SES Learning Form

  • SES Student Learning Plan

     

    LA HONDA-PESCADERO UNIFIED SCHOOL DISTRICT

    STUDENT LEARNING PLAN

    TITLE 1 requires any district receiving Title 1 funds to create a team of parents, teachers and the SES provider to develop a statement of specific achievement goals for the student, how the student’s progress will be measured, and a timeline for improving student achievement. 

    Student Information

     

    Student Name: ________________________________________   School ____         Grade ____

    LEA STUDENT ASSESSMENT DATA (PROFICIENCY LEVELS) _______________________________

    Is student identified for services:   _____ English Learner    _____ Special Education

    Provider Information

     

    Provider Name __________________________________________________________________

    Phone ________________________    Email ___________________________________________

    Tutoring Subject Areas:  _____ Reading Language Arts  _____Mathematics _____ Science

    Location of Services: _____ In student home _____School  _____ Other :______________________

    Tutor to Student Ratio: _____ One to One  _____ Small Group (2-5) _____ Large group ( 6-10)

    Service Period:     Beginning date ____________       Time of sessions from _________ to ________

    Total hours of service to be provided _______ Total sessions ______ Completion date __________

    Student Progress Reports:  Procedure __________________________________________________

    Frequency _______________________   Completion date _________________________________

    Student Learning Plan

     

    ACHIEVEMENT GOALS

    LEARNING ACTIVITIES

    MEASUREMENT TOOLS