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STUDENT INFORMATION
Student Name
Student 1
Grade
6
Date of Birth
School
Newton County Theme School
Date
10/01/2013
POINT OF CONTACT
EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED
Tablet
Self-owned
Voice Recorder
Owned by school
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
Tablet is already owned. Students must have it on silent while in class so it doesnt
disrupt other students. Tablet is already set up and student already knows how to
operate it.
Self
10/02/2013
10/03/2013
IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.)
Kena Hudgins
Math Teacher
Jessica Tamburro
Tom Stillerman
ELA Teacher
Charmaine Steele
TRAINING
TRAINING NEED
TRAINEES
TRAINER
Student 1
10/03/2013 @10am
11/04/2013
CLASSROOM IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
All classes
HOME IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
MONITORING/EVALUATION
GOAL
Student 1 needs to be able to comprehend
curriculum and be able to regurgitate this
material on assessments to show
understanding. By using AT, Mason should be
able to show he understands better.
INSTRUCTIONAL STRATEGY