Assistive Technology Implementation Plan

STUDENT INFORMATION
Student Name
J.G.

Grade
4nd

Date of Birth

School
New Holland Knowledge Academy

Date
7/15/14

AT Plan Review Date

8/15/14

POINT OF CONTACT

(Individual assigned to keep the Implementation Plan updated)

John Phillips, III

EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED

STATUS (e.g., owned by school, will purchase, will borrow, etc)

Ipad

Owned by School

Personal Computer

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

Gather Ipad, Computer

John Phillips, III

8/01/14

IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.)

ROLE (e.g., administrator, teacher, family member, service provider, etc)

Katie Garner

Teacher

John Phillips, III

Instructional Technology Coach

J.G.

Parent

TRAINING
TRAINING NEED

TRAINEES

TRAINER

DATES & TIMES

FOLLOW UP / ALONG PLAN

Learn Software

Katie Garner

John Phillips, III

8/01/14

Learn Software

J.G.

Katie Garner

8/07/14

Next day formative monitoring

CLASSROOM IMPLEMENTATION
IEP GOAL

CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)

PERSON(S) RESPONSIBLE

AT NEEDED TO ACCOMPLISH GOAL (List specific

AT and customized settings if appropriate)

Perform note taking in class

Social Studies, Science, ELA

Katie Garner

Ipad and Personal Computer, Word Processor

Engage in meaningful learning

Math, Social Studies, Science

Katie Garner

Ipad and Personal Computer, Internet Access

HOME IMPLEMENTATION
IEP GOAL

CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)

PERSON(S) RESPONSIBLE

AT NEEDED TO ACCOMPLISH GOAL (List specific

AT and customized settings if appropriate)

Complete all assignments completely and

legibly

Math, Social Studies, Science,

ELA

J.G. (Student)
J.G. (Parent)

Personal Computer, Word Processor, Internet Access

MONITORING/EVALUATION
GOAL

INSTRUCTIONAL STRATEGY

RECORDING SYSTEM & FREQUENCY

(How will you teach student to use equipment

and/or how to achieve goals.)

(e.g., task analysis recording system; score + or - on

data recording sheet)

PERSONS RESPONSIBLE FOR

IMPLEMENTATION / DATA COLLECTION

Student will have turned in 90% of

assignments.

The student will be taught to use

work processor to complete
assignments.

Each turned in assignment will score a

+ and each not turn in assignment will
score a -

Katie Garner

Assignments turned in will be complete and

legible

The student will be taught to use

work processor to complete
assignments.

Each assignment that is complete and

legible will score a + and each
assignment that is not complete and
legible will score a -

Katie Garner

Student will learn through additional videos and

online simulations.

The student will be taught to

access videos and supplemental
material on the GCSSK12
website.

Completed activities will score a + and

activities not completed will score a -

Katie Garner