Standards-Based
Lesson Plan Format Template
Name: __________________________________________
I. Topic/Title: _________________________
_
Target Grade/Age Group:
______________
II. Purpose/Objectives:
(address your objectives to all relevant domains, e.g., cognitive, affective, psychomotor, moral, etc.):The Learner will:
III. Minneapolis Standards/Grade Level Expectations and/or
Minnesota Standards:
IV. Materials/Resources:
V. Instructional Strategies and Student Activities:
(Should include an introductory activity, tactics for engaging student motivation, and step-by-step-procedures regarding what the teacher and the learners will do. Attach separate sheet(s) if necessary.)
VI. Work habit skills and student behaviors to be worked on next
time:
VII. Assessment Modes (check and describe all that
apply):
_Recorded observation
_Checklist/Rubric
_Oral or Written
_Project, Performance or Demonstration
_Conferencing/Feedback
_Portfolio
_Student Self Assessment
_Journal
_Pre and Post Testing
_Other:
Describe:
VIII. Actual Student Assessment (leamer outcomes):
IX. Self Evaluation/Assessment:
(Did you accomplish your objectives? What would you change?)
Home Connection:
Notes:
5/98
Which media skills have you embedded in this lesson? Check-off or circle:
I. Multimedia Skills
A. Using Print and Projected Visuals
B. Computer Skills
C. Information Seeking and Gathering
II. Video Skills
A. Video Planning
B. Video Production
C. Video Editing
Special Materials/Media Needed:
Special Instruction Required to Help Students Use Media Skill(s):