Professional Documents
Culture Documents
STUDENT
INFORMATION
Student Name
Grade
Wendy A.
School
Date
Campbell High
Date of Birth
06/13/1998
09/30/2013
EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED
iPad
Parents owned
Free on iPad
Free on iPad
Owned by school
IMPLEMENTATION
TEAM
NAME (List all individuals who will implement the AT with the student.)
George A.
Project coordinator
Stephanie E.
Mr./Mrs. A
Wendys Parents
John T.
Sylvia B.
Gideon I.
AT specialist
EQUIPMENT
TASKS
TASK (e.g., order/procure AT, load software, adapt/customize devices/software, set up
at
home/school,
maintain/repair,
etc.)
PERSON RESPONSIBLE
DATE DUE
George A.
09/04/2013
Mr./Mrs. A.
09/05/2013
TRAINING
TRAINING NEED
TRAINEES
TRAINER
iPad basics
Wendy
George A.
Ongoing as required
OCR
Wendys teachers
George A.
Wendy
George A.
Mr./Mrs. A.
George A.
Ongoing support
Wendy
Wendys teachers
09/04/2013
1:30pm 3:30pm
09/05/2013
2:30pm - 3:30pm
09/06/2013
1:30pm 3:30pm
09/062013
4:30pm 5:30pm
Daily as needed
CLASSROOM
IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
HOME
IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
All subjects
Mr./Mrs. A.
MONITORING/EVALUATION
GOAL
INSTRUCTIONAL STRATEGY
Progress monitoring
Progress monitoring