Individual Education Plan

District/School? Logo Name of school and school Year

Student Details
Student Name: Primary Ministry Designation (s):
Grade: Additional Ministry Designation (s):
PEN: IEP Date:

Photo Date of Birth: Case Manager:

Student Support Team: Role:

Parent/Guardian consulted on:

My Personal Profile
My Interests: Location of Evidence:

My Learning Preferences: Location of Evidence:

What you need to know about me: Location of Evidence:

My Learning Profile
Personal Social Intellectual
Thoughts from my
team. What I am able to do on What I am able to do with How I think.
my own. others.

My Strengths

My Stretches

My focus Area This

Year
Core competency connections Core competency connections Core competency connections
These learning domains
can inform the IEP Positive Personal + Communication Creative thinking
development in these
core competency areas. Personal awareness +
Social responsibility Critical thinking

MyEdBC Competency Based IEP Template v. XI

 Individual Education Plan
District/School? Logo Name of school and school Year

Support and Plans

Universal Classroom Supports: **** Essential Supports:

Supplementary Plans: Date:

Core Competency-Based Goals

Core Competency: Goal:

Objective: Instructional Strategies:

Objective: Instructional Strategies:

Core Competency-Based Goals

Core Competency: Goal:

Objective: Instructional Strategies:

Objective: Instructional Strategies:

Curricular Competency-Based Goals

Area of Learning: Teacher: / Support Staff:

Big Idea:
Learning Standard:

MyEdBC Competency Based IEP Template v. XI

 Individual Education Plan
District/School? Logo Name of school and school Year
Objective: Instructional Strategies:

Objective: Instructional Strategies:

Curricular Competency-Based Goals

Area of Learning: Teacher: / Support Staff:

Big Idea:
Learning Standard:
Objective: Instructional Strategies:

Objective: Instructional Strategies:

Additional Comments

MyEdBC Competency Based IEP Template v. XI