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Lesson Plan, Semester X, Week Y, 2017-2018

Teacher(s): ___________________ Students Needing Extra Support


Students Needing
Grades: ______________________ Adaptations/Modifications: Enrichment
Period: ______________________ (add student initials) Extensions/Challenges (add
Subject: ______________________ ______________________________ student initials):
Coordinator:___________________ ____________________________ ________________________
Setting: ______________________ Language ___________________ ________________________
# of Students: _________________ Other needs/challenges: Notes:___________________
______________________________ _________________
___
Lesson Topic:______ __________________________________________________________________
Standard Course of Study Goals/Objectives/Content (Know):
_____________________________________________________________________________________
_____________________________________________________________________________________
Broad Big Ideas (Understand): ____________________________________________________________
Circular Competencies (Do): _____________________________________________________________
_____________________________________________________________________________________
Lesson Objectives: Some: _______________________________________________________________

Most: _______________________________________________________________

All: _______________________________________________________________

Internal and External Activities


Multiple Means of Representation: __________________________________________________________
______________________________________________________________________________________
Multiple Means of Engagement: ____________________________________________________________
______________________________________________________________________________________
Multiple Means of Expression: _____________________________________________________________
______________________________________________________________________________________

Technology resources to be used (VR, AR, Socrative, Activotes, LeapTV, Tablet Apps, )
________________________________________________________________________________________
________________________________________________________________________________________
Video Recording Planned schedule____________________________________________________________
Other Material / Resources Requirements: ______________________________________________________
Homework to be given: ___________________ Quizzes/Assessments to be given:_____________________
Worksheets to be given:___________________ Extra Materials to be given:__________________________

Differentiated Instruction: Top Performers: ___________________________________


Low Performers: __________________________________
Group Work: ___________________________________

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