SCCPSS Distance Learning Plan

Student

School
Grade
Date of Birth Date of Meeting

Case Manager

Primary Area Select one Secondary Area Select one

Ability to access
distance learning
including
preferred types
of activities and
mode of access

Wifi Laptop Web Cam

Hot Spot Desktop PC Speakers/
Distance
Land line Tablet Headphones
infrastructure
Smart phone Internet enabled Microphone
available at home
Game system or
smart TV

How will goals/

objectives be
monitored?

Parent General Ed

Teacher of Record Service Provider

LEA Service Provider

Content Area 1 Select Content Area
Teacher
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s) Google Phone calls Digital content
Select all that apply
Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication Email Educational Platform
Select all that apply Text Other

Accommodations

Recommendations

Content Area 2 Select Content Area

Teacher

Instructional Zoom Printed Materials Video Recordings

Method(s) Teams Email Audio Recordings
Select all that apply Google Phone calls Digital content
Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication
Select all that apply Email Educational Platform
Text Other

Accommodations

Recommendations
Content Area 3 Select Content Area

Teacher
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone calls Digital content
Select all that apply
Text Other
Frequency Choose amount Times per Choose frequency
Phone US Mail
Communication
Email Educational Platform
Select all that apply
Text Other

Accommodations

Recommendations

Content Area 4 Select Content Area

Teacher
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone calls Digital content
Select all that apply
Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication
Select all that apply Email Educational Platform
Text Other

Accommodations

Recommendations
Content Area 5 Select Content Area
Teacher
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone calls Digital content
Select all that apply
Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication
Email Educational Platform
Select all that apply
Text Other

Accommodations

Recommendations

Content Area 6 Select Content Area

Teacher
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone calls Digital content
Select all that apply
Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication
Select all that apply Email Educational Platform
Text Other

Accommodations

Recommendations
 Speech-Language Complete for students with Speech-Language Services

Therapist
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone calls Digital content
Select all that apply Therapy Platform Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication
Select all that apply Email Educational Platform
Text Other

Accommodations

Recommendations

OT Complete for students with OT services

Therapist
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone calls Digital content
Select all that apply
Therapy Platform Text Other
Frequency Choose amount Times per Choose frequency

Phone US Mail
Communication
Email Educational Platform
Select all that apply
Text Other
Complete for students with PT services.
PT

Therapist
Zoom Printed Materials Video Recordings
Instructional
Teams Email Audio Recordings
Method(s)
Google Phone Calls Digital Content
Select all that apply
Therapy Platform Text Other

Frequency Choose amount Times per Choose Frequency

Phone US Mail
Communication
Email Educational Platform
Select all that apply
Text Other