(Personalized Education Plan)

FORMS for UCPSLori Cauthen & CJ Williams

Overview of the NEWPEP

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WHY NEW PEP FORMS?

To incorporate the use of meaningful data as a pre-requisite to writing & reviewing PEPs

To support our move toward using the RTI “Response to Intervention” Model in UCPS

To improve the quality of teachers’ PEPs by aligning them with the NC SCOS goals and objectives

To integrate technology as a tool for writing PEPs that match RTI and use SCOS

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PEP FORMS AVAILABLE 2008-2009

ON-LINE FORMS• Grade level specific

• Developed on the computer

• Printed and placed in GREEN PEP folder“TRADITIONAL” PAPER FORM

• Blank copy printed or copied

• Hand written

• Placed in GREEN PEP folder

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WHAT’S NEW?

CHANGES to the Elementary Level

PEP FORMS in UCPS2008-2009

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Personalized Education Plan (PEP) / Tier I: Kindergarten STUDENT__________________ GRADE__________ SCHOOL______________________ YEAR______________ TEACHER_____________________________

Diagnosed Medical Concern:_________________________ Has the child been retained? Yes No Year (s) retained ________ , _________

Current Services Received: EC Speech Reading Recovery RTI: Tier II RTI: Tier III Counseling Physical Therapy Occupational Therapy ELL

Check the appropriate area( s) if the child is not meeting grade level expectations based on grade level assessments and NCSCOS: Reading Writing Math

The top portion of the new PEP form includes information that fits RTI model requirements and will serve as the documentation necessary for a “Tier I” intervention. The on-line version is also grade-level specific.

UCPS PEP Form – NEW ITEMS

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UCPS PEP Form – NEW ITEMSData Used for

PEP DevelopmentNCSCOS Strengths (Two Required) Include Objective #

NCSCOS Needs (Two Required) Include Objective #

Targeted Skill and Strategy

Data to Be Used for PEP Review

Reading InitialConference Date:

Check all that apply: DRA2 Assessment Ongoing Running

Records Conference Notes Guided Reading

Notes Other:__________

Skill/ Goal:Strategy:

Check all that apply: Ongoing Running

Records Conference

Notes Guided Reading

Notes Other:_________

________

ReviewConferenceDate:

Skill/ Goal:Strategy:

Check all that apply: Ongoing Running

Records Conference

Notes Guided Reading

Notes Other:_________

________

FinalConferenceDate:

Recommendations for next year:

Teachers must now gather DATA BEFORE developing a PEP

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Data Used for PEP Development

NCSCOS Strengths (Two Required) Include Objective #

NCSCOS Needs (Two Required) Include Objective #

Targeted Skill and Strategy

Data to Be Used for PEP Review

Reading

Initial Conference Date:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Review Conference Date:

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Final Conference Date:

Recommendations for next year:

Teachers must also develop PEPs that identify a student’s strengths and needs in

terms of the NC SCOS Goals and Objectives

UCPS PEP Form – NEW ITEMS

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Data Used for PEP

Development

NCSCOS Strengths (Two Required) Include Objective #

NCSCOS Needs (Two Required) Include Objective #

Targeted Skill and Strategy

Data to Be Used for PEP Review

Reading

Initial Conference Date:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Review Conference Date:

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Final Conference Date:

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Recommendations for next year:

When using the On-Line version, teachers will have a PULL-DOWN MENU listing NC SCOS objectives at their grade level for each academic subject on the PEP form

UCPS PEP Form – NEW ITEMS

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Data Used for PEP

Development

NCSCOS Strengths (Two Required) Include Objective #

NCSCOS Needs (Two Required) Include Objective #

Targeted Skill and Strategy

Data to Be Used for PEP Review

Reading

Initial Conference Date:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Review Conference Date:

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Final Conference Date:

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Recommendations for next year:

In the On-Line form, teachers will use a TEXT BOX to type the specific skills, goals and strategies they plan to use to address the student’s areas of need

UCPS PEP Form – NEW ITEMS

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UCPS PEP Form – NEW ITEMSData Used for PEP

DevelopmentStrengths in This

AreaNeeds in This Area Targeted Behavior

and Intervention

Data to Be Used for PEP Review

BEHAVIOR

Initial Conference Date:

Weekly Observation Notes

Behavior:Intervention:Goal:

Check all that apply: Observation

Notes Individual

Behavior Plan Behavior

Report Card Other:_______

__________

Review Conference Date:

Behavior:Intervention:Goal:

Check all that apply: Observation

Notes Individual

Behavior Plan Behavior

Report Card Other:_______

__________

Final Conference Date:

Recommendations for next year:

List the 2 most significant behaviors in observable terms that are interfering with student academic success. The Guidance Counselor, Psychologist, Curriculum Coordinator, or an Administrator must observe the student before a Behavior PEP is written.

The new PEP allows for the development of a BEHAVIOR PEP!

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UCPS PEP Form – NEW ITEMSData Used for PEP

DevelopmentStrengths in This Needs in This Area Targeted Behavior

and Intervention

Data to Be Used for PEP Review

BEHAVIOR

Initial Conference Date:

Weekly Observation Notes

Behavior:Intervention:Goal:

Check all that apply:Observation NotesIndividual Behavior PlanBehavior Report CardOther:_________________

Review Conference Date:

Behavior:Intervention:Goal:

Check all that apply:Observation NotesIndividual Behavior PlanBehavior Report CardOther:_________________

Final Conference Date:

Recommendations for next year:

List the 2 most significant behaviors in observable terms that are interfering with student academic success. The Guidance Counselor, Psychologist, Curriculum Coordinator, or an administrator must observe the student before a Behavior PEP is written.

This new Behavior section of the PEP REQUIRES that a teacher create a Behavior Observation Log for taking notes about the student’s behavior over time as one form of data needed for this type of PEP.

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UCPS PEP Form – NEW ITEMSData Used for PEP

DevelopmentStrengths in This Needs in This Area Targeted Behavior

and Intervention

Data to Be Used for PEP Review

BEHAVIOR

Initial Conference Date:

Weekly Observation Notes

Behavior:Intervention:Goal:

Check all that apply:Observation NotesIndividual Behavior PlanBehavior Report CardOther:_________________

Review Conference Date:

Behavior:Intervention:Goal:

Check all that apply:Observation NotesIndividual Behavior PlanBehavior Report CardOther:_________________

Final Conference Date:

Recommendations for next year:

List the 2 most significant behaviors in observable terms that are interfering with student academic success. The Guidance Counselor, Psychologist, Curriculum Coordinator, or an administrator must observe the student before a Behavior PEP is written.

The new Behavior section of the PEP also REQUIRES that teachers focus only on behaviors that interfere with learning AND that they enlist the help of a fellow professional to perform an additional observation before a Behavior PEP can be written.

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MATH

Initial Conference Date:

Check all that apply:AssessmentsObservation NotesWork Samples Other:_________________

Skill/Goal:Strategy:

Check all that apply:AssessmentsObservation NotesWork Samples Other:_________________

Review Conference Date:

Skill/Goal:Strategy:

Check all that apply:AssessmentsObservation NotesWork Samples Other:_________________

Final Conference Date:

Recommendations for next year:

UCPS PEP Form – NEW ITEMS

The new PEP form asks teachers to identify the specific type of ongoing data they plan to use to monitor student success in meeting PEP goals.

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TIPS for USING

THE NEW ON-LINE

PEP FORMS

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WHERE TO FIND PEP FORMS ON-LINE:

Go to the Elementary Education link listed under “Departments” at the top of the UCPS page

Click the “Forms/Information” tab found on the left side of the screen on the Elementary Education page

Click the grade level PEP form needed OR if the “traditional” paper version is

preferred, click and then print that option

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COMPLETION of the PEP FORM:

Initial Conference Date:__________________

Parent PEP Contacts:Teacher:_____________________________ Parent:___________________________________ Date:________ Telephone Letter OtherTeacher:_____________________________ Student (Grades 6-8):_________________________Date:________ Telephone Letter OtherTeacher:_____________________________ Date:________ Telephone Letter Other

Review Conference Date:__________________

Parent PEP Contacts:Teacher:_____________________________ Parent:___________________________________ Date:________ Telephone Letter OtherTeacher:_____________________________ Student (Grades 6-8):_________________________ Date:________ Telephone Letter OtherTeacher:_____________________________Date:________ Telephone Letter Other

Final Conference Date:__________________

Parent PEP Contacts:Teacher:_____________________________ Parent:___________________________________ Date:________ Telephone Letter OtherTeacher:_____________________________ Student (Grades 6-8):_________________________ Date:________ Telephone Letter OtherTeacher:_____________________________ Date:________ Telephone Letter Other

Teachers must STILL obtain the required signatures on

page 2 of the new PEP. (Print the PEP, get it signed and place it in the UPCS GREEN PEP folder).

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IMPORTANT:MaintainingSECURITY &

CONFIDENTIALITY When Using the

On-Line Form

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PEP SECURITY & FILE STORAGE for ON-LINE FORMS

BEFORE entering student information using the on-line form, security measures must be taken:• LOG IN as a teacher when using a school

computer to enter PEP data & LOG OUT when finished to maintain security of PEPs OR

• SAVE ALL DATA to a Flash Drive or Diskette that is secured at school when finished

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GETTING STARTED USING the ON-LINE FORM:

Open the grade level PEP form needed and save it to the desktop first

Once it’s on the desktop, open the desktop form to create a new student file by clicking “Save As” and typing the student’s name

Fill out the form, remember to “Save” and then PRINT EACH FORM to place in green PEP folder

Repeat the process of opening the desktop form for EACH STUDENT & “Save As” (name) before writing it

When finished, save ALL of the student files in a new folder for PEPs and secure it

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USING the ON-LINE FORM for MID-YEAR &

END-of-YEAR PEP REVIEW: OPEN each student’s saved PEP Complete the form as before, using the appropriate line on

the PEP (Moving to the 2nd line for a “Review” or the 3rd line for a “Final Review” found in each section of the PEP)

At the mid-year review or final review, print only the FIRST PAGE of the On-Line PEP form, as you will need to keep the original signature page the same for the entire year so that you may add new signatures to existing signatures.

At the end of the year, remove previous page 1 goals and attach ONLY the final copy of Page 1 of the On-Line form (which includes ALL goals written for the year) to the original signature page and place it in the GREEN folder used to collect PEPs in UCPS.

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End of the YearChanges to the PEP

Data Used for PEP

Development

NCSCOS Strengths (Two Required) Include Objective #

NCSCOS Needs (Two Required) Include Objective #

Targeted Skill and Strategy

Data to Be Used for PEP Review

Reading

Initial Conference Date:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Review Conference Date:

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Skill/Goal:Strategy:

Check all that apply:Ongoing Running RecordsConference NotesGuided Reading NotesOther:_________________

Final Conference Date:

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

NC SCOS Objective CHOOSE 1

Recommendations for next year:

At the end of the year, teachers will provide a list of recommendations for next year’s teacher based on their evidence of student success during PEP implementation this year.

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End of the YearChanges to the PEP

To be completed at the end of the year To be completed before moving to Tier II:Attendance: Days Absent _______ Days Tardy _____ Attendance Concern?___ Yes___ No Vision Results: Near_____ Far_____ Hearing Results: _____Pass _____ Fail

Date:________________

PEP to be continued? _____ Yes _____ No

This year’s PEP form includes elements aligned with the RTI model (found at the bottom of page 2). The number of student absences must be recorded by each teacher and a vision and hearing screening must be completed for students recommended for Tier II intervention.

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QUESTIONS?Contact:

Lori Cauthen lori.cauthen@ucps.k12.nc.us

Linda Helbig linda.helbig@ucps.k12.nc.us

C.J. Williams cj.williams@ucps.k12.nc.us

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Additional Thanks to:The UCPS PEP Committee Members:

Lisa AustinTracey Fluharty Shelly GaskinJoni NashChristy Scott

Your efforts to revise the PEP have been greatly appreciated!