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Write a self-advocacy script for a hard situation

6-8, 3-5Rubric scoreTemplateReview and individualize before use. How templates are made
When to use this goal

For students who freeze or give up in situations they can predict, such as a teacher who talks fast or a gym class with loud music. Present levels and writing or communication mode, not grade, decide fit; scripts can be typed, dictated, or built with symbols.

Baseline
Name a hard situation the student has described and ask them to write or tell what they could say. Score with the rubric and note which parts are missing.
Tips
Scripts are tools: let the student rehearse them aloud and keep them handy. Collect them in a folder the student can share with new adults.
Limits
Measures planning, not use in the moment; pair with an opportunities goal such as se-sa-001 or se-sa-005.

Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID se-sa-049.

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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

Score on a rubric with defined criteria and score levels.

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

Rubric criteria

Each one becomes a scoring column on the data sheet.

Criterion wording

Data collection

Scoring completed student work (permanent products) against a defined answer key or checklist.

How often data are collected
Mastery rule

How many measurements must meet the criterion.

Timeframe

Timeframe

Goal

By the annual IEP review date, during a counseling or resource session, given a situation the student has named as hard, the student will write or record a short script that names the situation, the need, a polite request, and a backup plan if the answer is no independently, earning a score of at least 6 out of 8 on a 4-part self-advocacy script rubric scored 0 to 2 per part, on 3 of 4 consecutive scripts, as measured by work-sample analysis collected every two weeks.

Baseline: 2 out of 8 rubric points.

  • 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. Rubric score 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 rubric score 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.

Build objectives by

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
2 out of 8 rubric points.
Annual goal472 characters
By the annual IEP review date, during a counseling or resource session, given a situation the student has named as hard, the student will write or record a short script that names the situation, the need, a polite request, and a backup plan if the answer is no independently, earning a score of at least 6 out of 8 on a 4-part self-advocacy script rubric scored 0 to 2 per part, on 3 of 4 consecutive scripts, as measured by work-sample analysis collected every two weeks.
Timeframe
By the annual IEP review date
Condition
During a counseling or resource session, given a situation the student has named as hard
Behavior
The student will write or record a short script that names the situation, the need, a polite request, and a backup plan if the answer is no independently
Criteria
Earning a score of at least 6 out of 8 on a 4-part self-advocacy script rubric scored 0 to 2 per part, on 3 of 4 consecutive scripts
Evaluation method
Work-sample analysis
Schedule
Every two weeks

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

Matching data sheet

Rubric tracker. Scores each rubric criterion and totals them.

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