Transcription
Macomb Intermediate School DistrictMICHIGAN MERIT CURRICULUMPERSONAL CURRICULUMFOR STUDENTS WITH AN IEPPersonal CurriculumApplication and PlanMDE GUIDELINES ANDSUPPORTING MATERIALSThe parent or legal guardian of a student, thestudent’s teacher or counselor may request aMichigan Department of EducationpersonalPersonal Curriculum informationrequirements of the Michigan Merit Curriculum.www.michigan.gov/highschoolThe pages that follow include the PC application"Personal Curriculum Informationand Documents"and the plan template for students with an n.Version: culum
REQUEST FOR PERSONAL CURRICULUMFOR STUDENTS WITH AN IEPDate of Request:DIRECTIONS: This page is to be completed by the parent(s) and/or adult student, or school personnel in agreement withthe parent(s) or adult student. This form needs to be submitted to the student’s counselor for consideration of a personalcurriculum. Following the receipt of this request, the counselor will initiate the Personal Curriculum Development process.STUDEN INFORMATION-(Complete all sections)Name of Student:Grade:Name of Parent/Guardian:Requested By:AnticipatedGraduation Date:DOB:ParentGuardianStudent(18 or older)SchoolPersonnelOther:Home Phone:Counselor/Teacher:SchoolMODIFICATION REQUEST -Select what area(s) to Michigan Merit Curriculum are in need of proposed modification(s)English Language Arts – 4 CreditsGrade 9Grade 10Grade 11Grade 12Science – 3 CreditsBiologyChemistry or PhysicsAdditional Science:Physical Education & Health – 1 CreditPE (required MI statute 380.1502)Health (HIV/Aids instruction required 380.1169)Online Learning Experience – 1 CreditCareer and echnical EducationMathematics – 3.5 to 4 CreditsAlgebra 1GeometryAlgebra 2Additional Math Related Credit:Social Studies – 3 Credits (including .5 Civics)World History/GeographyUS History/GeographyEconomicsCivicsWorld Language – 2 creditsVisual, Performing, or Applied Arts – 1 CreditDescribe the curriculum modifications that you would like to have included in the PC plan.1.2.3.SIGNATURESRequested By:Date:NamePosition/RoleReceived By:Date:PC DevelopmentTeam Coordinator2
PERSONAL CURRICULUMTIMELINE/PROCESS FORSTUDENTS WITH AN IEPSTUDENT INFORMATION-(Complete all sections)Name of Student:Grade:Name of Counselor:DOB:Personal Curriculum PurposeThe PC is a process to modify specific credit requirements and/or content expectations based on the individuallearning needs of a student. It is designed to serve students who need to individualize learning requirementsto meet the MMC requirements.DIRECTIONSThis form is to be used by the student’s counselor to track the Personal Curriculum process.PERSONAL CURRICULUM PROCESS1.PC is requested by a parent/legal guardian or emancipated student or school personnel.2.Student meets Michigan Personal Curriculum application requirements.3.Counselor schedules the PC Development eam committee.A. Identify team members.B. Send team members, student, and parent/legal guardian notice of meeting.C. May not require an “in-person” meeting of the group.4.Staff collects documents for team to review. (See list of documents on the PersonalCurriculum Determination Form)5.PC Development eam reviews the student’s Education Development Plan (EDP) and visionfor their future.6.PC Development eam reviews necessary documents. he Personal CurriculumDetermination Form and Plan are completed by the PC Development eam.7.The PC must meet as much of the MMC as practicable and must include measurable goalsand a method of evaluation.8.The PC Development team or group determined that the modification is consistent with boththe EDP and the IEP.9.The PC Plan is agreed upon by the parent or student (if the student is 18 or older).10. PC paperwork is sent to the superintendent for their agreement or disagreement.Please include the following documents: Request for PC Determination PC Plan Transcript EDP11. Appropriate staff implements the agreed upon PC.12. Revision to a PC may be made using the same process as the original PC.Comments:3
PERSONAL CURRICULUM DETERMINATIONFORM FOR STUDENTS WITH AN IEPDate:DIRECTIONSThis form is to be completed by the Personal Curriculum Development Team.1.STUDENT INFORMATIONName:School:2.DOB:Date of PC Request:Current Grade:SOURCES OF EVAULATION INFORMATION(Check each document used to determined eligibility for the personalcurriculum and attach the data that supports the recommendation)Review EDP - career goals or pathway, educational training goals, plan of actionIEP InformationDate of Current IEPSE Eligibility Area(s)Review Current IEP accommodations/modificationsReview Current IEP goals/objectivesReview History of goals/objectives in the deficit area that demonstrates an inability to meet grade level courseexpectationsReview District and State AssessmentsReview Attendance/behavioral recordsReview Curricular AssessmentsReview Grades and/or transcripts - attach current copy of transcript.Teacher inputCourse of study leading to a diplomaOther (specify)3.PC TEAM PARTICIPANTS(Signature indicates participation)Print nCounselor/DesigneeSchool PsychologistSpecial Education TeacherGeneral Education TeacherAdministratorOther:Other:4
PERSONAL CURRICULUM FOR STUDENTSWITH AN IEPDate:1.STUDENT INFORMATION-(Complete all sections.)Name:School:2.DOB:Current Grade:Counselor/Teacher:COMMITTEE MEMBERS’ SIGNATURES-(Signature indicates participation)PC PLAN DEVELOPMENT TEAM anContent Area TeacherParent/GuardianSpecial Education Teacher or ConsultantHigh School Counselor/DesigneeOtherSchool PsychologistOther3.STUDEN CAREER PATHWAY AS INDICATED ON THE MOST RECENT EDPArts and CommunicationBusiness Management, Marketingand TechnologyEngineering/Manufacturing and Industrial TechnologyHealth ServicesHuman ServicesNatural Resources and AgriscienceList Three Careers1.2.3.Student's Career Vision4.MMC CreditGrade 9Number of CreditsCompleted:5.6.AUDIT - (Check which credits have already been earned & enter date of completion. 4 credits are required.)Grade 10Number of CreditsCompleted:Grade 11Number of CreditsCompleted:MMC ENGLISH LANGUAGE ARTS CREDIT MODIFICATIONIf area is checked, describe modification(s):MMC MATH CREDIT MODIFICATIONIf area is checked, describe modification(s):5Grade 12Number of CreditsCompleted:
STUDENT NAMEName:7.8.9.MMC SCIENCE LANGUAGE ARTS CREDIT MODIFICATIONIf area is checked, describe modification(s):MMC SOCIAL STUDIES CREDIT MODIFICATIONIf area is checked, describe modification(s):MMC VISUAL PERFORMING ARTS CREDIT MODIFICATIONIf area is checked, describe modification(s):10. MMC PHYSICAL EDUCATION CREDIT MODIFICATIONIf area is checked, describe modification(s):11.11. MMC ONLINE LEARNING EXPERIENCE CREDIT MODIFICATIONIf area is checked, describe modification(s):12. MMC WORLD LANGUAGES CREDIT MODIFICATIONIf area is checked, describe modification(s):6
STUDENT NAMEName:13. CAREER AND TECHNICAL MODIFICATIONIf area is checked, describe modification(s):14.IMPLEMENTAION DATEActual:OR the first day of theschool year.15. PARENT AND/OR STUDENT AGREEMENT (Student agreement is required if over 18)I agree to allow implementation of this personal curriculum plan.I disagree with the implementation of this personal curriculum plan.Reason for Disagreement (Optional):Signature of Parent or Student (if thestudent is over 18)Date:Print Name:16. DISTRICT AGREEMENTI agree to allow implementation of this personal curriculum plan.I disagree with the implementation of this personal curriculum plan.Signature of Superintendent/DesigneeDate:Print Name:7
PERSONAL CURRICULUM FOR STUDENTSWITH AN IEPTRACKING RECORDDate:STUDENT NAMEName:PERSONAL CURRICULUM HIGH SCHOOL CONTENT EXPECTATION TRACKING RECORDHIGH SCHOOL CONTENT EXPECTATIONSALIGNMENT RECORD (Check box if PC allowsmodification)DATE OF COMPLETION CRITERIA MET FORCREDITENGLISH LANGUAGE ARTSMATHSCIENCESOCIAL STUDIESVISUAL PERFORMING APPLIED ARTSPHYSICAL EDUCATION AND HEALTHONLINE LEARNING EXPERIENCEWORLD LANGUAGESCAREER AND TECHNICAL EDUCATION8NAME OF COUNSELORWHO VERIFIEDCREDIT COMPLETION
Online Learning Experience - 1 Credit Visual, Performing, or Applied Arts - 1 Credit Career and echnical Education Describe the curriculum modifications that you would like to have included in the PC plan.
