• Language Planning Teacher Input Form 

    Share observations about the student’s language needs, classroom communication, and recommended supports.

  • Student Information

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Classroom Communication

  • What language or communication modes does the student use most frequently in class?


    How does the student participate in class discussion?


    Does the student ask questions when confused?


    Does the student communicate effectively with peers?

  • Receptive Language

  • How well does the student understand ASL instruction?


    How well does the student understand written English directions or text?


    Does the student require repetition, clarification, modeling, or visual supports?


    Are there patterns of misunderstanding?

  • Expressive Language

  • How does the student express ideas in ASL?


    How does the student express ideas in written English?


    Can the student explain reasoning, retell information, and use academic vocabulary?


    What expressive language strengths or concerns are observed?

  • Academic Language and Vocabulary

  • What academic vocabulary is difficult for the student?


    Does the student understand content-specific terms?


    Does the student benefit from pre-teaching vocabulary?


    Does the student make ASL-English connections?

  • Instructional Access

  • What supports help the student access instruction?


    What barriers limit access?


    What visual supports are currently used?


    What strategies appear most effective?

  • Teacher Recommendation

  • What concerns should the language planning team review?


    What additional supports may be needed?


    Are there specific settings where the student is more or less successful?

  • Should be Empty: