LEIC Planning Tool ___________________ Date: Team Members: ______________________________________________________________________________ LEARNER profile Name: Chronological Age: Date of Birth: Reading Reading (decoding): (comprehension): Writing: Math: Perceived Expressive language: Receptive language: Developmental Levels: Social-emotional: Life skills: Fine motor: Gross motor: Strengths: Interests: Sensory issues: Other Information: Possible Expectations of learner in the to What learner’s brain has to do Primary Disabilities environment meet expectations Poor Fit? Secondary Disabilities/Behaviours Setting Accommodations ENVIRONMENT INSTRUCTION CURRICULUM Provincial Outreach Program for Fetal Alcohol Spectrum Disorder (POPFASD) November, 2016 –
LEIC Planning Tool Date: ___________________ Team Members: ______________________________________________________________________________ LEARNER profile Name: Chronological Age: Date of Birth: Perceived Developmental Levels: Reading (decoding): Reading (comprehension): Writing: Math: Expressive language: Receptive language: Social-emotional: Life skills: Fine motor: Gross motor: Strengths: Interests: Sensory issues: Other Information: Expectations of learner in the environment What learner’s brain has to do to meet expectations Poor Fit? Possible Primary Disabilities Secondary Disabilities/Behaviours Setting Accommodations ENVIRONMENT INSTRUCTION CURRICULUM Provincial Outreach Program for Fetal Alcohol Spectrum Disorder (POPFASD) – November, 2016