Bemidji Regional Interdistrict Council
P.O. Box 974
Bemidji, MN 56619-0974

BRIC Documentation Form

Those in Attendance:____________________
1) ______________________________________
2) ______________________________________
3) ______________________________________
4)______________________________________
5)______________________________________
6)______________________________________


Learner’s Full Name__________________________
Date_____________________________________
School____________________________________
Grade____________________________________
Birthdate__________________________________

Progress Review

The learner’s progress on his/her IEP goals and objectives is described on the attached sheets.

____Meets his/her current needs and
        will be continued without change.

____Does not meet his/her current
       needs. The changes/modifications
       discussed will be documented in
       the following manner:

____listed on the attached Progress
       Report Sheets.

____IEP Significant Change Form
       (requires Prior Written Notice &
        Parent Consent/Objection Form)

____A new IEP must be developed.
       You will be contacted soon to
       schedule a meeting.

Special Circumstances

____Documentation         only.
        Discussion and
        decision by          team is   
        listed on         attached  
        page.

____ Other:

Discontinuing  Services

____  All special education services
         discontinued. * Attach Evaluation
         Report.

____ The special education services
        listed are discontinued.* Attach
        Evaluation Report.

Student aged out:
____ Age 21 * Summary of Performance
        attached.

____ Age 7 (DD only) * Summary of
        Performance attached.

____ Age 3 * Summary of Performance               attached.         


_____ Student Moved from district

____ Student graduated* Ending
        Summary of Performance attached.

____ Other:

* Prior Written Notice
* Parent Consent/Objection Form

Modifications/Changes/Notes:

 

 

 

 

Signature of IEP Manager