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STUDENT INFORMATION
Student Name Grade Date of Birth
EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED STATUS (e.g., owned by school, will purchase, will borrow, etc…)
IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.) ROLE (e.g., administrator, teacher, family member, service provider, etc…)
EQUIPMENT TASKS
TASK (e.g., order/procure AT, load software, adapt/customize PERSON RESPONSIBLE DATE DUE
devices/software, set up at home/school, maintain/repair, etc.)
Procure the AT – n2y web access County Special Education & Technology Department 2/15/2019
Adapt/customize device/software County Technology Department & School Technology Specialist Ongoing
Maintain & repair School Technology Specialist Ongoing
TRAINING
TRAINING NEED TRAINEES TRAINER DATES & TIMES FOLLOW UP / ALONG PLAN
N2y Lin Lee & County SPED Department 2/12/2019; 1:30 ~ 2:30 pm Further 1-on-1 training if needed
curriculum Mallorie Peterson
N2y Lin Lee & County SPED Department 2/14/2019; 1:30 ~ 2:30 pm Further 1-on-1 training if needed
curriculum Mallorie Peterson
TouchChat Lin Lee Mallorie Peterson 2/12/2019; 8:30 ~ 9:30 am Further 1-on-1 training if needed
TouchChat Lin Lee Mallorie Peterson 2/14/2019; 8:30 ~ 9:30 am Further 1-on-1 training if needed
CLASSROOM IMPLEMENTATION
IEP GOAL CURRICULUM/DOMAIN (e.g., PERSON(S) RESPONSIBLE AT NEEDED TO ACCOMPLISH GOAL (List specific
math, science, PE, art, etc…) AT and customized settings if appropriate)
Given a modified story and picture choices, English Mallorie Peterson Unique Learning System (n2y) web
the student will independently and correctly (pseudonyms) access & TouchChat
answer comprehension questions 80% of
the time.
Given a picture cue, the student will English Mallorie Peterson Unique Learning System (n2y) web
independently and correctly identify the (pseudonyms) access & TouchChat
letters 70% of the time.
HOME IMPLEMENTATION
IEP GOAL CURRICULUM/DOMAIN (e.g., PERSON(S) RESPONSIBLE AT NEEDED TO ACCOMPLISH GOAL (List specific
math, science, PE, art, etc…) AT and customized settings if appropriate)
N/A N/A N/A N/A
MONITORING/EVALUATION
GOAL INSTRUCTIONAL STRATEGY (How will you teach student to RECORDING SYSTEM & FREQUENCY (e.g., task PERSONS RESPONSIBLE FOR
use equipment and/or how to achieve goals.) analysis recording system; score + or - on data recording sheet) IMPLEMENTATION / DATA
COLLECTION
Discuss the key vocabulary words of Score + (if answered correctly) or Lin Lee
the reading passage using the - (if answered incorrectly) on data
Given a modified TouchChat app. recording sheet during the session.
story and picture Discuss teacher-designed questions to Score + (if answered correctly) or Lin Lee
choices, the student check for comprehension using the - (if answered incorrectly) on data
will independently TouchChat app. recording sheet during the session.
and correctly answer
comprehension Formally assess student Score + (if answered correctly) or Lin Lee
questions 80% of the comprehension of the reading passage - (if answered incorrectly) on data
time. by using the 10 assessment questions recording sheet during the session.
(5 on vocabulary words; 5 on reading
comprehension) in the n2y curriculum.