Personalized Intervention and Learning Plan

Student Name: Grade:_____ Date:__________

After reviewing your grades and test scores, in general, what do you consider your strengths and
weaknesses in school?
Strengths Weaknesses









Specific
Goals

What specific goals do we want to achieve for this school year


Measurable
What type(s) of data will you use to determine if you have achieved your
goal?







Attainable
In order to attain my goals, the following activities/interventions will be
utilized:
1.
2.
3.
4.
5.
6.
7.
8.
9.
In order to attain my goal, the following resources/people will be utilized:






Relevant
Why is this goal important for students and school? How does this goal help
improve the implementation of the comprehensive guidance program?




Timely
When will I review this Improvement and Action Plan?
Which time period for results will we use as the basis for collecting our
data?
Immediate Results-obtained directly after the activity/intervention
Date results to be obtained: ___/___/___
Intermediate Results-usually obtained at the end of a quarter, semester,
year
Date results to be obtained: ___/___/___
Long-term Results-obtained after an extended period of time
Date results to be obtained: ___/___/___



Enhancement
Result of first review: Change activities/revise as follows:




Result of second review: Change activities/revise as follows:


Overall Reflection and Recommendations for Enhancement




Approval of Plan
Student Signature:
Parent Signature:
Counselor Signature:
Teachers Signatures
Personalized Daily Study Schedule for Academic Achievement

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8.00-3.30
@ school
8.00-3.30
@ school
8.00-3.30
@ school
8.00-3.30
@ school
8.00-3.30
@ school
Reading
Time:
Prep to Mon.
Time:
After School
Activity
After School
Activity
After School
Activity
After School
Activity
After School
Activity
Practice Reading
Time:
Review of Day
Time:
Review of Day
Time:
Review of Day
Time:
Review of Day
Time:
Review of day
Time:

Homework
Time:
Homework
Time:
Homework
Time:
Homework
Time:
Homework
Time:

Prep to Tues.
Time:
Prep to Wed.
Time:
Prep to Thursday
Time:
Prep to
Friday
Time:

MATH
Time:
MATH
Time::
MATH
Time:
MATH
Time:

Reading
Time:
Reading
Time:
Reading
Time:
Reading
Time:

Writing
Time:
Writing
Time:
Writing
Time:
Writing
Time:

EXTRA EXTRA EXTRA EXTRA
Sleeping
Time:
Sleeping
Time:
Sleeping
Time:
Sleeping
Time:

Notes for the week:








Daily Progress Report
Student Name: Date:
Rating Scale: 1: Excellent, 2: Good, 3: Average, 4: Poor
Period
Subject
Academic
Rating
Behavior
Rating
Teachers Comments Teacher
Name
1
2
3
4
5
6
7
8
9
Student Signature:
Parent Signature:
Counselor Signature: