Student Academic Support Plan

3rd Grade

Elementary School
Student Name Grade Level Student Information Date of Birth Homeroom Teacher

Universal Assessment Information

Benchmarks M-Comp Date Score R-CBM Accuracy Date Score R-CBM Rate Date Score Date Maze Score Last Spring Fall Winter Spring Math Date Score Date Reading Score

AIMSweb

Benchmarks

STAR

Last Spring Fall Winter Spring Math Date RIT %ile Date Reading RIT %ile

Benchmarks

MAP

Fall Winter Spring

Areas of Concern
___ Not an area of concern at this time __ Phonemic Awareness __ Initial sound isolation __ Blending __ Segmenting Decoding __ Phonics __ Sounds for letters A-Z __ Letter combination sounds __ Word Identification __ High frequency words __ Automaticity __ Fluency __ Rate __ Accuracy __ Prosody __ Vocabulary __ Conversational __ Content __ Comprehension __ Summarizing __ Questioning __ Making Connections __ Visualization __ Text Structure __ Monitoring

Reading

___ Not an area of concern at this time

__ Operations & Algebraic Thinking __ Number & Operations in Base Ten __ Number Operations Fractions __ Measurement & Data

__ Geometry

Math

__ Represent and solve problems involving multiplication and division __ Understand properties of multiplication and the relationship between multiplication and division __ Multiply and divide within 100 __ Solve problems involving the four operations, and identify and explain patterns in arithmetic

__ Use place value understanding and properties of operations to perform multidigit arithmetic __ addition __ subtraction __ multiplication __ division

__ Develop understanding of fractions as numbers

__ Solve problems involving measurement and estimation of intervals of time, liquid volumes, and masses of objects __ Represent and interpret data __ Geometric measurement: understand concepts of area and relate area to multiplication and to addition __ Geometric measurement: recognize perimeter as an attribute of plane figures and distinguish between linear and area measures

__ Reason with shapes and their attributes

Additional Information:

Student Academic Support Plan Elementary School Student Name ___ Tier I (Core) ___ Tier II (Supplemental) ___ Tier III (Intensive)

Area of Concern: ______ Reading ______ Math Target area: Research Based Core Program Core Support Descriptor Small group instruction Leveled instruction Explicit instruction Engaging activities Scaffolding of instruction Additional practice opportunities Start Date: Research Based Intervention Targets: Setting # of sessions per week Length of session Small group ______ One-on-one Start Date: Research Based Intervention Targets: Setting # of sessions per week Length of session Small group ______ One-on-one Start Date: Research Based Intervention Targets: Setting # of sessions per week Length of session Small group ______ One-on-one Progress Monitoring Tool Name of Probe(s) Target Area # of times to be progress monitored

Area of Concern: ______ Reading ______ Math Target area: Research Based Core Program Core Support Descriptor Small group instruction Leveled instruction Explicit instruction Engaging activities Scaffolding of instruction Additional practice opportunities Start Date: Research Based Intervention Targets: Setting # of sessions per week Length of session Small group ______ One-on-one Start Date: Research Based Intervention Targets: Setting # of sessions per week Length of session Small group ______ One-on-one Start Date: Research Based Intervention Targets: Setting # of sessions per week Length of session Small group ______ One-on-one Progress Monitoring Tool Name of Probe(s) Target Area # of times to be progress monitored