rnri/eis il ci (8ntuc('i

AssIsrIVE TrcuxolocY IMPLEMENTATIoN PI-,tx

STUDENT INFORMATION
Student Name Grade Date of Birth

Student X 3rd 00/00/2018

School Date AT Plan Review Date

Shallowford Falls Elementary School 2t12t1B February 2018

TRI
l\ariorel Assistii;o POINT OF CONTACT ltndividuat assigned to keep the lmplementation Plan updated)
Teihntlogy
Researcn lnstitute Amy Alfonso - Classroom Teacher/Assistive Technology Specialist

EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED STATUS (e.9,, owned by school, will purchase, will bonow, etc...)

Hearing Assistive Technology devices (HAT) Owned by the school; maintained by the Special Education Teacher

Hand Held Recording Device Owned by school

Connection wire for HAT device and Hand Held Recorder Owned by school

IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student,) ROLE (e.g , administrator, teacher, family member, service provider, etc...)

Teacher 1 Special Education Teacher

Teacher 2 Special Education TeacherArea Lead DHH Specialist

Teacher 3 Assistive Technology Specialist DHH Department

Teacher 4 Classroom Teacher

Teacher 5 Special Education Paraprofessional

Parents Student's Parents

EQUIPMENT TASKS
TASK (e.9., order/procure AT, load software, adapUcustomize devices/software, set up PERSON RESPONSIBLE DATE DUE
at home/school, maintain/repair, etc.l

Test HAT system and hand held recording device capabilities Teacher 3/AT Specialist February 2018
TRAINING
TRAINING NEED TRAINEES TRAINER DATES & TIMES FOLLOW UP / ALONG PLAN

Work with Student/Teacher 4 Special Education

(Classroom Teacher)/ Parents on Teacher, Classroom February 2018
AT Specialist March 2018 Ongoing as needed
proper use of hand held device and Teacher, Student X, During Planning time
minor troubleshooting Student's Parents

Classroom Teacher, AT Specialist/Special

Ongoing support Daily as needed During reading assignments
Student X Education Teacher

CLASSROOM IMPLEMENTATION
IEP GOAL CURRICULUM/DOMAlN (e.9., PERSON(S) RESPONSTBLE AT NEEDED TO ACCOMPLISH GOAL (List specific
math, science, PE, art, etc...) AT and customized settings if appropriate)

Demonstrate ability to orally retell a story in Special Education

Reading HAT System/Hand held recording device
sequential order Teacher/Classroom Teacher

HOME IMPLEMENTATION
IEP GOAL CURRICULUM/D0MAlN (e,9,, PERSoN(S) RESPONSTBLE AT NEEDED TO ACCOMPLISH GOAL (List specific
math, science, PE, art, etc..,) AT and customized settings if appropriate)
Demonstrate ability to orally retell a story in
Reading Parentsistudent X HAT System/Hand held recording device
sequential order

MONITORING/EVALUATION
GOAL INSTRUCTIONAL STRATEGY RECORDING SYSTEM & FREQUENCY PERSONS RESPONSIBLE FOR
{How will yo! teach student to use equipment (e.9., task analysis recording system; score + or - on
IMPLEMENTATION / DATA COLLECTION
and/or how to achleve goals.) data recording sheet)

Demonstrate ability to orally retell a story in Classroom Teacher/Special Education

Model-lead-test Weekly progress monitoring
sequential order Teacher