Escolar Documentos
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STUDENT INFORMATION
Student Name
Mark
Grade
1st
Date of Birth
7/29/2008
School
Little River Elementary
Date
7/2/2014
POINT OF CONTACT
Austin Smith
EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED
iPad
Owned by student/parents
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
Install apps
Marks mother
7/4/14
IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.)
Austin Smith
teacher
Mark
student
Marks mother
Family member
Marks father
Family member
TRAINING
TRAINING NEED
TRAINEES
TRAINER
Mark
Austin Smith
7/4/14, 7/5/14
CLASSROOM IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
PERSON(S) RESPONSIBLE
N/A
HOME IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
N/A
MONITORING/EVALUATION
GOAL
INSTRUCTIONAL STRATEGY