Lesson ___
Teacher’s Name:
Lesson Title:
Anticipated Time-Frame of Lesson:
State Standard(s):
Classroom/Lesson Context (Check the Following that Apply):
____ Whole Group _____ Small Group _____ One-on-One
Grade:
Date:
Students with IEPs _____ Students with 504 Plans _____ ELL Students ____
Other (Please specify: _____________________)
Specify the Number of Students:
_____ Girls _____Boys
Individual Education Plan Goal(s) and Benchmarks Specific to this Lesson:
Learning Segment ___
Central Focus:
Essential Questions:
Learning Objective:
Academic Language
* Language Function* Language Demand* Academic VocabularyKey Materials & Technology:
Instructional Plan
Instructional Strategies & Learning Task:
Introduction to the lesson:
Body of the lesson:
Conclusion/Summary:
Assessment/ Evaluation Criteria: