PLOP Present Level of Performance Checklist

-Most recent individual evaluation of student

-State Exams
-Career Evaluation
-Student Interview
-Learning Styles Questionnaire
-RISA (Report Individual Student Attendance) Evaluation
-Transcript Evaluation (Credit Accumulation)
-NYSESLAT results (if applicable)
-Marking Period performance
Academic Achievement, Functional Performance and Learning Characteristics

Evaluation Results

Activities of Daily
Living
Levels of Intellectual
Functioning

Adaptive Behavior

Expected Rate of
Progress in Acquiring
Skills & Information
Learning Style(s)

Student Strengths (try

to focus on skills)
Preferences
Interests
Academic,
Developmental &
Functional Needs
(Including Concerns of
the Parent)

-How independent is this student (when applicable)?

-Does this student travel independently (when applicable)?
-Is the student able to handle responsibility?
-Is the student able to stay organized & manage time efficiently?
-How is the student performing in content areas with annual goals?
-Is the student able to follow instructions independently?
-Is the student able to comprehend concepts that are taught?
-How are the students ideas expressed?
-What is the students problem solving ability like?
-How does the student adapt to his/her surroundings?
-How does the student handle transitions & change?
-To what extend does the student maintain focus in the classroom?
-Is the student able to follow classroom rules & procedures?
-How quickly does this student make progress?(use data to show
scores from year to year)
-Does the student make a years worth of progress during a school
year? More? Less?
-Is the student making progress throughout this school year?
-Is the student a visual, auditory, kinesthetic learner, etc
-What kind of activities & interventional help this student learn?
(give helpful suggestions so that a teacher who never met this
student has a clear picture of what works and what doesnt work)
-Where does the student excel in the classroom?
-What are the students areas of strength?
-What does the student feel confident doing?
-How does this connect to transition goals? Career path?
-How does the student prefer to learn?
-What subjects does the student enjoy?
-What class activities does the student enjoy?
-What does the student enjoy (academic/social interests, hobbies,
etc) Give student interest survey
-How does this connect to transitional/career goals?
-What does the student need in order to be successful?
-What interventions have worked with this student?
-What accommodations & modifications have worked for this
student?
-What supports or services have been effective?
-Be sure to include input from the student & the parent in every section
of Academic Achievement, but especially in this one.

PLOP Present Level of Performance Checklist

Social Development (Be sure to state where information is coming from) For students receiving
counseling, this section should be completed thoroughly by the counselor:

The Degree & Quality

of Students
Relationship with
Peers & Adults,
Feelings about Self &
Social Adjustment to
School & Community
Environment
Student Strengths

Social Developmental
Needs of the Student
(Including Concerns of
the Parent

-How does this student behave in the classroom?

-How does the student relate to adults? To peers?
-How does this student handle stress?
-How is this students etiquette?
-How does this student present him/herself?

-In what ways does this student excel socially?

-In what ways does this student show confidence in social
situations?
-How does this connect to transitional/career goals?
-What are some needs of the student socially?
-What interventions have worked with this student?
-What supports or services have been effective?

-Be sure to include input from the student & the parent in every section
of Social Development, but especially this one.
Physical Development (Be sure to state where the information is coming from) for students receiving
OT, PT, and/or Hearing Services, this section should be completed thoroughly by the provider

The Degree & Quality

of the Students Motor
& Sensory
Development, Health,
Vitality, & Physical
Skills or Limitations
Which Pertain to the
Learning Process
Student Strengths

Physical Development
Needs of the Student

-How are this students motor skills?

-What is the quality of this students handwriting (if appropriate)?
-Are there any physical limitations?
-Does the student have mobility problems?

-In what ways does this student excel physically?

-Is the student athletic?
-Does the student participate on any school or community athletic
teams?
-How does this connect to transitional/career goals?
-What are some needs of the student physically?
-What interventions have worked with this student?
-What supports have been effective?
-Be sure to include input from the student & parent in every section of
Physical Development, but especially this one.
Management Needs

Material e.g. instructional material such as graphic organizers, checklists, vocabulary cues, translation,
images, books on tape etc.
Environmental e.g. consistency in routine, limited auditory & visual distractions adaptive furniture, etc.
Human e.g. organizational systems, note taking assistance, help getting to classes, positive behavior
reminders etc.
Note: It is helpful to put common strategies that are useful based on the students learning style.
Effects of Student Needs on Involvement in General Education Curriculum

-How does the students disability affect his or her involvement or success in general
education? WRITE: The student can participate in the general education curriculum with
special education support services.