STUDENT LEARNING PLAN

Name:________________________________ Birthday:__________________
Grade & Section:_______________________ Age:______________________

A. Student Profile
Medical History:___________________________________________ B.GOALS (Indicate what do you want to accomplish this year)
__________________________________________ Short Term Goals:_______________________________
__________________________________________ ________________________________
__________________________________________ ________________________________
School History: (Indicate the name of School) ________________________________
Elementary:________________________________ Long Term Goals:______________________________
Secondary :________________________________ ______________________________
Strength: __________________________________________ ______________________________
__________________________________________ My career goals are:_________________________
 __________________________________________
Descriptors: __________________________________________
__________________________________________
__________________________________________
Top Interest: ___________________________________________
___________________________________________
Top Attitudes: ___________________________________________
___________________________________________
STUDENT GOAL
Skills I need to acquire my career goals:__________
___________________________________________
___________________________________________
How does my plan fit to educational requirements:
___________________________________________
___________________________________________
Action I need to take:__________________________
GOAL CHART
STRATEGIES TO MEET THE GOAL EVALUATION TIMELINE