Teacher Input for PLEPs

Student Name: ____________________________ Grade:

________________________

Teacher Name: ____________________________ Subject:

_______________________

Current Grade: ______________ Missing Assignments:

__________________________________________

__________________________________________________________________________________________

Strengths: Needs:
 Please indicate all that apply with an (S) for Strength or an (N) for Needs
Improvement.
Behavior:
___ Displays adequate organization of material/supplies
___ Seeks teacher attention in an appropriate manner
___ Shows ability to work beside/with others without disruption
___ Begins and/or completes tasks on time
___ Works independently
___ OTHER ____________________________________________

Social Interactions:
___ Participates in conversations without interrupting
___ Shows no inappropriate verbal aggression
___ Interacts well with peers
___ Participates well in group activities
___ Shows no inappropriate physical aggression
___ Respects personal/ school property
___ Accepts responsibility for actions

Compliance with Staff Directives:

___ Follows directions
___ Accepts criticism/ correction
___ has difficulty with transitions
___ Follows school/class rules
___ Is cooperative
___ OTHER _____________________________________________

Use of Grade Level Materials:

___ Can read grade level materials
___ Comprehends grade level material
___ Understands content of grade level materials after listening to information that is
read out loud
___ Can responds orally to questions over content after listening to information that is
read out loud
___ Can respond in writing to questions over content after listening to information that is
read out loud
___ Give complete responses to questions/ tasks
___ Gives accurate responses to questions/ tasks

Other information you would like to add/ questions/ comments/ concerns: