# Weekly Lesson/Routines Planning Form

**Subject/Teacher:** **Dates: Week of** **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

1. **Learning Objectives for the Class**

2. **Learning Objectives for the Student, How They Will be Assessed, and Who Will Prepare Assessments?**

| **Learning Objective**                         | **How Assessed** | **Who Will Prepare** |
| ------------------------------------------ | ---------------- | ------------------- |
| _Enduring understandings/big ideas:_      |                  |                     |
| _Vocabulary:_                             |                  |                     |
| _Knowledge, content, facts, skills:_     |                  |                     |

1. **What IEP objectives will be targeted in this class this week?**

1. **Participation Plan During Typical Routines**

| **_When:_**<br>State the name of the instructional routine. | **_Typically, all students:_**<br>List what the students _without_ disabilities are doing to participate in the routine listed in Column 1. | **_Supports_** **_student_** **_will_** **_require_**                             | **_Preparation_** **_and delivery_** **_of supports by the team:_**  
|-------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| **_Teacher Lectures/Students Take Notes_** |                      |                                  |   |
| **Whole Class Discussion**           |                      |                                  |   |
| **Partner Work**                    |                      |                                  |   |
| **Small Group Work**                |                      |                                  |   |
| **Writing**                         |                      |                                  |   |
| **Reading**                         |                      |                                  |   |
| **Research**                        |                      |                                  |   |

1. **What instructional materials need to be found, created, accommodated, or modified to support the student’s participation and learning and who is responsible?**

| **Books/Book Chapters** | **Reading Handouts** | **Worksheets** | **Tools/Technology** | **Graphic Organizers** |
|--------------------------|--------------------|----------------|---------------------|----------------------|
|                          |                    |                |                     |                      |

**Other Notes:**