Differentiation Planning Template

Use the template below to plan a content lesson that includes a plan to incorporate any required accommodations from student IEP or 504 plans, as well as appropriate differentiation strategies for any student groups you have identified.

For a sample completed document, you may return to your course module and view a completed sample.

Lesson Basics

Grade Level

Subject

Content Standard

Knowledge & Skills

Identify the knowledge (nouns) and skills (verbs) embedded in the standard.

Knowledge (nouns)

Skills (verbs)

Cognition & Rigor Levels

Bloom's Level of Cognition

Webb's Rigor Level

Overview of Lesson

Students Requiring Differentiation (504 or IEP)

List individual students requiring modifications or accommodations under a 504 or IEP, along with the type of differentiation, justification, and strategy you will use.

Students Requiring Differentiation

Groups Requiring Differentiation

List student groups requiring differentiation based on cognitive or task ability level, along with the type, justification, and strategy you will use.

Groups Requiring Differentiation

Assessment & Documentation

Plan for Assessment / Data Collection

Required Documentation for 504 or IEP

Your answers will be turned into a PDF you can download. You'll then need to upload that PDF to your course.