Anzac Terrace Primary School

PERSONAL LEARNING PLAN

Student Information:

Name:
Year Level:
Class / Room:
Teacher(s):
DOB:
Parent(s) / Guardian(s):
Contact:

Student Profile:

General	SAER	School Records

ATSI	Attendance	Health / School Nurse
EALD (Stage 1/2/3)	Speech	Psych
Disability Resourcing	Health	School Referral
DFCS (DCP)	Social / Emotional	CDS
School Referral	Behaviour	NCCD Disability
Medical Condition	Academic
Previous PLP	PEAC / JETS

Testing

Year	Spelling	Reading	Maths	NAPLAN
Reading	Writing	Lang. Con	Numeracy

Background Information / General Information / Reason for PLP

Observations / Concerns:

Strengths:

Difficulties:

Parent / Guardian - Views / Contributions / Expectations:

Personal Learning Programme

Specific Learning Goals / Targets	Strategies and Intentional Teaching Practices	Resources and Classroom Adjustments	Evaluation and Review Notes (Adjustments)
To be able to …

Reviews:

Date	Comments

Acknowledgement:

Teacher: ___________________________________________

Parent / Guardian ___________________________________