Assistive Technology Implementation Plan

STUDENT INFORMATION
Student Name
Student 1

Grade
11

Date of Birth

School
Allatoona High School

Date
9/2/12

AT Plan Review Date

10/2/13

POINT OF CONTACT

(Individual assigned to keep the Implementation Plan updated)

Johnny Tilton - Teacher

EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED

STATUS (e.g., owned by school, will purchase, will borrow, etc)

Dell Laptop

Student Owns

IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.)

ROLE (e.g., administrator, teacher, family member, service provider, etc)

Johnny Tilton

Teacher

Parent 1

Mother

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

N/A

N/A

N/A

TRAINING
TRAINING NEED

TRAINEES

TRAINER

DATES & TIMES

FOLLOW UP / ALONG PLAN

N/A

N/A

N/A

N/A

N/A

CLASSROOM IMPLEMENTATION
IEP GOAL

CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)

PERSON(S) RESPONSIBLE

AT NEEDED TO ACCOMPLISH GOAL (List specific

AT and customized settings if appropriate)

Student will be able to complete writing

assignments on time and legibly.

U.S. History

Dominico/Coach Tilton

Laptop at teachers discretion

IEP GOAL

CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)

PERSON(S) RESPONSIBLE

AT NEEDED TO ACCOMPLISH GOAL (List specific

AT and customized settings if appropriate)

N/A

N/A

N/A

N/A

HOME IMPLEMENTATION

MONITORING/EVALUATION
GOAL
N/A

INSTRUCTIONAL STRATEGY

RECORDING SYSTEM & FREQUENCY

(How will you teach student to use equipment

and/or how to achieve goals.)

(e.g., task analysis recording system; score + or - on

data recording sheet)

N/A

N/A

PERSONS RESPONSIBLE FOR

IMPLEMENTATION / DATA COLLECTION
N/A