# IEP at a glance · original fictional PX 0.1 reference

This is an authored summary-formatting exercise, not an approved or complete IEP, a support recommendation or a real learner record.

## Independent reading practice

Responsible role: Classroom teacher

Action: Written task directions; ask the learner to restate the first step

Timing / scope: Before beginning

Source: S1

## Classroom writing assignments

Responsible role: Classroom teacher

Action: Allow up to 10 additional minutes

Timing / scope: Classroom writing only; district/state testing information not supplied

Source: S2

## Weekly writing record

Responsible role: Case manager

Action: Collect one dated classroom writing sample and review the weekly checklist

Timing / scope: Every Friday

Source: S3

## Full fictional source excerpts

S1: Independent reading practice: the classroom teacher provides written task directions and asks the learner to restate the first step before beginning.

S2: Classroom writing assignments: the classroom teacher allows up to 10 additional minutes. This excerpt does not specify district or state testing supports.

S3: Progress record: the case manager collects one dated classroom writing sample every Friday and reviews the weekly checklist.

## Unknown actual plan details

Permitted learner reference: __________

Maintained plan location / authorized access route: __________

Actual plan version: __________

Plan effective date: __________

Plan review date: __________

Summary prepared / checked date: __________

Intended staff reader: __________

Designated school contact route: __________

Annual-goal wording / source reference: __________

Other service or assessment provisions / source reference: __________

Actual implementation / observations: __________