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Free Printable Parent Input Statement Guide

Eight prompts to write what you want the IEP team to know: who your child is, strengths, what you see at home, your worries and your hopes.

What you type stays on your phone.

How to use it
  1. A week or so before the IEP meeting, write a few words for each prompt. Short is fine.
  2. Read it over and keep what matters most to you.
  3. At the meeting, read it out or hand in a copy, so your words are part of the talk.

An example, filled in

Example child Filled in for Auren, an example child. Your copy starts blank.
Parent Input StatementWhat I want the IEP team to know about my child, in my own words.CHILDAurenMEETING AND DATEAnnual review, Nov 121. About my child: who they are, what they loveAuren is 7. Loves trains and knows every stop on the line. Funny, kind to little kids.2. Strengths: what my child is good atGreat memory. Reads signs and maps. Works hard when the task is clear.3. What is going well this yearUses the break card. Asks for help more often.4. What I see at home that school may not seeVery tired after school. Melts down at home after a hard day, even when school says it was fine.5. My worries right nowLunch and recess: too loud, and Auren eats very little. Making friends.6. What helps my child learn and stay calmA picture schedule. A warning before changes. Quiet space to reset.7. What I hope for this yearOne friend to play with at recess. Reading a short book alone.8. Questions I want answered at this meetingCan Auren eat lunch somewhere quieter? How will we know recess is going better?Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.Made with Bloom Autism Support · bloomautismsupport.com/freetools
Why it helps

You know your child at home, over years, in a way no one else does. Writing it down ahead of time means you don't have to remember it all in a busy room, and the team hears it in your words.

Version

Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.

More like this

IEP Meeting NotesWrite on it during the meeting. Home-School Daily NoteGoes back and forth in the backpack. Check-In ChartDaily check-ins, a note for home.

Made by autism parents with 10 years in special education and ABA.

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