Learning Support
Name
Address
Telephone
Date of Birth
Screening Assessment Date Result
Class
Class teacher
Learning Support teacher
Commencement date of supplementary teaching
Review Date
Date Result
Diagnostic Assessment
Informal Assessment before Supplementary Teaching Informal Assessment after Supplementary Teaching
Summary of Other Information (For example from parents, class teacher, psychologist, speech and language therapist etc.)
Learning Strengths and Attainments
Priority Learning Needs
Individual Profile and Learning Programme (IPLP) Blank

Learning Support
Individual Profile and Learning Programme
Learning Targets for the Period Date Achieved
Learning Support Activities - Learning Support Teacher
Learning Support Activities –Class Teacher
Learning Support Activities - Home
Supplementary Teaching
Day
Time
Location
Monday

Group

Individual
Tuesday
Duration of Programme from
Number of Weeks
Wednesday Thursday
Individual Profile and Learning Programme (IPLP) Blank
Friday to