Differentiated Education Plan (DEP)

Iredell-Statesville SchoolsConfidential Form AIG 3

Academically/Intellectually Gifted Program2016-2019

Differentiated Education Plan (DEP) Grades K-5

Student ______School______Grade ______

Modified Learning Environment

Indicate area(s) of identification and level(s) of service below. See Local Plan Service Options for level criteria.

Area(s) of Identification: Reading ______Level ______IG ______

Math ______Level ______Reading ______

Math ______

Level I / Level II / Level III / Level IV
__Regular education classroom
__Flexible grouping
__Differentiated services
__Differentiated Specialist consultation / __All Level I options and…
__Cluster classroom
__Classroom teacher trained in gifted practices & strategies
__Differentiation Specialist direct and indirect support / __All Level II options and…
__Subject advancement
__Dual enrollment / __All Level II options and…
__Grade advancement

Initial Goals, Measurements, and Evidence of Completion

Initial Meeting Date:______(before September 30th) Type of Communication: Face-to-Face Conference_
What data shows this student needs the activity provided? (Baseline, benchmark, Lexile, SRI, AIMSWeb, pre-assessment, teacher-made assessments, etc.)
Explain in detail what the student is doing in your classroom and how you are meeting the needs of this gifted learner. How is this different from typical core instruction?
How will you know the gifted learner has achieved success with this activity? (rubrics, weekly check-ins, check lists, percentage goal, self-reflection, etc.)
For an IG student, please explain how you are implementing strategies to promote achievement (i.e. learner contract, interest, counselor involvement, future goals, growth mindset thinking, more frequent check-ins, individual PDSA, focus on career interest, etc.).
Goal(s):
______
student signature date teacher signature date
______
parent signature date principal signature date

Updated Goals, Measurements, and Evidence of Completion

Check-In Contact Date:______(before December 1st) Type of Communication:______
Did the student accomplish the goals of the initial activity? Explain in detail how did they did with this activity and include grade/score.
If so, what will they do now? (Write another goal using the questions above the initial goal box.)
If not, how will your plan for them in your classroom change?
Update/ New Goal(s):
Check-In Contact Date:______(before March 1st) Type of Communication:______
Did the student accomplish the goals of the initial activity? Explain in detail how did they did with this activity and include grade/score.
If so, what will they do now? (Write another goal using the questions above the initial goal box.)
If not, how will your plan for them in your classroom change?
Update/New Goal(s):
End-of-Year Review Date:______(before June 1st) Type of Communication:______
Did the student accomplish the goals of the initial activity? Explain in detail how did they did with this activity and include grade/score.
Update: