Blank Lesson Plan

Grades
Lesson Topic and Name:

Content Standards:

Objective:
Strategies to be Used

Bloom's Taxonomy (Differentiate Standard):

Knowledge

Comprehension

Application

Analysis

Synthesis

Evaluation

Student Goals

Student Barriers

Embedded Modifications

Materials

Student Barriers

Embedded Modifications

Planning for Brain Network

Recognition

Strategic

Affective

Multiple Means of
Representation

Multiple Means of Expression

Multiple Means of
Engagement

Provide options for perception

Customize the
display of information
Alternatives for
auditory information
Alternatives for
visual information

Provide Physical Action

Options in the
mode of physical
response
Options in
means of navigation
Options for
accessing tools and
assistive technologies

Provide options for recruiting

interest
Options that
increase individual
choice and autonomy
Options that
enhance relevance,
value, and authenticity
Options that
reduce threats and
distractions

Provide options for language

Provide options for expressive
and symbols
skills and fluency
Define
Options in
vocabulary and symbols
media for
Clarify syntax
communication
and structure
Options in the
Decoding text or
tools for composition
mathematical notation
and problem solving
Promote cross Options in the
linguistic understanding
scaffolds for practice
Illustrate key
and performance
concepts nonlinguistically

Provide options for sustaining

effort and persistence
Options that
heighten salience of
goals and objectives
Options that
vary levels of challenge
and support
Options that
foster collaboration and
communication
Options that
increase masteryoriented feedback

Provide options for

comprehension
Activate
background knowledge
Highlight
critical features, big
ideas, and relationships
Guide
information processing
Support
memory transfer

Provide options for selfregulation

Options that
guide personal goal
-setting and expectations
Options that
scaffold coping skills
and strategies
Options that
develop self-assessment
and reflection

Provide options for executive

functions
Options that
guide effective goalsetting
Goal:____________
Options that
support planning and
strategy development
Options that
facilitate managing
information and
resources
Options that
enhance for monitoring
progress

8 Multiple Intelligences:

Bodily/Kinesthetic
Interpersonal
Intrapersonal
Bodily/Kinesthetic
Musical
Logical/Mathematical
Visual/Spatial
Verbal/Linguistic
Naturalist:

Assessments:
Formative (Embedded):
Summative

Rubric:
Objective

Support Needed

Approaching

Achieve

Intro:
Middle:
Conclusion:
Suggestions to use Exit Ticket to Form Instruction

Personal Reflection: How did the lesson go? What would you change? What went well? Did students
hit language target? Where students needs met? If not, what was needed?