Student Name	DOB	IEP Date

Section 4:

Goals and Objectives/Benchmarks

Instructional Area—List the appropriate content area (e.g., strand/domain):
Michigan Content Expectations Upon Which Goal Will Be Based—List the appropriate GLCE, EGLCE, HSCE, EHSCE, or Early Childhood Standards of Quality for Pre-kindergarten:
Baseline Data
The student is currently (data) on the (assessment).
Annual Goal
By (date), the student will (demonstrate skill) when/at (conditions criteria) on (assessment/evaluation).

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

SCHEDULE FOR REPORTING PROGRESS
When:

Position(s) responsible for implementing goal activities (check all that apply):
Special Education Teacher	Teacher Consultant	Speech and Language Provider
School Social Worker	Occupational Therapist	Physical Therapist
Other:
Position(s) responsible for reporting progress on goal:

Student Name	DOB	IEP Date

Section 4:

Goals and Objectives/Benchmarks

Instructional Area—List the appropriate content area (e.g., strand/domain):
Michigan Content Expectations Upon Which Goal Will Be Based—List the appropriate GLCE, EGLCE, HSCE, EHSCE, or Early Childhood Standards of Quality for Pre-kindergarten:
Baseline Data
The student is currently (data) on the (assessment).
Annual Goal
By (date), the student will (demonstrate skill) when/at (conditions criteria) on (assessment/evaluation).

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

SCHEDULE FOR REPORTING PROGRESS
When:

Position(s) responsible for implementing goal activities (check all that apply):
Special Education Teacher	Teacher Consultant	Speech and Language Provider
School Social Worker	Occupational Therapist	Physical Therapist
Other:
Position(s) responsible for reporting progress on goal:

Student Name	DOB	IEP Date

Section 4:

Goals and Objectives/Benchmarks

Instructional Area—List the appropriate content area (e.g., strand/domain):
Michigan Content Expectations Upon Which Goal Will Be Based—List the appropriate GLCE, EGLCE, HSCE, EHSCE, or Early Childhood Standards of Quality for Pre-kindergarten:
Baseline Data
The student is currently (data) on the (assessment).
Annual Goal
By (date), the student will (demonstrate skill) when/at (conditions criteria) on (assessment/evaluation).

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

SCHEDULE FOR REPORTING PROGRESS
When:

Position(s) responsible for implementing goal activities (check all that apply):
Special Education Teacher	Teacher Consultant	Speech and Language Provider
School Social Worker	Occupational Therapist	Physical Therapist
Other:
Position(s) responsible for reporting progress on goal:

Student Name	DOB	IEP Date

Section 4:

Goals and Objectives/Benchmarks

Instructional Area—List the appropriate content area (e.g., strand/domain):
Michigan Content Expectations Upon Which Goal Will Be Based—List the appropriate GLCE, EGLCE, HSCE, EHSCE, or Early Childhood Standards of Quality for Pre-kindergarten:
Baseline Data
The student is currently (data) on the (assessment).
Annual Goal
By (date), the student will (demonstrate skill) when/at (conditions criteria) on (assessment/evaluation).

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

Short-Term Objective/Benchmark:
Performance Criteria:
Evaluation Procedure:
Evaluation Schedule:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:
Status Date:	Status Date:
Progress Toward Annual Goal:	Progress Toward Annual Goal:
Comments:	Comments:

SCHEDULE FOR REPORTING PROGRESS
When:

Position(s) responsible for implementing goal activities (check all that apply):
Special Education Teacher	Teacher Consultant	Speech and Language Provider
School Social Worker	Occupational Therapist	Physical Therapist
Other:
Position(s) responsible for reporting progress on goal:

Revised 6-10: Goals and Objectives, Page 2

Ingham Intermediate School District is an Equal Opportunity Employer

Andrew Rable

2010-10-18

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