Regular Education Teacher Input Form to the IEP Team - BJ

Please fill out this form to describe how the student functions in the regular education classroom.
Do not use student's name.
When it asks for a name, please type in your name.
Name: 


  1. The student can work in a large group
    Most of the time
    Some of the time
    Never
    N/A


  1. The student can work in small groups
    Most of the time
    Some of the time
    Never
    N/A


  1. The student can follow oral directions
    Most of the time
    Some of the time
    Never
    N/A


  1. The student can follow written directions
    Most of the time
    Some of the time
    Never
    N/A


  1. Teh student completes assignments on time
    Most of the time
    Some of the time
    Never
    N/A


  1. The student maintains attention
    Most of the time
    Some of the time
    Never
    N/A


  1. The student follows classroom rules
    Most of the time
    Some of the time
    Never
    N/A


  1. The student interacts approriately with peers
    Most of the time
    Some of the time
    Never
    N/A


  1. The student responds appropriately to authority
    Most of the time
    Some of the time
    Never
    N/A


  1. The student tolerates frustration
    Most of the time
    Some of the time
    Never
    N/A


  1. What do you see as this student's strengths?


  1. What do you see as this student's instructional needs?


  1. List any successful strategies you use in the classroom for this student.


  1. Do you have any information or suggestions for the IEP team?
Corinne Sikora