School District Name

Online Learning Program

Alternative Learning Experience Intervention Plan

Student Name: ______

Grade: ______[ ] check when parent is notified of intervention plan (if applicable)

Month of: ______Date of Implementation: ______Time: _

Type of Intervention (check all that apply):

ð  Increasing the frequency or duration of direct personal contact for the purposes of enhancing the ability of the certificated teacher to improve student learning;

ð  Modifying the manner in which direct personal contact is accomplished;

ð  Modifying the student's learning goals or performance objectives;

ð  Modifying the number of or scope of courses or the content included in the learning plan.

ð  Other: ___

Course(s) for intervention: ______ð WSLP was modified to reflect intervention.

Fully describe the intervention:

Student Name will log in consistently (5 x week, at least 45 minutes a day).

Student Name is to email the teacher, Teacher Name, immediately to review this intervention, and once a week or more if needed for assistance.

Student is not expected to complete Discussion or Journal activities to receive local credit.

Make a ‘calendar plan’. Look at what is left to complete and make a calendar that tells them they WILL complete these items on these days. Logins and emails are fine, but ultimately, it’s the schedule that I think should be their main focus for now.

Teacher Name:

Goals for the Month of ______: ð WSLP was modified to reflect intervention.

Keep pace with the assignment calendar—Catch up and Keep up (Example)

Written Student Learning Plan Evaluation:

The effectiveness of the above listed intervention(s) will be assessed during regular monthly review of your Written Student Learning Plan scheduled for:

Date: Meeting Time:

ð  Intervention is successful, student is making satisfactory progress towards the goals of the WSLP

ð  Intervention Plan is unsuccessful, student is not making satisfactory progress towards the goals of the WSLP – New Plan attached

I, the Certificated Teacher signed below, certify that I have evaluated the student’s progress toward the learning goals and performance objectives defined in the WSLP, consistent with the policies and procedures of the Issaquah School District. REVIEWED BY TEACHER NAME, TEACHER.

Student Signature/ Parent Signature / Date / Certificated Teacher Signature / Date