VAL.ED.S2-HO3-SLRP FOR TRANSFER TEMPLATE
2023 PEAC JHS SUMMER INSET
STANDARDS-BASED LEARNING RECOVERY PLAN (SLRP) TEMPLATE* (Transfer)
SUBJECT:
GRADE:
QUARTER:
TOPIC:
TEACHER(S):
1
2
3
4
5
6
7
8
9
10
Missed
Standard and
LCs
Current
Standard and
LCs
Existing
Curricular
Materials
Stand Alone or
Layered In
Mastery
Expectations &
Skill Breakdown
*Standards/LCs
that merged (as
stated in
column 4)
Rubric Focus
Intervention or
Remediation
Strategies and
Action
Plan for
Curricular
Materials
Timeline for
Teaching
What previous
standard and LCs
were missed or
partially covered?
What are the
standard and
learning
competencies at
the current grade
level that build on
the missed
standard and LCs?
How is the missed
standard or
partially covered
standard and LCs
addressed in
existing curricular
materials?
Will the missed or
partially covered
standard and LCs
stand alone in
teaching, or can it
be layered in with
current gradelevel standard and
LCs? If merged,
state the merged
LC.
Mastery
Expectations
and Skill
Breakdown
*Standards/LCs
that are stand
alone (stated in
column 1)
What is the
mastery
expectation? Skills
required to master
the missed or
partially covered
standard and LCs
merged with the
current grade
level standard and
LCs?
What rubric
indicators closely
align? What will
be the focus
indicators during
assessment?
What intervention
or remediation
strategies, action,
resources and
tools will be used
to achieve
mastery and the
rubric indicators?
(e.g. mini-lesson,
interventions, RTI,
core, flex-day,
after school)
What are the
explicit and
systematic
procedures and
how is scaffolding
How will existing
curricular
materials be
transferred,
updated, or added
to accomplish the
intervention or
remediation action
and integrate the
missed or partially
covered standard
and LCs? What
resources are
needed to check
on students’
progress to
mastery?
What month,
unit/module,
and/or lessons will
the missing or
partially covered
standard and LCs
be covered? What
is the time period
for doing the
actions and
checking on
results of
assessment?
What is the
mastery
expectation? Skills
required to master
the missed or
partially covered
standard and LCs
that will be taught
separately?
1
and differentiation
done?
How can
technology be
used to follow-up
on or enhance
student mastery?
*adapted from National Institute for Excellence in Teaching (NIET)
2
RUBRIC FOR SCORING CRITERIA:
Performance Indicators
1
Emerging
2
Developing
3
Proficient
4
Distinguished
3
Transfer Goal:
RUBRIC FOR PERFORMANCE TASK:
Criteria
Outstanding (4)
Satisfactory (3)
Developing (2)
Beginning (1)
SYSTEMATIC AND EXPLICIT INTERVENTION PROCEDURES WITH SCAFFOLDING AND DIFFERENTIATION:

Write intervention procedures showing the following:
a. learning targets
b. Learn-Practice-Show design
c. use of Tic-Tac-Toe
d. use of Choice Boards
e. use of Performance Task Playlist
f. sample Student Self-Assessment
g. sample Performance Task rubric
4
PERFORMANCE TASK IN GRASPS FORMAT:
Merged LC
Mastery
Expectation
Goal
Role
Audience
Situation
5
Product
Standard
PERFORMANCE TASK SCENARIO:
PERFORMANCE TASK PLAYLIST:
SUBJECT
GRADE LEVEL
TOPIC
:
:
:
PERFORMANCE STANDARD
:
PERFORMANCE TASK SCENARIO
:
PERFORMANCE TASK OUTPUT
:
6
DIRECTIONS
Activity
:
Directions/Resource Choices/Content/Lin
Output
Date
Completed
Step 1: LEARN
Step 2: PRACTICE
Steps may vary… (Learn, Practice and Show)
Step 3:
CHECKPOINT
Step 4: SHOW
7