Monroe County Community School Corporation

Case Conference Summary/IEP/ITP

Date March 5, 2008

Student Name Derek Tone DOB February 23, 1996 Sex Male Re-eval Date March 5, 2011

Home School/Attending School Maplebrook Elementary / Maplebrook Elementary Grade 5 ID#

Student Resides with: Phone Caseworker/Agency Representative Phone

Sue Tone Home (812) 682 - 9044 John Kingstron Home (708) 523 - 8564
Parent/Guardian Name Name

235 Rainbow Street Work (317) 544-1276 67 N Gorgea St Work (812) 875 - 6314
Street Address Street Address

Fort Wayne, IN Emergency (812) 765 - 8765 Springfield, IN Emergency (317) 423 - 9641
City/Zip City/Zip

Legal Guardian: ✔ Natural Parents

  Adoptive Parents  DFC
 Natural Mother  Adoptive Mother  Court
 Natural Father  Adoptive Father  Other __________________________________________

Purpose of Case Conference:


✔ Initial Conference  Annual Case Review  Transition
 Declassification/Reclassification  Causal Relationship  Move in
 IEP Review

Case Conference Committee Members (Indicate role)

Principal Betty Wilson Katie Stone Harry Johnson

Chairperson Special Education Teacher

Derek Tone Deborah Blackwell

Student General Education Teacher

Sue Tone Rewonda O'Nylo

Parent
Student Performance Derek Tone

Evaluation procedures, assessments, records or reports utilized to help determine eligibility for special education services.

Cognitive:
After taking the WISC-III standardized IQ test, the results showed that Drek scored a 95 for his verbal IQ, a 110 for his performance IQ, and an overall Full-scale IQ score of 96.

Impact on involvement in general education curriculum: Because the IQ falls in the normal range, there is no impact on the general education curricuculm

Achievement: Evaluation Data: Derek was given the Woodcock Johnson Tests of Achievement- III and had a standard score of 77 for broad reading, 72 fir Letter-Word ID, and a 52 for spelling

Reading: Strengths Looking at the scores, Derek can best comprehend reading passages

Weaknesses When needing to ID letters and words, Derek struggles

Impact on involvement in general education curriculum: Derek might benefit from going to a resource room for help on reading

Math: Strengths Derek excels at calculating math problems

Weaknesses When applying math problems in math, Derek can use help

Impact on involvement in general education curriculum: Student can participate in the general education curriculum

Social Emotional: Strengths Adaptive

Weaknesses Can be argumentative

Impact on involvement in general education curriculum: No impact on general education curriculum

Communication: Strengths Good communication skills

Weaknesses Age appropriate

Impact on involvement in general education curriculum: No impact on general education curriculum

Adaptive Behavior: Strengths Student knows basic living skills

Weaknesses There are no known weaknesses

Impact on involvement in general education curriculum: No impact on general education curriculum

Behavior: Strengths Derek behaves appropriately towards others

Weaknesses Can be unfocused and distracted and has difficulties staying on task for more than a few minutes

Impact on involvement in general education curriculum: May need to be seated away from distractions and directions may need to be repeated

Other: Strengths N/A

Weaknesses N/A

Impact on involvement in general education curriculum: N/A

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401

(812)349-4756 or (812)349-4757 - FAX=(812)330-7811

Case Conference Summary Page 2

Derek Tone

Student input (strengths, interests, concerns): Has trouble in class staying focused with some much other stuff going on and sometimes can't hear the teacher

Parent input (strengths, interests, concerns): Has ear difficulties with a ruptured ear drum, not focused, hyperactive, easily distracted, argumentative at times, pretty good with managing personal

care. Fears that academic difficulties will intensify if he does not receive help.

The following health data was discussed


✔ no known problems  frequent absences/tardies: days present _____ days absent _____
 on medication (specify)  physical concern (specify)

 seizure activity  wears glasses/contacts/hearing aid/prosthesis (circle)

 health plan  other ___________________

Special Factors

1. Does behavior impede student learning or the learning of others? Yes ✔ No If YES, team must develop and attach intervention plan
2. Does the student have limited English proficiency? Yes ✔ No If YES, team must consider language needs
3. Is the student blind or visually impaired? Yes ✔ No If YES, team must consider appropriate reading and writing media.
4. Is the student deaf or hard of hearing? Yes ✔ No If YES, team must consider communication needs.
5. Does the student require assistive technology devices or services? Yes ✔ No If YES, see accommodations and/or related services
6. Should the student be considered for an assistive technology evaluation? Yes ✔ No If YES, appropriate referral forms must be completed
7. “Other”

Based on the case conference committee’s discussion of the data noted above:

✔
 The student is eligible for special education services as defined in Indiana Code

 The student is not eligible for special education services as defined in Indiana Code

___ Autism
___ Hearing Impairment
___ Orthopedic Impairment
Disability Category(ies)
1 = primary disability 2 = secondary disability
___ Communication Disorder ___ Dual Sensory Impairment ___ Developmentally Delayed ___ Emotional Handicap
1 Learning Disability
___ ___ Mild Mental Handicap ___ Moderate Mental Handicap ___ Severe Mental Handicap
___ Other Health Impairment ___ Traumatic Brain Injury ___ Visual Impairment

Does the student require an alternative curriculum? Yes ✔ No If YES, explain non-participation in general education curriculum

Can student participate in non-academic and extra curricular activities? ✔ Yes No If NO, explain

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401

(812)349-4756 or (812)349-4757 - FAX=(812)330-7811

Case Conference Summary Page 3

 Goals and Objectives

Student’s Name Derek Tone Identified Need: Reading

Annual Goal Derek will improve in Reading at the second grade level

Measurable, Short-term Instructional Objectives Person(s) Responsible Procedures of Progress Comments

Including Objective Criteria to be reviewed annually (By Title) Evaluation
2.1.1 Demonstrate awareness of the sounds that are made by different Gen Ed A, B, D
letters with fewer than 25 errors out of 100 letters on a weekly assignment. Spec Ed

2.1.6 Read aloud fluently and accurately with appropriate changes in voice Gen Ed A, B, D
and expression with at least 75 correct words out of 100 on a weekly test. Spec Ed

Person(s) Responsible Procedures for Evaluation Progress

General Education Teacher Gen. Ed A. Observation i. Objective Met

Special Education Teacher Spec. Ed. B. Written/Oral Response ii. Progress made, but objective not yet met

Parent Parent C. Performance iii. Little or no progress

Occupational Therapist OT D. Criterion Referenced Test iv. Met, but not maintained

Physical Therapist PT E. Student Self Assessment v. Other (specify)

Speech/Language Pathologist SLP F. Other (specify):

Hearing Impairment Specialist HI

Vision Impairment Specialist VI

 Progress will be reported on the goals form  Other (Specify)


✔ Progress toward annual goals will be provided at time of report cards; or
 Other (Specify)

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401
(812)349-4756 or (812)349-4757 -- FAX (812)330-7811
IEP Page 1
 Goals and Objectives

Student’s Name Derek Tone Identified Need: Writing

Annual Goal Derek will improve writing and spelling at the pre-primer level

Measurable, Short-term Instructional Objectives Person(s) Responsible Procedures of Progress Comments

Including Objective Criteria to be reviewed annually (By Title) Evaluation
K.6.2 Spell independently using an understanding of the sounds of the Gen Ed A, B, D
alphabet correctly identifying 30 out of 40 words on a weekly assessment. Spec Ed

K.1.15 Read one-syllable words and high frequency words by sight with Gen Ed A, B, D
fewer than 10 errors out of 40 words on a weekly assessment. Spec Ed

Person(s) Responsible Procedures for Evaluation Progress

General Education Teacher Gen. Ed A. Observation i. Objective Met

Special Education Teacher Spec. Ed. B. Written/Oral Response ii. Progress made, but objective not yet met

Parent Parent C. Performance iii. Little or no progress

Occupational Therapist OT D. Criterion Referenced Test iv. Met, but not maintained

Physical Therapist PT E. Student Self Assessment v. Other (specify)

Speech/Language Pathologist SLP F. Other (specify):

Hearing Impairment Specialist HI

Vision Impairment Specialist VI

 Progress will be reported on the goals form  Other (Specify)


✔ Progress toward annual goals will be provided at time of report cards; or
 Other (Specify)

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401
(812)349-4756 or (812)349-4757 -- FAX (812)330-7811
IEP Page 1
 Derek Tone

Special Education Services/Least Restrictive Environment Any potentially harmful effects of the recommendations must be considered.

Services considered and rejected (indicate reasons)

Full and part time were considered but full times would be too restrictive.

Services recommended (indicate reasons; location, frequency and length)

Committee recommends part time services in a resource setting five days a week for one hour each day.

Related Services (Note intensity, frequency and location of services)

_____Occupational therapy for a minimum of _____ minutes each  week  month

_____ direct, integrated in classroom & community
_____consultation _____ other (specify)________________

_____Physical therapy for a minimum of _____ minutes each  week  month

_____ direct, integrated in classroom & community
_____consultation _____ other (specify)________________

Social Worker Transportation: Attach Transportation Form.

Other

Supplementary aids and services/and/or other factors relevant to proposed services:

N/A

March 5, 2008 March 4, 2009

Date for Initiation of Services (on or about): , ending date (on or about) following regular school calendar.

Teacher of Record: Katie Stone

Other Teachers of Record for Secondary Disabilities N/A

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401
(812)349-4756 or (812)349-4757 -- FAX (812)330-7811
Case Conference Summary Page 4
Derek Tone

Recommended Participation in Statewide or District standardized testing for the _______________ school year.

Indiana MCCSC
This student is not in a standardized testing mandated grade level.
This student will fully participate in the standardized testing program without accommodations.
This student will not participate in the standardized testing program (Specify reasons below).
✔ ✔ This student will fully participate in the standardized testing program with accommodations (Specify below).
This student will participate in the standardized testing program for diagnostic purposes.
This student will be subject to remediation.
This student will be subject to retesting.
This student will need the following testing accommodations (Specify):
50% extra time, tests read orally except reading comprehension, calculator

This student’s essential skills will be tested using an alternate assessment (Specify, including why the statewide or district assessment is not appropriate and
how the student will be assessed):

Is extended school year recommended? YES ✔ NO

If yes, committee must document the degree of regression; amount of time for recoupment; and the extraordinary, irretrievable educational, emotional or vocational reversals.

If yes, describe the nature of the interventions, include interventions parents can provide to meet student’s needs.

Name(s) of person(s) who will submit a written opinion.

NA

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401
(812)349-4756 or (812)349-4757 -- FAX (812)330-7811
Case Conference Summary 5
Student Name: Derek Tone

School: Maplebrook Elementary

Parent Permission for Special Education Services

You have the right to request a case conference and/or revoke your written permission for services at any time. If you are prepared to decide at this time, please sign on one of
the lines below.

I/we agree with the services recommended and give permission for the plan to be implemented:

Parent Signature Date Student Signature (If 18) Date

I/we do not agree with the services recommended.

Parent Signature Date Student Signature (If 18) Date

Parental Rights have been explained and provided:

Parent Initials

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401
(812)349-4756 or (812)349-4757 -- FAX (812)330-7811
Case Conference Summary 6
 Modifications/Accommodations/Supports to Meet Educational Needs
Derek Tone
Pacing Assignments Social Interaction Supports
Allow more time Give directions in small, distinct Peer/cross age tutoring
Vary activity often steps (written/picture/verbal) Structure activities to create opportunities
Allow breaks Use written backup for oral directions of social interaction
Avoid timed/pressure situations Read or tape record directions to Focus on social process rather than
Other: student activity/end product
✔ Adjust difficulty level Partial participation
Environment Shorten assignment/fewer items on Cooperative learning groups
✔ Preferential seating page Other:
Planned seating: Bus Classroom Reduce paper and pencil tasks
Lunchroom Auditorium Give extra cues or prompts Motivation and Reinforcement
Alter physical room arrangement Allow student to record/type or Verbal
Define areas concretely dictate assignment Non-verbal
Reduce/minimize distractions: Avoid penalizing for spelling errors/ ✔ Positive reinforcement
Visual Auditory sloppy papers/penmanship Concrete reinforcement
Spatial Movement Student should use cursive/printing Planned motivating sequences of activities
Provide opportunity for separate seating Other: Reinforce initiation
Teach positive rules for use of space ✔ Offer choices
Other: Self Management/Follow Through ✔ Use strengths/interests often
Visual daily schedule Reinforce approximation
Presentation of Subject Matter Calendars Response cost
Teach to student’s learning style Daily/Weekly assignment sheets Other:
Visual Auditory Model Check often for understanding/review
Tactile Multi Experiential Learning Request parent reinforcement
Review prior to presenting new materials Have student repeat directions
Individual/small group instruction Encourage use of notebook with
Utilize alternate specialized curriculum dividers, or file folders, for organization
Tape lectures/discussions for replay Use student sheets to organize
Utilize manipulatives material
✔ Emphasize critical information Design/write/use long term
Pre-teach vocabulary assignment timelines
Make/use vocabulary files Plan for generalization
Oral reading on voluntary basis only Develop organized routine
Provide study guides/outlines Schedule regular communication/
Encourage feedback from student to check for learning reports between home and school
Other: Other:

Materials Student Assessment

Arrangement of material on page Oral/taped responses Short answer
Taped tests and/or other class materials Taped responses Multiple choice
Highlighted tests/study guides ✔ Read test to student Modify time frame
Notetaking assistance: carbonless or xerox copy of notes of Shorten length ✔ Extend time frame
regular students, copy of notes from board provided Consider individual progress over time
Large print/graph paper/lined paper Consider effort
✔ Special Equipment: Alternative assessment
Word processor ✔ Calculator Test administered by:
Computer Math facts sheet Other:

Monroe County Community School Corporation - 315 North Drive - Bloomington, IN 47401
(812)349-4756 or (812)349-4757 -- FAX (812)330-7811
Case Conference Summary 7