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Report a problem, worry, or safety concern to a trusted adult

K-2, 3-5, 6-8, 9-12OpportunitiesTemplateReview and individualize before use. How templates are made
When to use this goal

For students who keep problems to themselves (a lost item, a peer who bothers them, something unsafe they saw) until the problem grows. Base the choice on counselor input and the student's own account. Reporting is always a success, even when the concern turns out to be small.

Baseline
With the counselor and family, list problems from the last month that adults learned about late or by accident. Present 3 to 5 scenario cards and record whether the student says they would tell someone, whom, and what they would say. Make the trusted-adult list with the student.
Tips
Count natural problems that staff later learn about (from any source) as opportunities, scored correct if the student reported before an adult discovered the problem. Add scenario probes for a steady supply of data. Any report in any mode counts; a report about a safety concern must be followed up by adults the same day. Do not score tone, eye contact, or whether the student was upset while reporting.
Limits
Many problems are never known to adults, so natural data are incomplete. Scenario responses show knowledge, not real reporting. This goal does not replace school reporting procedures for bullying or abuse, and it must never make the student responsible for adult follow-up.

Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID se-sa-014.

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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

An adult observes and records the defined behavior during a specified activity.

How often data are collected
Mastery rule

How many measurements must meet the criterion.

Timeframe

Timeframe

Goal

By the annual IEP review date, when a problem occurs that they cannot solve alone (such as a lost item, a peer who keeps bothering them, feeling unsafe, something broken), the student will report the problem to a trusted adult, stating what happened and what they need independently in at least 4 of 5 opportunities, across 3 consecutive weeks, as measured by direct observation collected weekly through check-ins, staff reports, and scenario probes.

Baseline: 1 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. Direct observation 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 Self-Advocacy.

  • 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
Social-Emotional & Communication - Self-Advocacy
Baseline
1 of 5 opportunities.
Annual goal450 characters
By the annual IEP review date, when a problem occurs that they cannot solve alone (such as a lost item, a peer who keeps bothering them, feeling unsafe, something broken), the student will report the problem to a trusted adult, stating what happened and what they need independently in at least 4 of 5 opportunities, across 3 consecutive weeks, as measured by direct observation collected weekly through check-ins, staff reports, and scenario probes.
Timeframe
By the annual IEP review date
Condition
When a problem occurs that they cannot solve alone (such as a lost item, a peer who keeps bothering them, feeling unsafe, something broken)
Behavior
The student will report the problem to a trusted adult, stating what happened and what they need independently
Criteria
In at least 4 of 5 opportunities, across 3 consecutive weeks
Evaluation method
Direct observation
Schedule
Weekly through check-ins, staff reports, and scenario probes

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.