Author: KK

Attachment #3: A Modified SIOP Lesson Plan Format
Sheltered Instruction Observation Protocol (An Integrated/Interdisciplinary Approach)

ELA Curriculum PE/Standard: _______ □Primary □Supplementary
Language Objective(s): TSWBAT _______________________________________________________
___________________________________________________________________________________

M S SS Curriculum PE/Standard: _______ □Primary □Supplementary
Content Objective(s): TSWBAT _________________________________________________________
___________________________________________________________________________________

Key Vocabulary

Resource Materials

Strategies Incorporated
MI: VL LM VS BK MR
I(1) I(2) N ES C
Taxonomy: C A PM

SIOP Instructional Features

Preparation
___ Adaptation of Content
___ Comprehensible Input
___ Prior Knowledge
___ Graphic Organizers

Scaffolding
___ Use of Direct Instruction
___ Cultural Literacy (Modeling)
___ Guided Practice
___ Independent Practice

Grouping Options
___ Whole Class
___ Small Groups
___ Partners
___ Individual (Independent)

Integration of Processes
Input Output
□Perceiving □Vis.Representing
□Listening □Speaking
□Reading □Writing

Application
___ Hands-on
___ Meaningful Learning
___ Linked to Objectives
___ Engaged or Active Learning

Assessment
___ Individual
___ Group
___ Written
___ Oral

Lesson Sequence (Teaching Activities)
(01) (08)
(02) (09)
(03) (10)
(04) (11)
(05) (12)
(06) (13)
(07) (14)

-7- Date Approved:

ED 225 Differentiated Instruction Recommended for Approval: 06/18/08