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Student Name (Please print): School: School Year: Beginning date of plan:
Jenrette, Kaden Cornerstone Foundation 2018-2019 08/10/2018
Academy
School Interventions:
Monitoring Status
Specific Monitoring
Subject: Intervention, Planning, Strategies (IPS) Insufficient Some
Needs Date Mastery
Progress Progress
x
Goal 1: Have Kaden master his recognition of Upper and lower Case Letters.
Individualized
Reading Working on Words and their sounds.
Tutoring
x
x
x
Individualized
Behavior
Modifying
. x
x
Regular x
Math Class/with Working with worksheets in order to bring up to her math level x
Tutoring 2x a
week x
Science Regular
Class/with an
emphasis on
her reading
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Student Learning Plan
Date: _______
Intervention Status Student Reflections: Pending________
Student has mastered and completed Student Learning Plan YES OR NO Date: ______
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Student Learning Plan
Date
Student Date
Reflections:
Date
Date
Parent Strategies: (Include strategies the student’s parents or guardians may take to help them improve their child’s skills in grades 1through 12)
Parent has received a copy of Student Learning Plan by: Mail Conference x Date: 02/09/17
Parent Information Parent has received a copy of Student Learning Plan after each monitoring update:
Signatures:
School Official: Date:
Parent Date:
Student Date:
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