Individual Engagement Plan


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Church Ministry Room

Year Level Small Group

Leader

Parent(s) Date of Birth

Buddy Leader

Interests Areas of Strengths

[Image of Child]

Other Notes

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 Child's Support Group
Name Relation to Child Contact Notes

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 Long Term Goals
1. Engagement Objective (WHAT):

Rationale (Supporting Observations)

How to achieve this objective (Refer to short term goals)

2. Engagement Objective (WHAT):

Rationale (Supporting Observations)

How to achieve this objective (Refer to short term goals)

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 Short Term Goals
1. Learning Objective (WHAT): Intended goal achievement date:

Rationale (Supporting Observations)

How can this be achieved? (HOW) Mode of delivery (WHO/WHEN) Criteria of Success Evaluation and Review Notes

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 Accomodations for Learning
Instructional Accomodations Environmental Accomodations

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