Action Planning Template
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Goal:
How will learning a musical instrument affect students with
behavior/self-esteem issues?
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Action
Steps(s):
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Person(s)
Responsible:
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Timeline:
Start/End
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Needed
Resources
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Evaluation
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Conference with teacher in the 3rd
and 4th grade
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Jacquelyn Silva, 3rd and 4th
grade team, Amy Smith and Kathryn Velghe
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2/11-2/12
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Behavior Data
Teacher Recommendations
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Results of conferences will determine which
students will attend the program
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Notify students who were chosen for the
program
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Jacquelyn Silva and Students Homeroom
teacher
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2/18-2/22
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Notification letter
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Students signature agreeing on program
guidelines
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Meet with students on an everyday basis
before school
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Jacquelyn Silva
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2/25-3/1
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Music Classroom,
Percussion Instruments, Students
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Reflect
on the week, look for any changes that need to be made
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Look at Data from the first week
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Jacquelyn Silva/Amy Smith and Kathryn
Velghe
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3/1
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Behavior, Attendance, Grading
Data
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Collect
Data from the week and discuss summary of program with supervisors
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Continue program with students
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Jacquelyn Silva
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3/4-3/8
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Music Classroom,
Percussion Instruments, Students
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Collect
data such as behavior, attendance and grades
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Meet with students teachers and
administrators to see if plan is effective or needs to be tweaked
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Jacquelyn Silva
3rd and 4th grade
Teams and Administrators
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3/8
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Behavior, Attendance, Grading
Data
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Reflect on
What improvements were made? What do we
need to work on?
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Continue program with students
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Jacquelyn Silva
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3/18-4/5
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Music Classroom,
Percussion Instruments, Students
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Collect
data as specified above for each week*
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Student instrument assessment
(Week 6)
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Jacquelyn Silva
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4/8-4/12
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Music Classroom,
Percussion Instruments, Students
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See if each student can play their
instrument
independently
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Meet with administrator to look at data
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Jacquelyn Silva
Amy Smith/Kathryn Velghe
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4/12
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Behavior, Attendance, Grading
Data
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Reflect on
What improvements were made? What do we
need to work on?
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Continue Program with students
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Jacquelyn Silva
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4/15-4/26
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Music Classroom,
Percussion Instruments, Students
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Specific requirements met for program
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Performance with Students
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Jacquelyn Silva, students teachers and
administrators
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5/2
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Stage, Audience, Students, Instruments,
Staff Support
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Student Performance
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Meet with Staff involved with program
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Jacquelyn Silva, 3rd and 4th
grade teams, administrator
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5/3
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Data from the past 9 weeks
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Reflect over
The program’s success. Should it continue?
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Sunday, February 10, 2013
Revised Plan
Highlighted are the parts I changed for my plan...
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