"Services Plan (Sp) for Parentally Placed Private School Students" - Georgia (United States)

Services Plan (Sp) for Parentally Placed Private School Students is a legal document that was released by the Georgia Department of Education - a government authority operating within Georgia (United States).

Form Details:

  • Released on July 1, 2007;
  • The latest edition currently provided by the Georgia Department of Education;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Georgia Department of Education.

ADVERTISEMENT
ADVERTISEMENT

Download "Services Plan (Sp) for Parentally Placed Private School Students" - Georgia (United States)

554 times
Rate (4.3 / 5) 39 votes
SERVICES PLAN (SP) 
FOR PARENTALLY PLACED PRIVATE SCHOOL STUDENTS 
School District: ____________________________ 
 
SP Meeting Date: 
Purpose of SP Meeting :       Initial  
                    Annual Review                             Amendment  
Student Name: 
Date of Birth: 
Grade:
School Year:
Eligibility Category(s): 
Most Recent Eligibility Date(s):
Private School: 
Parent(s): 
Address: 
Email:
Phone (home): 
(work):
(cell phone): 
TEAM MEMBERS IN ATTENDANCE 
Special Education Teacher: 
Parent/Guardian:
Regular Education Teacher: 
Student:
School System Representative: 
Name/Title:
Private School Representative: 
Name/Title:
SPECIAL EDUCATION SERVICES  
Special Education 
Duration of 
Minutes or 
Initiation of 
Location 
Provider Title(s) 
Service(s)/Related Services 
Segments 
Service(s) 
Service(s) 
Regular Education 
Special Education 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PRESENT LEVELS OF ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE 
Results of initial or most recent evaluation and results of state and district assessments:
 
 
Description of academic, developmental, and/or functional strengths:
 
 
Description of academic, developmental, and/or functional needs:
 
 
Parental concerns regarding their child’s education:
 
 
Impact of the disability on involvement and progress in the general education curriculum :
 
 
CONSIDERATION OF SPECIAL FACTORS 
Does the student have behavior which impedes his/her learning or the learning of others?   
  Yes      No 
Does the student have Limited English proficiency? 
 
 
 
          
  Yes      No  
Is the student blind or visually impaired? 
 
 
 
 
 
  Yes      No 
Does the student have communication needs?   
 
 
 
 
  Yes      No 
Is the student deaf or hard of hearing?   
 
 
 
 
 
  Yes      No 
Does the student need assistive technology devices or services? 
 
 
 
  Yes      No 
If yes to any of the above, describe below. 
Georgia Department of Education 
Model Form July 2007  
Page 1 of 2 
SERVICES PLAN (SP) 
FOR PARENTALLY PLACED PRIVATE SCHOOL STUDENTS 
School District: ____________________________ 
 
SP Meeting Date: 
Purpose of SP Meeting :       Initial  
                    Annual Review                             Amendment  
Student Name: 
Date of Birth: 
Grade:
School Year:
Eligibility Category(s): 
Most Recent Eligibility Date(s):
Private School: 
Parent(s): 
Address: 
Email:
Phone (home): 
(work):
(cell phone): 
TEAM MEMBERS IN ATTENDANCE 
Special Education Teacher: 
Parent/Guardian:
Regular Education Teacher: 
Student:
School System Representative: 
Name/Title:
Private School Representative: 
Name/Title:
SPECIAL EDUCATION SERVICES  
Special Education 
Duration of 
Minutes or 
Initiation of 
Location 
Provider Title(s) 
Service(s)/Related Services 
Segments 
Service(s) 
Service(s) 
Regular Education 
Special Education 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PRESENT LEVELS OF ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE 
Results of initial or most recent evaluation and results of state and district assessments:
 
 
Description of academic, developmental, and/or functional strengths:
 
 
Description of academic, developmental, and/or functional needs:
 
 
Parental concerns regarding their child’s education:
 
 
Impact of the disability on involvement and progress in the general education curriculum :
 
 
CONSIDERATION OF SPECIAL FACTORS 
Does the student have behavior which impedes his/her learning or the learning of others?   
  Yes      No 
Does the student have Limited English proficiency? 
 
 
 
          
  Yes      No  
Is the student blind or visually impaired? 
 
 
 
 
 
  Yes      No 
Does the student have communication needs?   
 
 
 
 
  Yes      No 
Is the student deaf or hard of hearing?   
 
 
 
 
 
  Yes      No 
Does the student need assistive technology devices or services? 
 
 
 
  Yes      No 
If yes to any of the above, describe below. 
Georgia Department of Education 
Model Form July 2007  
Page 1 of 2 
 
 
th
TRANSITION PLAN – If transition services are to be provided to the student (no later than entry into 9
 grade or by age 16, 
whichever comes first) attach transition plan to the SP. 
STUDENT SUPPORTS 
To advance appropriately toward attaining annual goals; to be involved and progress in the general curriculum; to be educated and participate with other non‐disabled 
students, the following accommodations, supplemental aids and services, and/or supports for school personnel will be provided. 
Instructional Accommodations 
 
 
Classroom Testing Accommodations 
 
 
Supplemental Aids and Services 
 
 
Supports for School Personnel 
 
 
ANNUAL GOALS 
Progress at  
Reporting Period 
Annual Goal:  The annual goals are developed to address deficits as described 
Criteria for 
Method of 
in the present levels of academic achievement and functional performance. 
Mastery 
Evaluation 
(Date) 
(Date) 
(Date) 
(Date) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REPORT OF STUDENT PROGRESS 
When will the parents be informed of the student’s progress toward meeting the annual goals? _______________________________________________________ 
TRANSFER OF RIGHTS (Required by age 17): _________________ was informed on ____________ of his/her rights, if any, that will transfer at age 18. 
                                                                                         (Name)                                                (Date) 
 
RIGHTS WERE TRANSFERRED (Required by age 18): ________________ was informed on ____________ of his/her rights. 
                                                                                                   (Name)                                                (Date) 
 
Page 2 of 2 
Page of 2