Community Travel Report/Progress Form

DATE:



Students present:
Students absent:
Title/Theme:
Level:
Location:
Equipment:
Clean Glasses:
Breakfast:
Medicines:
Checklist:_____
Eye contact:_____
Why are we doing this:_____
Responsibility:_____
Bus rules:_____
Locker rules:_____
Lunch rules:_____
semi-independent lesson: _____
Independent lesson:_____
Time Management:_____
Money Management:_____
Centering (Body Management): _____
Orientation checks (Spatial Management): _____
Sensory checks (Managing the senses): _____
Bonding:_____
Problem solving:_____
Asking for directions:_____
Leading and following:_____
Public bathrooms_____
Looking practice: _____
Wheelchair drivers training: _____





Student self-selected yearly objective:







What is your job/role on the team:

Handler: students good with their hands so they can help others
Reader: good readers who can read lesson plans
Walker: students who can help where walking is needed
Writer: good writers to record the groups answers to lesson questions
Transporter: A student with a good tray on their wheelchair or who is stable while walking
Navigator: A student good with directions and layouts
Monitor: A student who pays attention to others and circumstances; someone who can help organize others
High reacher: Students with power wheelchairs that rise up.
Low reacher: Students good at bending over to pick up dropped objects
Traffic cop: A student who monitors wheelchair driving
Time cop: Responsible for team time management

Savings account funds (%5 interest); Value this month for each student: