LESSON PLAN FORMAT

Name: ________________________________ Date: _________________ Age/Grade Level: _____________
Subject:_______________________________ # of Students: __________ # of IEP Students: _____________
Major Content: _________________________ Unit Title___________________________________________
ACTIONS - Described prior to observation
Goals and Objectives -
Clearly state your broad goals and specific objectives which identify the content and skills/processes to be taught and formally assessed. Identify essential questions you want to address.
Connections -
List targeted learning objectives and explain how your objectives relate to Kentucky Learner Goals and standards for learning content established by professional organizations. (Note: Do not simply list the related goals and/or standards.)
Context -
Clearly describe how these objectives and this lesson relate to your broad goals for teaching about the topic.  Explain the major focus of the unit to which this lesson plan belongs, and how the lesson relates to the unit.  Address any personal, social, cultural, and global concerns that will be relevant to student learning.
Resources -
List resources (i.e., all materials including specific technology applications) which will be used during the lesson. Attach printed material to be used with students.
Procedures -
Describe the strategies and activities you will use to involve students and accomplish your objectives including how you will trigger prior knowledge and adapt strategies to meet individual student needs and the diversity in your classroom.
Student Assessment -
Clearly state how you will assess student progress in meeting the above objectives, including performance criteria you will use. Attach written assessment measures used in relation to the lesson.
IMPACT - Prepared after the lesson and post-observation conference
Reflection/Analysis of Teaching and Learning -
Discuss student progress in relation to the stated objectives (i.e., what they learned with indicators of achievement). Discuss success of instruction as it relates to assessment of student progress. Include three student samples (high, average, low) and an analysis of their performance based on assessment results.
REFINEMENT - Prepared after the lesson and post-observation conference
Lesson Extension/Follow-up -
Based on your reflection, discuss plans for subsequent lessons to reinforce and extend understanding particularly for students who did not make satisfactory progress.
Note: All three sections (ACTIONS, IMPACT, AND REFINEMENT) should be included in your portfolio for review by each committee member.