Identify grade level: Important that school counselors teach school counseling curriculum lessons in the classroom to all students within each grade level.

Lesson Title: Which standards do you want to address?

Curriculum Content & Materials: The title may be standard, but will you use the same materials for all grades or different?

When: When will it occur and when completed?
Presented in which subject: What class subject will you ask to go in the classroom? Make sure it is not always the electives.
Number of students
ASCA Mindsets and Behaviors: What standard aligns with the lesson?
Attitude, Knowledge, and Skills to be measured: criteria by which success will be measured- what are the attitudes, skills, and knowledge being taught?
Outcome Data: What outcome data align with your lesson?
Signatures
Tier 2 Action Plan
Target group: Who will you intervene with? What is the main concern?
Title /Type of Tier 2 Activity & Content: Tier 2 interventions and the topics that will be covered.
Materials/Resources Needed: What resources are needed? Funds? Space? Technology needs?

When & how long: Start and Stop dates.

Number of students: Number of students is important to show impact.

ASCA Mindsets & Behaviors: ASCA model.
Attitudes, Knowledge, and Skills to be measured.
Achievement-Related & Achievement data: intended impact.

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