Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome:
Component:
Oral (X):
Component Assessment:
Description of Formative Assessment:
State Standard #:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT.
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
Component Assessment:
State Standard #:
Oral (X):
Written (X):
Product (X):
Performance (X):
Description of Formative Assessment:
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT.
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
State Standard #:
Oral (X):
Component Assessment:
Description of Formative Assessment:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT.
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
State Standard #:
Oral (X):
Component Assessment:
Description of Formative Assessment:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
State Standard #:
Oral (X):
Component Assessment:
Description of Formative Assessment:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
State Standard #:
Oral (X):
Component Assessment:
Description of Formative Assessment:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
State Standard #:
Oral (X):
Component Assessment:
Description of Formative Assessment:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT
Resources
Instructional Planning Resource Template
Teacher:
Subject/Course:
Outcome Number & Wording:
Component:
State Standard #:
Oral (X):
Component Assessment:
Description of Formative Assessment:
Written (X):
Product (X):
Performance (X):
Criterion:
Context (Relevancy – how does it apply in students’ lives):
Teacher Methods
Student Activities
Opportunities for Differentiated Instruction
Vocabulary / Symbols
Vocabulary:
Symbols:
Copy this page for each outcome COMPONENT
Resources
Assessment for Outcome :
The Assessment:
Attached: a student copy of any written part of assessment (selected response or constructed response).
Attached: a student copy of the description/procedure for any product or performance part of assessment.
Attached: a teacher copy of any directions the teacher gives orally.
Administration Guidelines: Approximate time to administer, materials needed/allowed, teacher assistance allowed,
any other “rules” applicable to this assessment.
Criteria for Assessment:
Scoring the Assessment:
Answer key attached.
Rubric attached.
Special scoring instructions:
Reflections
Copy this page for each OUTCOME only.