CTC Lesson Plan Checklist Feedback Form

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The document provides a checklist for evaluating lesson plans based on principles like differentiation, intellectual stimulation, and inclusion of different learning modalities.

The lesson plans are being evaluated on principles like filling class periods with engaging activities, differentiating instruction, including modifications, being intellectually stimulating, and having an obvious scope and sequence.

The document suggests that modifications for students who need them could include visuals, modified steps, and access to augmentative devices to support lessons.

Celebrate the Children Planning Checklist and Feedback Form 2009-2010

Teacher:__________________________________

Date:_____________________________________

Feedback by:______________________________

Lesson Plan Principle Teacher Check List and Admin Rating and Notes
Notes P-Perfect!
G-Good, but needs some work!
N-Needs a lot of work
1 There was enough planned
to fill entire periods. The
students should be
intensively engaged for the
entire day based on these
plans.
2 Instruction was
differentiated for the
different levels of students
and individual IEP goals
were clearly targeted.
There was an obvious
preparation of
individualized materials
(e.g., work boxes, folders,
etc.).
3 There are modifications for
the students who need
them (e.g., Visuals,
modified steps to a lesson,
FC or access to
augmentative device for
lessons).
4 Lesson plans are
intellectually stimulating
and respect to the
students’ levels.
5 There is an obvious scope
and sequence to all the
lessons across the week or
month.
6 Language Arts included
Literature and reading
comprehension, spelling
and vocabulary, and
writing and grammar

1
7 Curriculum resources were
listed in the plans. CTC
resources were used in
addition to other resources.
8 The lessons are dynamic,
experience-based/hands-
on and support
comprehension!
9 Lessons will elicit the
“Gleam in the eye,” are
motivating and meaningful
to the students.
1 Where the different
0 processing modalities
supported in the plans:
visuals to support
understanding, movement
to support regulation and
thinking, motor planning
opportunities, etc.
1 Was there an awareness
1 of the overall unique
processing needs of the
individual students in the
plans?
1 Did lessons tie into,
2 compliment and build off of
each other across
subjects, use a common
theme?
1 Were situations that
3 required the students to
engage with their peers
included? Often?
1 Were the CCCS clearly
4 listed and varied?
1 Assessment procedures
5 were clear and varied
across subjects.
1 Tests and quizzes were
6 assigned regularly
1 Quality homework was
7 planned as appropriate.
Parents will get a sense of
what is being worked on
from the HW.

2
Additional Comments:

SELF-REFLECTION
• Did I use language
and gestures to
exaggerate my
intent?
• Did I emphasize key
words for the
students who
needed this
modification?
• Was there peer
interaction?
• Were my students
kept intensively
engaged for the
entire period?
• Did my students
learn something?

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