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Submit a time-off request on the work app

9-12Percent accuracyTemplateReview and individualize before use. How templates are made
When to use this goal

For working students who ask for days off at the last minute or by telling a coworker, at a workplace that uses a paper form or a scheduling app. Present levels in reading forms and using apps, not grade, decide fit.

Baseline
Have the student complete one practice request with no guide and mark each field correct or not, including the status check. Ask the employer how far ahead requests are due.
Tips
Score each field (dates, start and end times, reason, submit, status check) as correct or not. Use the employer's real form or app screens once the student is placed. This template covers the written request; meeting the notice deadline is in the vocational skills time-off template.
Limits
Measures the request itself, not whether time off is approved or whether the student plans ahead. Apps change; update the photo guide when screens change.

Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID tn-ef-010.

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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

Percent of attempted items answered correctly.

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

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, given the workplace's time-off request form or scheduling app and a planned event at least two weeks away, the student will fill in the dates, shift times and reason on the request, submit it, and check the status a few days later independently with at least 90% accuracy on time-off request fields, on 3 of 4 consecutive requests, as measured by work-sample analysis collected monthly and at each real request.

Baseline: 40% accuracy.

  • 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. 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 Employment Foundations.

  • 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
Transition & Postsecondary Skills - Employment Foundations
Baseline
40% accuracy.
Annual goal442 characters
By the annual IEP review date, given the workplace's time-off request form or scheduling app and a planned event at least two weeks away, the student will fill in the dates, shift times and reason on the request, submit it, and check the status a few days later independently with at least 90% accuracy on time-off request fields, on 3 of 4 consecutive requests, as measured by work-sample analysis collected monthly and at each real request.
Timeframe
By the annual IEP review date
Condition
Given the workplace's time-off request form or scheduling app and a planned event at least two weeks away
Behavior
The student will fill in the dates, shift times and reason on the request, submit it, and check the status a few days later independently
Criteria
With at least 90% accuracy on time-off request fields, on 3 of 4 consecutive requests
Evaluation method
Work-sample analysis
Schedule
Monthly and at each real request

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

Matching data sheet

Accuracy tracker. Records number correct and number attempted.

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