comments

9. Writing

Comments

Final Rating

EVALUATOR AFFIRMATION

Evaluator Signature

Click to Sign...

Date:

Supervisor/Evaluator Email
(To receive confirmation)

I hereby affirm that the information in this document is correct and true to the best of my knowledge.