Lesson Plan / Written Instructional Program

See page 36 in the manual for example. Use descriptive title (change title) when
submitting.

Student: _______________________________________
Objective
Objective: (where is this lesson headed?

Date: October 6 2014

Reinforcement

Type:

Link to core and/or IEP goals)

Functional Routine: (when during the day

Schedule of delivery:

will this skill be used? Maximize opportunity

to respond)

Program Steps

Error Correction

Specify here the instructional sequence.

Include baseline data as attachment. When
using a behavior chain, include task analysis
as an attachment.
Select one:
Discrete
Forward
Skill
Chain

Backwar
d Chain

Total
Task

Stop:
Back-step:
Prompt:
(Also consider branching the task analysis,
additional prompts, changing reinforcement
pre-correction/pre-rehearsal or additional
practice outside the chain at another time)

Location/Setting

Criteria for Moving to Next Step

Materials Needed

Prompt Strategy
In consideration of the baseline data, specify
here what the controlling prompt will be to
begin. Make sure to indicate fading
procedure.

Select one:
Least-to-Most

Time Delay

Instruction
Instruction/Cue:

Generalization
Stimulus Factors:

Naturally occurring cue for the behavior:

Response Factors:

Include data sheet that will be used during

implementation.

Student Response/Behavior

Include the performance demands that

delineate a range of variation.

Special Considerations