South Bend Community School Corporation
Special Education Services
Date: ________________________________
Student Name: __________________________ SBCSC ID#: ______________ STN#: ____________________
To: _____________________________ Subject: _________________________ Class Period: _______________
I am the Teacher of Record for the above-named student for this school year. The student has an IEP which
requires that progress in all classes be closely monitored to ensure his/her success. In order to comply with federal
and state laws, we must follow the attached instructional accommodations/modifications page of the IEP in ALL
classrooms. These strategies are made individually according to the needs of the student.
Attached you will find a profile sheet outlining the above student's strengths, needs, learning styles, etc. If you
would like to contact me in order to review the entire IEP, I will be glad to meet with you.
I will be sending out a progress check sheet at least once every grading period to monitor the behavior and
academic progress of the student. Please complete the form and return it to my mailbox. This form and others will
be useful during any conferences we may have regarding the student.
Please feel free to contact me at any time if you have problems and/or concerns. In this way, we can cooperatively
plan strategies for ensuring the success of the student.
Thank you very much for your time and assistance.
Sincerely,
Special Education Teacher of Record
Room
Room Phone
Plan Time
Please sign and return to me by: _____________________________________
Date
Teacher Name: ___________________________
Student: __________________________________
£
I have received the profile sheet and accommodations for the above named student and DO NOT want a copy
of the full IEP.
£
I have received the profile sheet and accommodations for the above named student and WANT a copy of the full
IEP.
________________________________________
___________________________
Signature
Date
8/19/12