| CATEGORY | LEVEL | TERM | GOAL | |
| Visual Motor | Occupational Therapy | 1 | Annual Goals | ______ will improve in activities that require visual-motor coordination and visual-perceptual skills needed to participate in educational activities. |
| Ocular Motor Skills | Occupational Therapy | 1A | Short-term Objectives | Improve ability to maintain eye contact with therapist for _____sec./min. with_____ cues/prompts/independently, ____out of ____times, by ______. |
| Ocular Motor Skills | Occupational Therapy | 1B | Short-term Objectives | Improve ability to maintain eye contact toward an object for _____sec./min. with_____cues/prompts/independently, ____out of ____times, by ______. |
| Ocular Motor Skills | Occupational Therapy | 1C | Short-term Objectives | Improve ability to direct/maintain eye gaze while reaching toward an object for ___sec./min. with___cues/prompts/independently, ____out of ____times, by ____. |
| Ocular Motor Skills | Occupational Therapy | 1D | Short-term Objectives | Improve ability to move eyes/head to localize/focus on an object presented in different locations with___cues/prompts/independently, ____out of ____times, by _____. |
| Ocular Motor Skills | Occupational Therapy | 1E | Short-term Objectives | Improve ability to track moving objects with head movements with___cues/prompts/independently, ____out of ____times, by ____. |
| Ocular Motor Skills | Occupational Therapy | 1F | Short-term Objectives | Improve ability to track moving objects without head movements with___cues/prompts/independently, ____out of ____times, by ____. |
| Ocular Motor Skills | Occupational Therapy | 1G | Short-term Objectives | Improve ability to search for objects or letters moving from left to right with___cues/prompts/independently, ____out of ____times, by ____. |
| Ocular Motor Skills | Occupational Therapy | 1H | Short-term Objectives | Improve ability to search for objects or letters moving from top to bottom with___cues/prompts/independently, ____out of ____times, by ____. |
| Ocular Motor Skills | Occupational Therapy | 1I | Short-term Objectives | Improve ability to accurately complete an eye-hand tracking worksheet with___cues/prompts/independently, ____out of ____times, by ____. |
| Ocular Motor Skills | Occupational Therapy | 1J | Short-term Objectives | Improve ability to focus and refocus visually from near to far point with___cues/prompts/independently, ____out of ____times, by ____. |
| Visual -Perceptual | Occupational Therapy | 2 | Short-term Objectives | Demonstrate the ability to identify by pointing out, specific shapes from various backgrounds with ____cues/prompts/independently, ____out of ____times. |
| Visual -Perceptual | Occupational Therapy | 2A | Short-term Objectives | Demonstrate the ability to identify by pointing out, specific words from various backgrounds with ____cues/prompts/independently, ____out of ____times. |
| Visual -Perceptual | Occupational Therapy | 2B | Short-term Objectives | Demonstrate the ability to identify differences in visual details with ____cues/prompts/independently, ____out of ____times. |
| Visual -Perceptual | Occupational Therapy | 2C | Short-term Objectives | Demonstrate improved memory for visual information when copying from board/text/model with ____cues/prompts/independently, ____out of ____times. |
| Visual -Perceptual | Occupational Therapy | 2D | Short-term Objectives | Demonstrate the ability to identify or label shapes, letters or numbers with ____cues/prompts/independently, ____out of ____times. |
| Visual -Perceptual | Occupational Therapy | 2E | Short-term Objectives | Demonstrate the ability to match or sort objects and pictures with ____cues/prompts/independently, ____out of ____times. |
| Visual -Perceptual | Occupational Therapy | 2F | Short-term Objectives | Demonstrate the ability to identify shapes placed in hand with eyes closed with ____cues/prompts/independently, ____out of ____times. |
| Puzzles | Occupational Therapy | 3 | Short-term Objectives | Demonstrate the ability to complete a simple 1-4 piece form board puzzle with ____cues/prompts/independently, ____out of ____times. |
| Puzzles | Occupational Therapy | 3A | Short-term Objectives | Demonstrate the ability to complete a simple 5 piece puzzle with ____cues/prompts/independently, ____out of ____times. |
| Puzzles | Occupational Therapy | 3B | Short-term Objectives | Demonstrate the ability to complete a simple 5-10 piece inset puzzle with ____cues/prompts/independently, ____out of ____times. |
| Puzzles | Occupational Therapy | 3C | Short-term Objectives | Demonstrate the ability to complete a simple 25-50 piece interlocking jigsaw puzzle with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4 | Short-term Objectives | Demonstrate the ability to imitate building a 3-5 block tower with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4A | Short-term Objectives | Demonstrate the ability to imitate building a 6-7 block tower with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4B | Short-term Objectives | Demonstrate the ability to imitate building a 8-10 block tower with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4C | Short-term Objectives | Demonstrate the ability to reproduce three-dimensional block designs from a model with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4D | Short-term Objectives | Demonstrate the ability to reproduce three-dimensional block designs from a picture with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4E | Short-term Objectives | Demonstrate the ability to reproduce three-dimensional block designs with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4F | Short-term Objectives | Demonstrate the ability to reproduce two-dimensional geometric designs with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4G | Short-term Objectives | Demonstrate the ability to reproduce three-dimensional designs with ____cues/prompts/independently, ____out of ____times. |
| Reproduce Designs | Occupational Therapy | 4H | Short-term Objectives | Demonstrate the ability to reproduce complex designs on a pegboard with ____cues/prompts/independently, ____out of ____times. |
| Visual Motor | Occupational Therapy | 5 | Annual Goals | Will improve use of both hands together in a coordinated manner for participation in physical education and classroom manipulative tasks. |
| Scissors | Occupational Therapy | 5A | Short-term Objectives | Demonstrate the ability to use scissors appropriately (place fingers in scissors, hold paper and scissors in a "thumbs up" position, move paper when cutting with ____cues/prompts/independently, ____out of ____times. |
| Scissors | Occupational Therapy | 5B | Short-term Objectives | Demonstrate the ability to hold scissors and paper in a "thumbs up" position while cutting with increased consistencey with ____cues/prompts/independently, ____out of ____times. |
| Scissors | Occupational Therapy | 5C | Short-term Objectives | Demonstrate the ability to hold and move paper with non-scissors hand during cutting task with ____cues/prompts/independently, ____out of ____times. |
| Scissors | Occupational Therapy | 5D | Short-term Objectives | Demonstrate the ability to cut along the lines of a simple, complex shape with ____cues/prompts/independently, ____out of ____times. |
| Classroom Supplies | Occupational Therapy | 6 | Short-term Objectives | Demonstrate the ability to use the classroom stapler safely and accurately with ____cues/prompts/independently, ____out of ____times. |
| Classroom Supplies | Occupational Therapy | 6A | Short-term Objectives | Demonstrate the ability to use the classroom tape dispensers safely and accurately with ____cues/prompts/independently, ____out of ____times. |
| Classroom Supplies | Occupational Therapy | 6B | Short-term Objectives | Demonstrate the ability to use the classroom glue dispensers safely and accurately with ____cues/prompts/independently, ____out of ____times. |
| Classroom Supplies | Occupational Therapy | 6C | Short-term Objectives | Demonstrate the ability to use the classroom notebook rings safely and accurately with ____cues/prompts/independently, ____out of ____times. |
| Classroom Supplies | Occupational Therapy | 6D | Short-term Objectives | Demonstrate the ability to use the classroom paper clips and fasteners safely and accurately with ____cues/prompts/independently, ____out of ____times. |
| Classroom Supplies | Occupational Therapy | 6E | Short-term Objectives | Demonstrate the ability to use typical classroom supplies (e.g., stapler, tape, glue dispensers, notebook rings, paper clips and fasteners) safely and accurately with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7 | Short-term Objectives | Demonstrate the ability to appropriately cross the midline during fine motor activities with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7A | Short-term Objectives | Demonstrate the ability to transfer objects from one hand to the other during table-top activities with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7B | Short-term Objectives | Demonstrate the ability to reach across the body to obtain objects with greater consistency with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7C | Short-term Objectives | Demonstrate the ability to reach across the body to draw through mazes with greater consistency with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7D | Short-term Objectives | Demonstrate the ability to improve bilateral hand manipulation (e.g., stabilize with one hand and manipulate it with the other hand at midline) with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7E | Short-term Objectives | Demonstrate the ability to automatically stabilize paper or objects with non-dominant hand during fine motor activities with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7F | Short-term Objectives | Demonstrate the ability to automatically stabilize paper with non-dominant hand while copying board work or writing on paper for increased periods of time with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7G | Short-term Objectives | Demonstrate the ability to draw lines using a pencil and holding a ruler with increased speed and accuracy with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7H | Short-term Objectives | Demonstrate the ability to hold and guide materials with non-dominant hand while using classroom tools (e.g., scissors, stencils) with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7I | Short-term Objectives | Demonstrate the ability to use two hands to manipulate or carry objects successfully within the school environment with ____cues/prompts/independently, ____out of ____times. |
| Cross Midline/Coordination | Occupational Therapy | 7J | Short-term Objectives | Will demonstrate improvement in tasks requiring pre-writing skills needed to participate in educational activities in a school environment with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8 | Short-term Objectives | Demonstrate the ability to make purposeful marks on paper using crayon or pencil with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8A | Short-term Objectives | Demonstrate the ability to imitate drawing a vertical line, horizontal, circular, diagonal, shapes with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8B | Short-term Objectives | Demonstrate the ability to maintain adequate pressure on pencil or pen during writing tasks with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8C | Short-term Objectives | Demonstrate the ability to color within a specified area with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8D | Short-term Objectives | Demonstrate the ability to trace the boundaries of lines and shapes with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8E | Short-term Objectives | Demonstrate the ability to trace letters with ____cues/prompts/independently, ____out of ____times. |
| Prewriting/Writing | Occupational Therapy | 8F | Short-term Objectives | Demonstrate the ability to trace designs with ____cues/prompts/independently, ____out of ____times. |
| Sensory Processing | Occupational Therapy | 1 | Annual Goals | ______ will improve in sensory processing skills to successfully participate in educational and classroom activities. |
| Sensory Processing | Occupational Therapy | 1A | Short-term Objectives | Improve ability to work with various textures while participating in educational activities with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1B | Short-term Objectives | Improve ability to work in presence of visual [1]stimulation in the classroom with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1C | Short-term Objectives | Improve ability to work in presence of environmental odors in the classroom with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1D | Short-term Objectives | Improve ability to work in presence of auditory stimulation in the classroom with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1E | Short-term Objectives | Improve ability to work in presence of visual/auditory stimulation in the classroom with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1F | Short-term Objectives | Improve ability to accept anticipated touch during a group activity with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1G | Short-term Objectives | Improve ability to tolerate touch to hands, arms, legs, feet, face, etc. with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1H | Short-term Objectives | Improve ability to follow classroom rules pertaining to physical closeness/contact with others with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1I | Short-term Objectives | Improve ability to give & accept physical contact from others with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1J | Short-term Objectives | Improve ability to accept hands on assistance during classroom tasks with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1K | Short-term Objectives | Improve ability to participate in movement on therapy ball/equipment for ___sec./min. with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1L | Short-term Objectives | Improve ability, to participate in self-initiated movement on therapy equipment with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1M | Short-term Objectives | Improve ability to participate in movement associated with playground equipment for ___sec./min.with___cues/prompts/independently, ____out of ____times, by___. |
| Sensory Processing | Occupational Therapy | 1N | Short-term Objectives | Improve ability to participate in movement on therapy swing for ___sec./min. with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1O | Short-term Objectives | Improve ability to identify shapes, lines, letters drawn on back of hand with eyes closed for with___cues/prompts/independently, ____out of ____times, by ____. |
| Sensory Processing | Occupational Therapy | 1P | Short-term Objectives | Improve ability to identify which finger was touched on back of hand with eyes closed for ___sec./min.with___cues/prompts/independently, ____out of ____times, by ____. |
| Body Scheme | Occupational Therapy | 2 | Short-term Objectives | Improve ability to correctly identify specific body parts as touched or demonstrated by therapist with___cues/prompts/independently, ____out of ____times, by____. |
| Body Scheme | Occupational Therapy | 2A | Short-term Objectives | Improve ability to correctly identify own body parts with___cues/prompts/independently, ____out of ____times, by ____. |
| Directionality | Occupational Therapy | 3 | Short-term Objectives | Improve ability to demonstrate an awareness of up & down with___cues/prompts/independently, ____out of ____times, by ____. |
| Directionality | Occupational Therapy | 3A | Short-term Objectives | Improve ability to demonstrate an awareness of left & right with___cues/prompts/independently, ____out of ____times, by ____. |
| Directionality | Occupational Therapy | 3B | Short-term Objectives | Improve ability to demonstrate an awareness of backward & forward with___cues/prompts/independently, ____out of ____times, by ____. |
| Directionality | Occupational Therapy | 3C | Short-term Objectives | Improve ability to demonstrate an awareness of circular motion with___cues/prompts/independently, ____out of ____times, by ____. |
| Directionality | Occupational Therapy | 3D | Short-term Objectives | Improve ability to demonstrate an awareness of diagonal motion with___cues/prompts/independently, ____out of ____times, by ____. |
| Attention/Modulation | Occupational Therapy | 4 | Short-term Objectives | Improve ability to respond appropriately in the classroom to various auditory demands with___cues/prompts/independently, ____out of ____times, by ____. |
| Attention/Modulation | Occupational Therapy | 4A | Short-term Objectives | Improve ability to respond appropriately to a ___step verbal directions without the use of visual cues with___cues/prompts/independently, ____out of ____times by ___. |
| Attention/Modulation | Occupational Therapy | 4B | Short-term Objectives | Improve ability to attend to tasks/follow directions in order to complete a writing activity with___cues/prompts/independently, ____out of ____times, by ____. |
| Attention/Modulation | Occupational Therapy | 4C | Short-term Objectives | Improve ability to maintain attention to task when using scented materials with___cues/prompts/independently, ____out of ____times, by ____. |
| Attention/Modulation | Occupational Therapy | 4D | Short-term Objectives | Improve ability to calm self/control non-purposeful movements while performing activities with___cues/prompts/independently, ____out of ____times, by ____. |
| Attention/Modulation | Occupational Therapy | 4E | Short-term Objectives | Improve ability to maintain attention to task/control unnecessary touch of objects/people with___cues/prompts/independently, ____out of ____times, by ____. |
| Attention/Modulation | Occupational Therapy | 4F | Short-term Objectives | Improve ability to navigate safely through the school environment without bumping into objects/people with___cues/prompts/independently, ____out of ____times, by ___. |
| Strength/Endurance | Occupational Therapy | 1 | Annual Goals | ________ will demonstrate an improvement in the strength and endurance necessary to allow participation in classroom and educational environment. |
| Posture | Occupational Therapy | 1A | Short-term Objectives | Demonstrate improved posture during fine motor tasks for ___ min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Posture | Occupational Therapy | 1B | Short-term Objectives | Demonstrate the ability to assume an optimal sitting posture at a desk during fine motor tasks for ___ min. with cues/prompts/independently ___ out of _____ times/sessions by _____ quarter. |
| Posture | Occupational Therapy | 1C | Short-term Objectives | Demonstrate the ability to keep head in neutral position during fine motor tasks for ___ min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Posture | Occupational Therapy | 1D | Short-term Objectives | Demonstrate the ability to maintain appropriate body alignment during fine motor tasks for ___ min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2 | Short-term Objectives | Demonstrate the ability to mold and tear theraputty/clay/play-doh for___ min. with cues/prompts/independently ____ out of _____times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2A | Short-term Objectives | Demonstrate the ability to rotate both wrists during fine motor tasks for ___ min. with cues/prompts/independently ____ out of _____times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2B | Short-term Objectives | Demonstrate improved overall muscle strength in trunk to perform functional tasks in the classroom for ___ sec./min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2C | Short-term Objectives | Demonstrate improved postural control to reach for objects___inches/feet away with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2D | Short-term Objectives | Demonstrate the ability to maintain full body flexion for ___sec./ min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2E | Short-term Objectives | Demonstrate the ability to maintain full body extension for ___sec./ min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2F | Short-term Objectives | Demonstrate the ability to wheel-barrow walk forward on arms for ___ feet with cues/prompts/independently ____ out of _____ times/sessions, with support at the thighs/knees/shins/ankles by _____ quarter. |
| Strength/Endurance | Occupational Therapy | 2G | Short-term Objectives | Demonstrate the ability to propel on a scooter board in prone or sitting position for ___ sec.min. with cues/prompts/independently ____ out of _____ times/sessions by _____ quarter. |
| Daily Living Skills | Occupational Therapy | 1 | Annual Goals | ___ will demonstrate the ability to perform activities needed for independence in daily living skills within the school environment. |
| Feeding/Dining | Occupational Therapy | 1A | Short-term Objectives | Demonstrate an appropriate hand to mouth motion, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1B | Short-term Objectives | Demonstrate finger feeding skills to place food in mouth with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1C | Short-term Objectives | Demonstrate the ability to grasp utensils with age appropriate grasp, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1D | Short-term Objectives | Demonstrate the ability to spear food with fork, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1E | Short-term Objectives | Demonstrate the ability to scoop food with spoon, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1F | Short-term Objectives | Demonstrate the ability to use adaptive utensils (e.g., cups, plates, fork, spoon) to promote independence, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1G | Short-term Objectives | Demonstrate the ability to eat without spilling on clothing, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1H | Short-term Objectives | Demonstrate the ability to use knife to cut up food into appropriate sized pieces, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1I | Short-term Objectives | Demonstrate the ability to use napkin to wipe face and hands, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1J | Short-term Objectives | Demonstrate the ability to open up and place a straw into a drink, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1K | Short-term Objectives | Demonstrate the ability to drink from a cup, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1L | Short-term Objectives | Demonstrate the ability to drink from a water fountain, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1M | Short-term Objectives | Demonstrate the ability to use both hands/one hand to pour liquids from a container into a cup without spilling, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1N | Short-term Objectives | Demonstrate independent feeding skills (e.g., drink from a cup, straw, open milk container, use utensils effectively), with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1O | Short-term Objectives | Demonstrate the ability to chew food and swallow before putting more food in mouth, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1P | Short-term Objectives | Demonstrate the ability to minimize head hypertension while eating and drinking, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1Q | Short-term Objectives | Demonstrate the ability to open containers, remove food and unwrap foods, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Feeding/Dining | Occupational Therapy | 1R | Short-term Objectives | Demonstrate the ability to carry tray through the serving line/select food/manage tray in cafeteria, with cues/prompts/independently, ____out of ____times, by the ____quarter. |
| Writing | Occupational Therapy | 1 | Annual Goals | Improve written communication skills for greater proficiency when using writing implements. |
| Writing | Occupational Therapy | 1A | Short-term Objectives | The student will demonstrate the ability to copy______% of manuscript lower case letters, with correct formations, ___ out of__ 5 trials, by the ______quarter. |
| Writing | Occupational Therapy | 1B | Short-term Objectives | The student will demonstrate the ability to copy ______% of manuscript upper case letters, with correct formations ___out of ___ trials, by the ________quarter. |
| Writing | Occupational Therapy | 1C | Short-term Objectives | The student will demonstrate the ability to copy _____% of cursive lower case letters, with correct formations___out of ___ trials, by the _______quarter. |
| Writing | Occupational Therapy | 1D | Short-term Objectives | The student will demonstrate the ability to copy ________% of cursive upper case letter, with correct formations ___out of ___trials, by the ______quarter. |
| Writing | Occupational Therapy | 1E | Short-term Objectives | The student will demonstrate the ability to copy a _____ word sentence with correct orientation to the writing line, with _____% accuracy by ______quarter. |
| Writing | Occupational Therapy | 1F | Short-term Objectives | The student will demonstrate the ability to space letters within a word appropriately, when writing a ____word sentence/sentences,with ____% accuracy, by the ____quarter. |
| Writing | Occupational Therapy | 1G | Short-term Objectives | The student will demonstrate the ability to space appropriately between words, when writing a ____word sentence/sentences, with ___% accuracy, by the _______quarter. |
| Computer/Technology | Occupational Therapy | 2 | Annual Goals | Improve computer skills needed to function effectively in the school environment. |
| Computer/Technology | Occupational Therapy | 2A | Short-term Objectives | The student will demonstrate the ability to use computer/Alphasmart to practice weekly spelling words with _____%accuracy by the ____quarter. |
| Computer/Technology | Occupational Therapy | 2B | Short-term Objectives | The student will demonstrate the ability to write a ___ word sentence using a computer/Alphasmart word processor with no more than ___verbal cues, by the ___quarter. |
| Computer/Technology | Occupational Therapy | 2C | Short-term Objectives | The student will demonstrate the ability to use word prediction software to produce a ___word sentence with no more than ____verbal cues, by the ____quarter. |
| Computer/Technology | Occupational Therapy | 2D | Short-term Objectives | The student will demonstrate the ability to use word prediction software to produce a ___sentence paragraph with no more than ____verbal cues, by the ____quarter. |
| Computer/Technology | Occupational Therapy | 2E | Short-term Objectives | The student will demonstrate the ability to locate and type _____letters on a keyboard within a ___minute period with no more than ____verbal cues by the ____quarter. |
| Computer/Technology | Occupational Therapy | 2F | Short-term Objectives | The student demonstrate the ability to use right and left hands on the appropriate side of the keyboard with no more than ____verbal cues by the ______quarter. |
| Computer/Technology | Occupational Therapy | 3 | Annual Goals | Improve use of technology/adaptive equipment to interact with computer for increased participation in school activities. |
| Computer/Technology | Occupational Therapy | 3A | Short-term Objectives | The student will demonstrate ability to activate cause and effect software with no more than ___ verbal cues/physical prompts, __out of ___ trials, by the ____quarter. |
| Computer/Technology | Occupational Therapy | 3B | Short-term Objectives | The student will demonstrate the ability to use scanning software to activate computer programs __ out of __ trials, by the ______quarter. |
| Computer/Technology | Occupational Therapy | 3C | Short-term Objectives | The student will demonstrate the ability to use a touchwindow/intellikeys/joystick to interact with computer __ out of __ trials, by the _____quarter. |
| Computer/Technology | Occupational Therapy | 3D | Short-term Objectives | The student will hit a switch to operate switch-activated software with no more than ____verbal cues/physical prompts,__ out of ___ trials, by the _____quarter. |
| Dressing | Occupational Therapy | 1 | Annual Goals | ___ will demonstrate the ability to perform activities needed for independence in daily living skills within the school environment. |
| Dressing | Occupational Therapy | 1A | Short-term Objectives | Demonstrate the ability to successfully buckle/unbuckle his/her belt with (verbal cues/prompts/independently) in ___seconds/minutes ____out of ___times by___quarter. |
| Dressing | Occupational Therapy | 1B | Short-term Objectives | Demonstrate the ability to manipulate clothing and fasteners (eg., tie and untie shoelaces, fasten and unfasten medium sized/small buttons, zip and unzip, snap and unsnap, buckle and unbuckle, put on and remove jacket) with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Dressing | Occupational Therapy | 1C | Short-term Objectives | Demonstrate the ability to use adaptive equipment to maximize independence in dressing and undressing with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Dressing | Occupational Therapy | 1D | Short-term Objectives | Demonstrate the ability to successfully put on and remove winter clothing within ___seconds/minutes with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2 | Annual Goals | ___ will demonstrate the ability to perform activities needed for independence in daily living skills within the school environment. |
| Personal Hygiene | Occupational Therapy | 2A | Short-term Objectives | Demonstrate the ability to turn different types of faucets on and off with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2B | Short-term Objectives | Demonstrate the ability to tolerate his/her teeth being brushed with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2C | Short-term Objectives | Demonstrate the ability to brush his/her teeth with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2D | Short-term Objectives | Demonstrate the ability to tolerate his/her face and hands being washed for ___seconds/minutes (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2E | Short-term Objectives | Demonstrate the ability to tolerate his/her hair being brushed with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2F | Short-term Objectives | Demonstrate the ability to comb or brush his/her hair with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2G | Short-term Objectives | Demonstrate the ability to present a neat, groomed appearance with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |
| Personal Hygiene | Occupational Therapy | 2H | Short-term Objectives | Demonstrate the ability to identify care for clothing by washing/drying/folding clothes with (verbal cues/prompts/independently) ___ out of ___ times by ____ quarter. |