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The Lesson Plan Form

Teacher's Name:______________________Room:__________
Date(s):_____________ Time(s):_______Grade level:_________
Subject Area:______________

Step 1: Select a lesson:_______________________

Step 2: Make preinstructional decisions
Academic Objectives:__________________________________ 
Social Skills Objective: ________________________________
Materials Needed: ___________________________________
*one copy per group
*jigsaw
*other:____________
Room Arrangement:___________________________________
Group Size: ________ Grouping Pattern:___________________ 
Roles: _____________________________________________

Step 3: Explain Task and Cooperative Goal Structure:
1. Task:____________________________________________
2. Criteria for success:_________________________________
3. Positive interdependence:_____________________________
4. Individual accountability:_____________________________
5. Intergroup cooperation:______________________________
6. Specific behaviors expected:__________________________

Step 4: Monitoring and intervening:
1. Observation procedure:___Formal___Informal
2. Observation By:______Teacher_____Students
3. Intervening for Task Assistance:_______________________
4. Intervening for Team Assistance:______________________
5. Other:__________________________________________

Step 5: Assessing and processing: 
1. Assessment of members' Individual Learning:_____________
2. Assessment of groupproductivity:______________________
3. Small group processing:_____________________________
4. Whole class processing:_____________________________
5. Charts and graphs used:_____________________________
6. Positive feedback to each student:_____________________
7. Goal setting for improvement:_________________________
8. Celebration:______________________________________
9. Other:__________________________________________