STUDENT PORTFOLIO TEMPLATE

Cover Page

Focus Learner’s Name: (case study learner)

Case Manager’s Name: (your name)

Date:

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Goal 1: English/Language Arts

List IEP goal below:

Linkage to State Standards (list below):

Evidence Description Chart:

Evidence (list the Setting in which Evidence of social Materials used to Support needed to
task or method in you will work on interaction work on this goal. help this learner
which you collect this goal. (learner with become successful
data for this goal). teacher/ peers/ in this goal area.
parent, etc.)
#1
#2
#3
#4

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Goal 2: Math

List IEP goal below:

Linkage to State Standards (list below):

Evidence Description Chart:

Evidence (list the Setting in which Evidence of social Materials used to Support needed to
task or method in you will work on interaction work on this goal. help this learner
which you collect this goal. (learner with become successful
data for this goal). teacher/ peers/ in this goal area.
parent, etc.)
#1
#2
#3
#4

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Goal 3: Science, Technology, or Social Skills

List IEP goal below:

Linkage to State Standards (list below):

Evidence Description Chart:

Evidence (list the Setting in which Evidence of social Materials used to Support needed to
task or method in you will work on interaction work on this goal. help this learner
which you collect this goal. (learner with become successful
data for this goal). teacher/ peers/ in this goal area.
parent, etc.)
#1
#2
#3
#4

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Goal 4: Social Studies or Vocational

List IEP goal below:

Linkage to State Standards (list below):

Evidence Description Chart:

Evidence (list the Setting in which Evidence of social Materials used to Support needed to
task or method in you will work on interaction work on this goal. help this learner
which you collect this goal. (learner with become successful
data for this goal). teacher/ peers/ in this goal area.
parent, etc.)
#1
#2
#3
#4