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Sample Special Education Intervention Plan

Teacher/Team: School:
Target Area (s): Target Group (s):
Strand:
Implementation Date:
1st Review Date: 3rd Review Date:
2nd Review Date: 4th Review Date:

Measurement of Student Progress monitoring


Interventionist & Time
Goal Intervention/Strategies Progress Results from Assessments
(when, where, frequency)
(Based on identified weaknesses) What are you going to do DIFFERENTLY? (How will you measure progress & Is it working, should we revise or
WHO IS RESPONSIBLE?
how often?) continue?
 Goal has been met
 Goal not met, making
progress
 Goal not met, no progress

Comments/Next Steps:

 Goal has been met


 Goal not met, making
progress
 Goal not met, no progress

Comments/Next Steps:

*G. Walter, 2013 P a g e |1


Sample Special Education Intervention Plan
Progress monitoring
Results from Assessments
Is it working, should we revise or
continue?
 Goal has been met
 Goal not met, making
progress
 Goal not met, no progress

Comments/Next Steps:

 Goal has been met


 Goal not met, making
progress
 Goal not met, no progress

Comments/Next Steps:

 Goal has been met


 Goal not met, making
progress
 Goal not met, no progress

Comments/Next Steps:

 Goal has been met


 Goal not met, making
progress
 Goal not met, no progress

Comments/Next Steps:

*G. Walter, 2013 P a g e |2


Sample Special Education Intervention Plan

*G. Walter, 2013 P a g e |3

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