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Request a break in PE, music, or art with the specialist

K-2, 3-5OpportunitiesTemplateReview and individualize before use. How templates are made
When to use this goal

For students who use a break request with their classroom teacher but escalate in specials, where the room is louder, the adult is different, and the card is left behind. Base the choice on specialist reports. Fits after bh-rep-001 is reliable in the classroom.

Baseline
Ask each specialist to log 5 precursor episodes: break requested, problem behavior, or left the room. Note which class is hardest and whether the break card made it into the room at all. A card that stays in the classroom cannot be used.
Tips
Give every specialist a one-page plan: the precursors, the card, the break spot in their room, and a 30-second data sheet. Make carrying the card into specials a step of the transition. Pair with bh-rep-010 so the student returns to the activity, and with bh-dir-021 if following the specialist's directions is also a need.
Limits
Specialists see the student once or twice a week, so data accumulate slowly. Noise-driven precursors in PE and music may call for accommodations (headphones, a quieter spot) rather than more break requests.

Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID bh-rep-027.

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Student

How the goal refers to the student

Skill

What the student will do

Something an adult can see, count or time.

Condition

When or under what conditions

Support

Support allowed

Criterion

Number of opportunities in which the behavior is demonstrated, out of a fixed number.

Sample numbers. Replace them with the student's data.

Criterion wording

Data collection

Each planned or naturally occurring opportunity is recorded as correct/independent, prompted, or not demonstrated.

How often data are collected
Mastery rule

How many measurements must meet the criterion.

Timeframe

Timeframe

Goal

By the annual IEP review date, during PE, music, or art when a defined precursor appears (covering ears, refusing to join, leaving the activity area), the student will request a break from the specialist using the card or taught phrase before leaving the activity area or engaging in the defined problem behavior independently in at least 4 of 5 opportunities, across 3 consecutive 2-week data summaries, as measured by opportunity-by-opportunity data collected each specials period, logged by the specialist, summarized every 2 weeks.

Baseline: 0 of 5 opportunities.

  • Condition
  • Observable behavior
  • Criterion
  • Measurement method

ObjectivesCopy by fieldData sheet

Measurability check11 of 11 met
  • Met: Observable behavior. Stated as an action.

  • Met: Condition. Stated.

  • Met: Unit fits the behavior. Opportunities fits this behavior.

  • Met: Explicit criterion. Number and unit stated.

  • Met: Mastery rule and schedule. Both stated.

  • Met: Method produces the metric. Opportunity (trial) recording gives opportunities data.

  • Met: Review timeframe. Stated.

  • Met: Baseline and target compatible. Same unit, change in the right direction.

  • Met: Aligned with area of need. Still about Replacement Behaviors.

  • Met: Level of support. Defined.

  • Met: Blanks filled in. Nothing left to fill in.

Checks structure and wording only. Whether the goal fits the student is the team's call.

Short-term objectives (optional)

When are objectives required?

Required for students on alternate assessments (34 CFR §300.320(a)(2)(ii)); some states require them for everyone.

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Paste into your IEP system

Most district systems have a separate box for each part of a goal. Copy them one at a time, or all at once as labeled text.

Area of need
Behavior & Classroom Expectations - Replacement Behaviors
Baseline
0 of 5 opportunities.
Annual goal535 characters
By the annual IEP review date, during PE, music, or art when a defined precursor appears (covering ears, refusing to join, leaving the activity area), the student will request a break from the specialist using the card or taught phrase before leaving the activity area or engaging in the defined problem behavior independently in at least 4 of 5 opportunities, across 3 consecutive 2-week data summaries, as measured by opportunity-by-opportunity data collected each specials period, logged by the specialist, summarized every 2 weeks.
Timeframe
By the annual IEP review date
Condition
During PE, music, or art when a defined precursor appears (covering ears, refusing to join, leaving the activity area)
Behavior
The student will request a break from the specialist using the card or taught phrase before leaving the activity area or engaging in the defined problem behavior independently
Criteria
In at least 4 of 5 opportunities, across 3 consecutive 2-week data summaries
Evaluation method
Opportunity-by-opportunity data
Schedule
Each specials period, logged by the specialist, summarized every 2 weeks

Copied as plain text, with straight quotes and plain dashes.

Matching data sheet

Opportunity tracker. One box per opportunity in each session.

The CSV opens in Excel or Google Sheets, with formulas. Sheets print blank; no student data is stored.