Joint

Action Routine Collaborative Lesson Plan Date:____________________ Time: ___________ Activity:____________________________________

Classroom Teacher: _________________________________________ Related Service Providers: _____________________________________________________

Student:
M.O.C.:
Student:
M.O.C.:
KEY
Job/Role:
Job/Role:

__

__

Staff Member:
Student:
Job/Role:

__

__

Staff Member:
M.O.C.:

__

__

Staff Member:
Student:
Job/Role:

__

Staff Member:
M.O.C.:

MOC= Mode of
Comm.

=Target
Objective

Prompt

%
Accuracy

__

Staff Member:
Student:
Job/Role:

__

Staff Member:
M.O.C.:

__

Staff Member:

Staff Member:
Student:
Job/Role:

__

Staff Member:

Staff Member:
M.O.C.:

__

Staff Member:

Staff Member:

Routine Steps: Materials:

1.

2.

3.

4.

5.
6.
7.
8.

1.

2.

3.

4.

Adapted by Calianne Botsaris 2016

5.
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