Highlights of the Plan of Service Document
Define area of
giftedness.
Describe Assessment
Information Gathered (CAT, Math, Reading)
Short-term Objectives
(what is hoped to be accomplished this year in the area of
student's needs?)
Resource Assessment
- Student is progressing
well in the regular program. Academic needs being met.
- Student is in the
regular program but has specific needs which cannot be met
without additional resources - complete form)
The plan of
service form:

Resource
Request Form
Objectives from the
Individual Plan of Service which cannot be achieved in the
regular classroom or which need reinforcement.
Program assistance
requested.
Human Resource Help
(please identify)
Other Assistance
(please specify)
Date of Request
(Randy Peelen note:
in the past, some of the principals have made it very
difficult on teachers attempting to make these requests.)
The PTSA does not have a
copy of this form.
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