LESSON PLANNING FORM Name ________________

Grade level ________

Long-term goal:






1. Title of Lesson: _______________________________________________

2. Lesson Goal:



3. Standards addressed:




4. Background of the Lesson:













5. Lesson Procedure page _________

Time Activities
(Divide this into sections. Sections might include: Set-up,
Introduction, Teacher-guided instruction, Individual Practice,
Group Work, Sharing Ideas, Summary, etc.)
Dialogue
(Teachers Questions; Anticipated Student
Responses)
Environment
(Materials, Strategies,
Adaptations)
Accomodations

































6. Evaluation:
(How will you know whether or not you have achieved your goals? What did the childrens responses to this lesson tell you about whether your goals were met?)




























7. Post Lesson Reflection:



What would you change about this
lesson and why would those changes
improve it?



How did your organization and
materials affect the success of the
lesson?




What were some challenges with this
lesson? What surprised you?




Additional comments?