Fill in a simple form with name, date, and requested information
When to use this goal
For students who can write or type their name but leave sign-in sheets, permission slips, and order forms blank or put information in the wrong boxes. Present levels in writing and reading field labels decide which fields to include; for job applications, use fn-tr-003.
- Baseline
- Score 2 or 3 forms in different layouts. A field is correct when the right information is in the right box and readable. Date fields are the most common error; note the format the student uses.
- Tips
- Use real classroom forms (sign-in, lunch count, book order) so the skill has daily opportunities. Teach the date format the school uses. Keep completed forms with personal information in the classroom.
- Limits
- Forms with free-response fields (reason for visit) need writing skills beyond this template. Online forms add required-field errors and navigation that may need their own progression.
Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID fn-fa-007.
Sign in to add this goal to a student.
Goal
By the annual IEP review date, given a simple one-page form (sign-in sheet, library card form, field trip slip, lunch order form) with 6 to 10 labeled fields, the student will complete each field on the form with the correct information independently with at least 90% accuracy on form fields, on 3 consecutive forms, as measured by work-sample analysis collected weekly.
Baseline: 40% accuracy.
- Condition
- Observable behavior
- Criterion
- Measurement method
Measurability check11 of 11 met
Met: Observable behavior. Stated as an action.
Met: Condition. Stated.
Met: Unit fits the behavior. Percent accuracy fits this behavior.
Met: Explicit criterion. Number and unit stated.
Met: Mastery rule and schedule. Both stated.
Met: Method produces the metric. Work-sample analysis gives percent accuracy 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 Functional Academics.
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.
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
- Functional & Independence Skills - Functional Academics
- Baseline
- 40% accuracy.
- Annual goal371 characters
- By the annual IEP review date, given a simple one-page form (sign-in sheet, library card form, field trip slip, lunch order form) with 6 to 10 labeled fields, the student will complete each field on the form with the correct information independently with at least 90% accuracy on form fields, on 3 consecutive forms, as measured by work-sample analysis collected weekly.
- Timeframe
- By the annual IEP review date
- Condition
- Given a simple one-page form (sign-in sheet, library card form, field trip slip, lunch order form) with 6 to 10 labeled fields
- Behavior
- The student will complete each field on the form with the correct information independently
- Criteria
- With at least 90% accuracy on form fields, on 3 consecutive forms
- Evaluation method
- Work-sample analysis
- Schedule
- Weekly
Copied as plain text, with straight quotes and plain dashes.
Matching data sheet
Accuracy tracker. Records number correct and number attempted.
Accuracy tracker
Percent accuracy- Student label:
- Target:
- with at least 90% accuracy on form fields
- Mastery rule:
- on 3 consecutive forms
- Collection schedule:
- weekly
- Method:
- Work-sample analysis
- Data collector:
Goal: By the annual IEP review date, given a simple one-page form (sign-in sheet, library card form, field trip slip, lunch order form) with 6 to 10 labeled fields, the student will complete each field on the form with the correct information independently with at least 90% accuracy on form fields, on 3 consecutive forms, as measured by work-sample analysis collected weekly.
| Date | Task / materials | # correct | # attempted | % accuracycorrect ÷ attempted × 100 | Support levele.g., independent, 1 verbal prompt | Notes |
|---|---|---|---|---|---|---|
Preview shows 4 of 12 rows.
- Score only items the student attempted unless the goal defines a fixed set of items. Use the same denominator every session.
- Percent = numerator ÷ denominator × 100. Round to one decimal place.
- Record the support actually provided, even if the goal is independent performance.
The CSV opens in Excel or Google Sheets, with formulas. Sheets print blank; no student data is stored.