NOTICE OF MEETING

INDIVIDUALIZED EDUCATION PLAN (IEP)

Initial Annual Triennial Other: (Specify)______________________

Students Name: Name ___Charlenne Refe___ Birthday: 10 / 15 / 2013
(MM) (DAY) (YEAR)
Address: 51 Cataquiz 1, Poblacion, San Pedro City, Laguna
Today’s Date: March 07,2022
Dear: Mr. /Mrs. /Ms. Jenny Refe
I would like to inform you that there will be a meeting of the IEP Team, planning
to consider your child’s educational program. The aims of this meeting are to;
__/_ Discuss and review the assessment result of your child.
__/_ Recommend appropriate educational services to your child; and
__/_ Develop an individualized education program for your child.
(Only if special education is necessary)
____ Other (please specify) __________________________________

You are requested to attend this meeting as a participating member of the team. You
may bring someone with you, or you may designate another representative if you are unable
to attend. You may request for a copy of the Parent’s Rights from the Special Ed
Specialist/Case Manager.
The meeting will be held in San Pedro Central Elementary School on June 30, 2022,
Wednesday at 9 o’clock in the morning. (Name of School)
(Date of the Meeting)
(Day of the Meeting) (Time of the Meeting)

We anticipate that the following members will also attend:

Administrator/Designee: Dr. Abegail C. Valenzuela Specialist: ____________________
Special Education Teacher: Ms. Julianna O. Palarin Specialist: ____________________
General Education Teacher: Mrs. Catherine E. Gait Specialist: ____________________
Student: Maria Dela Cruz Specialist: ____________________
Iep Organizer: Ms. Somin Y. Sebastian Other: _______________________
Speech Therapist: Mr. Palaso R. Gagarin Other: _______________________

If you need further information about your rights or the purpose of this meeting, you
may contact: call Ms. Angel Regero, LPT, M. Ed., the IEP Meeting Organizer of San
Pedro Elementary School at 09108515466 or you can also message at
angelregero@gmail.com.

Check the following items, as appropriate:

I plan to attend the meeting I do not plan to attend the meeting
I request a different time and/or place. Please call me or send me a message at
___09263683931___
(Phone Number)
Or email me at _________angelregero@gmail.com_____________
I will be accompanied by Jenno Refe/Relationship to the child Father

JENNY REFE March 07, 2022

Signature of Parent/Guardian over Printed Name Date

Please complete and sign this form, then return to ANGEL REGERO
(Name of the Person will Receive)