Special education teachers must be well versed in using performance data to identify students whose literacy skills are below grade level.

Student Name

English Language Learner

Gender

Other

Age

Oral Language Development

Uses Phonics and Morphology to Decode Words

Reading Lexile/ Grade

Performance Level

Written Expression Level

Social/Pragmatic/Communication Skills

Arturo

Yes

Male

Tier 2 RTI for reading

Grade level

Below grade level

No

Below grade level

Below grade level

Good

Bertie

No

Female

None

Grade level

Above grade level

Yes

Above grade level

Below grade level-writing simple sentences

Needs help resolving conflicts

Beryl

No

Female

NOTE: School does not have gifted program

Grade level

Above grade level

Yes

Above grade level

Above grade level

Good

Brandie

No

Female

Tier 2 RTI for math

Grade level

Below grade level

No; reads sight words only

Below grade level

Below grade level-only writes name and sight words

Needs help with verbal and nonverbal signals

Dessie

No

Female

Tier 2 RTI for math

Grade level

At grade level

Yes

At grade level

Below grade level

Good

Diana

Yes

Female

Tier 2 RTI for reading

Grade level

Below grade level

No

Below grade level

Below grade level

Good

Donnie

No

Female

Hearing aids

Grade level

Below grade level

No

At grade level

Above grade level

Good

Eduardo

Yes

Male

Tier 2 RTI for reading

Grade level

At grade level

Yes

Below grade level

Below grade level-writing simple sentences

Good

Emma

No

Female

None

Grade level

Above grade level

Yes

At grade level

Above grade level

Good

Enrique

No

Male

Tier 2 RTI for reading

One year above grade level

At grade level

No; reads sight words only

Below grade level

Below grade level

Good

Fatma

Yes

Female

Tier 2 RTI for reading

Grade level

At grade level

Yes

Below grade level

Below grade level-only writes name and sight words

Needs help rephrasing when misunderstood

Frances

No

Female

Diabetic

Grade level

At grade level

Yes

At grade level

At grade level

Good

Francesca

No

Female

None

Grade level

Above grade level

Yes

At grade level

Above grade level

Needs help staying on topic

Fredrick

No

Male

Tier 3 RTI for reading and math

One year above grade level

Below grade level

No; reads sight words only

Below grade level

Below grade level-writing simple sentences

Needs help with verbal and nonverbal signals

Ines

No

Female

Tier 2 RTI for math

Grade level

Above grade level

Yes

Below grade level

At grade level

Good

Jade

No

Female

None

Grade level

At grade level

Yes

At grade level

Below grade level

Good

Kent

No

Male

None

Grade level

Above grade level

Yes

At grade level

Above grade level

Good

Lolita

No

Female

None

Grade level

Below grade level

Yes

At grade level

At grade level

Good

Maria

No

Female

NOTE: School does not have gifted program

Grade level

Above grade level

Yes

At grade level

Above grade level

Good

Mason

No

Male

None

Grade level

At grade level

Yes

At grade level

At grade level

Needs help staying on topic

Nick

No

Male

NOTE: School does not have gifted program

Grade level

Above grade level

Yes

Above grade level

Above grade level

Needs help taking turns in conversation

Noah

No

Male

None

Grade level

At grade level

Yes

At grade level

At great level

Good

Sharlene

No

Female

None

Grade level

Below grade level

No; reads sight words only

Above grade level

At great level

Good

Sophia

No

Female

None

Grade level

Above grade level

Yes

At grade level

At grade level

Good

Stuart

No

Male

Allergic to peanuts

Grade level

At grade level

Yes

Above grade lev At grade level el

At grade level

Good

Terrence

No

Male

None

Grade level

At grade level

Yes

At grade level

Below grade level

Needs help resolving conflicts

Wade

No

Male

None

Grade level

Below grade level

Yes

At grade level

At grade level

Good

Wayne

No

Male

Tier 3 RTI for math

Grade level

Below grade level

Yes

Below grade level

At grade level

Needs help rephrasing when misunderstood

Wendell

No

Male

Tier 3 RTI for math

Grade level

At grade level

Yes

Below grade level

Below grade level

Good

Yung

No

Male

NOTE: School does not have gifted program

One year below grade level

At grade level

Yes

Above grade level

Below grade level

Good

Teacher Candidate Name:

Grade Level:

Date:

Unit/Subject:

Instructional Plan Title:

Lesson Summary and Focus:

In 2-3 sentences, summarize the lesson, identifying the central focus based on the content and skills you are teaching.

Classroom and Student Factors/Grouping:

Describe the important classroom factors (demographics and environment) and student factors (IEPs, 504s, ELLs, students with behavior concerns, gifted learners), and the effect of those factors on planning, teaching, and assessing students to facilitate learning for all students. This should be limited to 2-3 sentences and the information should inform the differentiation components of the lesson.

National/State Learning Standards:

Review national and state standards to become familiar with the standards you will be working with in the classroom environment.

Your goal in this section is to identify the standards that are the focus of the lesson being presented. Standards must address learning initiatives from one or more content areas, as well as align with the lesson’s learning targets/objectives and assessments.

Specific Learning Target(s)/Objectives:

Learning objectives are designed to identify what the teacher intends to measure in learning. These must be aligned with the standards. When creating objectives, a learner must consider the following:

· Who is the audience

· What action verb will be measured during instruction/assessment

· What tools or conditions are being used to meet the learning

What is being assessed in the lesson must align directly to the objective created. This should not be a summary of the lesson, but a measurable statement demonstrating what the student will be assessed on at the completion of the lesson. For instance, “understand” is not measureable, but “describe” and “identify” are.

For example:

Given an unlabeled map outlining the 50 states, students will accurately label all state names.

Academic Language

In this section, include a bulleted list of the general academic vocabulary and content-specific vocabulary you need to teach. In a few sentences, describe how you will teach students those terms in the lesson.

Resources, Materials, Equipment, and Technology:

List all resources, materials, equipment, and technology you and the students will use during the lesson. As required by your instructor, add or attach copies of ALL printed and online materials at the end of this template. Include links needed for online resources.

Anticipatory Set

Your goal in this section is to open the lesson by activating students’ prior knowledge, linking previous learning with what they will be learning in this lesson and gaining student interest for the lesson. Consider various learning preferences (movement, music, visuals) as a tool to engage interest and motivate learners for the lesson.

In a bulleted list, describe the materials and activities you will use to open the lesson. Bold any materials you will need to prepare for the lesson.

For example:

· I will use a visual of the planet Earth and ask students to describe what Earth looks like.

· I will record their ideas on the white board and ask more questions about the amount of water they think is on planet Earth and where the water is located.

Time Needed

Multiple Means of Representation

Learners perceive and comprehend information differently. Your goal in this section is to explain how you would present content in various ways to meet the needs of different learners. For example, you may present the material using guided notes, graphic organizers, video or other visual media, annotation tools, anchor charts, hands-on manipulatives, adaptive technologies, etc.

In a bulleted list, describe the materials you will use to differentiate instruction and how you will use these materials throughout the lesson to support learning. Bold any materials you will need to prepare for the lesson.

For example:

· I will use a Venn diagram graphic organizer to teach students how to compare and contrast the two main characters in the read-aloud story.

· I will model one example on the white board before allowing students to work on the Venn diagram graphic organizer with their elbow partner.

Explain how you will differentiate materials for each of the following groups:

· English language learners (ELL):

· Students with special needs:

· Students with gifted abilities:

· Early finishers (those students who finish early and may need additional resources/support):

Time Needed

Multiple Means of Engagement

Your goal for this section is to outline how you will engage students in interacting with the content and academic language. How will students explore, practice, and apply the content? For example, you may engage students through collaborative group work, Kagan cooperative learning structures, hands-on activities, structured discussions, reading and writing activities, experiments, problem solving, etc.

In a bulleted list, describe the activities you will engage students in to allow them to explore, practice, and apply the content and academic language. Bold any activities you will use in the lesson. Also, include formative questioning strategies and higher order thinking questions you might pose.

For example:

· I will use a matching card activity where students will need to find a partner with a card that has an answer that matches their number sentence.

· I will model one example of solving a number sentence on the white board before having students search for the matching card.

· I will then have the partner who has the number sentence explain to their partner how they got the answer.

Explain how you will differentiate activities for each of the following groups:

· English language learners (ELL):

· Students with special needs:

· Students with gifted abilities:

· Early finishers (those students who finish early and may need additional resources/support):

Time Needed

Multiple Means of Expression

Learners differ in the ways they navigate a learning environment and express what they know. Your goal in this section is to explain the various ways in which your students will demonstrate what they have learned. Explain how you will provide alternative means for response, selection, and composition to accommodate all learners. Will you tier any of these products? Will you offer students choices to demonstrate mastery? This section is essentially differentiated assessment.

In a bulleted list, explain the options you will provide for your students to express their knowledge about the topic. For example, students may demonstrate their knowledge in more summative ways through a short answer or multiple-choice test, multimedia presentation, video, speech to text, website, written sentence, paragraph, essay, poster, portfolio, hands-on project, experiment, reflection, blog post, or skit. Bold the names of any summative assessments.

Students may also demonstrate their knowledge in ways that are more formative. For example, students may take part in thumbs up-thumbs middle-thumbs down, a short essay or drawing, an entrance slip or exit ticket, mini-whiteboard answers, fist to five, electronic quiz games, running records, four corners, or hand raising. Underline the names of any formative assessments.

For example:

Students will complete a one-paragraph reflection on the in-class simulation they experienced. They will be expected to write the reflection using complete sentences, proper capitalization and punctuation, and utilize an example from the simulation to demonstrate their understanding. Students will also take part in formative assessments throughout the lesson, such as thumbs up-thumbs middle-thumbs down and pair-share discussions, where you will determine if you need to re-teach or re-direct learning.

Explain how you will differentiate assessments for each of the following groups:

· English language learners (ELL):

· Students with special needs:

· Students with gifted abilities:

· Early finishers (those students who finish early and may need additional resources/support):

Time Needed

Extension Activity and/or Homework

Identify and describe any extension activities or homework tasks as appropriate. Explain how the extension activity or homework assignment supports the learning targets/objectives. As required by your instructor, attach any copies of homework at the end of this template.

Time Needed