KUTZTOWN UNIVERSITY
ELEMENTARY EDUCATION DEPARTMENT
PROFESSIONAL SEMESTER PROGRAM
LESSON PLAN FORMAT
Teacher Candidate: __________________________________________________
Cooperating Teacher: _________________________________________________
Group Size: _____________________ Allotted Time: ______________________
Subject or Topic: ____________________________________________________
Date: _______________________
Coop. Initials: ________________
Grade Level: _________________
Section: _____________________
STANDARD: (PA Common Core):
I. Performance Objectives (Learning Outcomes)
II. Instructional Materials
III. Subject Matter/ Content (prerequisite skills, key vocabulary, big idea)
IV. Implementation
A. Introduction –
B. Development –
C. Closure –
D. Accommodations / Differentiation E. Assessment/Evaluation plan
1. Formative
2. Summative
V. Reflective Response
A. Report of Students’ Performance in Terms of States Objectives (Reflection on students performance
written after lesson is taught, includes remediation for students who failed to meet acceptable level of
achievement)
B. Personal Reflection (Questions written before lesson is taught.)(Reflective answers to
questions recorded after lesson is taught.)
Please note:


Do not try to fit your lesson plan into the spaces on this format sheet. Scan this form or retype it. Adjust the
spacing to match the needs of your individual lessons.
After the cooperating teacher has approved and initialed the plan, any recommendations or revisions should
remain on the plan.
VI. Resources