STUDENT NAME: _______________________________________________________________________ DATE OF MEETING: _______________________________________
GOALS AND OBJECTIVES/BENCHMARKS
Complete for initial IEPs and annual reviews. (Anyone responsible for implementing the IEP (e.g., goals and objectives/benchmarks,
accommodations, modications and supports) must be notied of her/his specic responsibilities.)
REPORTING ON GOALS
The progress on annual goals will be measured by the short-term objectives/benchmarks. Check the methods that will be used to notify parents
of the student’s progress on annual goals and if the progress is sufcient to achieve the goals by the end of the IEP year:
Report card Progress reports Parent conference Other (specify) _________________________________
CURRENT ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE
Results of the initial or most recent evaluation and results on district-wide assessments relevant to this goal; performance in comparison to
general education peers and standards.
GOALS AND OBJECTIVES/BENCHMARKS
The goals and short-term objectives or benchmarks shall meet the student’s educational needs that result from the student’s disability,
including involvement in and progress in the general curriculum, or for preschool students, participation in appropriate activities.
Goal Statement # ____ of ____ Indicate Goal Area: Academic Functional Transition Illinois Learning Standard: # ____
Title(s) of Goal Implementer(s)
Short-Term Objective/Benchmark for Measuring Progress on the Annual Goal
Evaluation
Criteria
Evaluation
Procedures
Schedule for
Determining Progress
Dates Reviewed/
Extent of Progress
______ % Accuracy
___/___ # of attempts
Other (specify)
________________
Observation Log
Data Charts
Tests
Other (specify)
____________________
Daily
Weekly
Quarterly
Semester
Other (specify)
____________________
Short-Term Objective/Benchmark for Measuring Progress on the Annual Goal
Evaluation
Criteria
Evaluation
Procedures
Schedule for
Determining Progress
Dates Reviewed/
Extent of Progress
______ % Accuracy
___/___ # of attempts
Other (specify)
________________
Observation Log
Data Charts
Tests
Other (specify)
____________________
Daily
Weekly
Quarterly
Semester
Other (specify)
____________________
Short-Term Objective/Benchmark for Measuring Progress on the Annual Goal
Evaluation
Criteria
Evaluation
Procedures
Schedule for
Determining Progress
Dates Reviewed/
Extent of Progress
______ % Accuracy
___/___ # of attempts
Other (specify)
________________
Observation Log
Data Charts
Tests
Other (specify)
____________________
Daily
Weekly
Quarterly
Semester
Other (specify)
____________________
ISBE 34-54M (7/16) Illinois State Board of Education, Special Education Services, 100 North First Street, Springfield, Illinois 62777-0001
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