Professional Documents
Culture Documents
At Implementation Plan
At Implementation Plan
STUDENT INFORMATION
Student Name
Grade
Date of Birth
School
Date
Carlee Jo S.
5th
POINT OF CONTACT
03/14/xxxx
7/15/2014
8/20/2014
EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED
Study Island
Education City
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
Mrs. Gordon
08/01
Mr. Conner
3 days to complete
IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.)
Mrs. A. Brooks
Science Teacher
Mr. Conner
Mrs. Thompson
Mrs. Gordon
AT Specialist
Mr. Bloodworth
Social Studies
Mr./Mrs. S.
Carlee's Parents
TRAINING
TRAINING NEED
TRAINEES
TRAINER
Ongoing support
General Ed Teachers
and Carlee's parents
Mr. Conner
08/01/2014
4:30-6:00pm
Carlee Jo
Daily as needed
Ongoing as required
CLASSROOM IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
MONITORING/EVALUATION
GOAL
INSTRUCTIONAL STRATEGY
Model-Lead-Test
General/Special Ed Teachers
Model-Lead-Test
General/Special Ed Teachers
Model-Lead-Test
General/Special Ed Teachers
Model-Lead-Test
General/Special Ed Teachers
HOME IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
Reading
Mother/Carlee Jo
Writing
Mother/Carlee Jo
Writing
Mother/Carlee Jo
Writing
Mother/Carlee Jo
A. If currently completes
task with special
strategies and / or
accommodations,
describe.
B. If currently
completes task with
assistive technology
tools, describe.
C. D
add
tech
Communication
Reading
Organization
Assessing Students
TaskNeeds for Assistive Technology (2009)
Math
Recreation and Leisure
Activities of Daily Living
(ADLs)
A. If currently completes
task with special
strategies and / or
accommodations,
describe.
B. If currently
completes task with
assistive technology
tools, describe.
C. D
addi
tech
Mobility
Positioning and Seating
Vision
Hearing
5. Are there assistive technology services (more specific evaluation of need for assistive technology, ad
assistive technology, technical assistance on its operation or use, or training of student, staff, or family
needs? If yes, describe what will be provided, the initiation and duration.