LESSON PLAN TEMPLATE – SPECIALIZED INSTRUCTIONAL SUPPORT PERSONNEL  

Teacher: ____________________________________________ School: ___________________ Grade_____ 

Subject: ____________________________________________  

Date: ______________________________________________  Time In: __________  Time Out: __________ 

Standard(s), Knowledge/Skill Addressed in this Lesson: ___________________________________________ 

Topic(s) Addressed in this Lesson: ____________________________________________________________ 

Size of Student Group: (Check one) 

One‐on‐One  Small Group  Large Group  Whole Class 

Type of Student Interaction: (Check one) Personal Counseling       Career Counseling    Guidance Counseling   Informational meeting   

Instructional Session Testing    Other: ______________________________ 

Goals for the Session: 

1. ___________________________________________________________________________________ 

2. ___________________________________________________________________________________ 

3. ___________________________________________________________________________________ 

Areas of Concern: 

4. ___________________________________________________________________________________ 

5. ___________________________________________________________________________________ 

6. ___________________________________________________________________________________ 

DESCRIPTION OF THE LEARNING ACTIVITY:  

What will I do?   What will my students do?   How will I assess my students? * 

 

 

 

 

   

* It is understood that assessment may not occur during the observation. 

Seekonk Public Schools 09/30/13 E-14