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at implementation form

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Assistive Technology Implementation Plan
Student’s Name: _____________________________
Date:
_____________________________
Implementation Team:
Name
Role
Equipment:
Equipment & Software To Be Used
Status(Person responsible for ordering)
Implementation Steps:
Person Responsible
Due Date
Trainees
Follow-up Plan
Training Required:
Facilitator and Date
Classroom Implementation:
Curriculum/Domain
AT and customized
settings
Curriculum/Domain
AT needed to accomplish
this goal
IEP Goal
Home Implementation:
IEP Goal
Monitoring/Evaluation:
Instructional
Strategy
Goal
Recording System
and Frequency
Person Responsible for
Implementation
/Data
Collection
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