Subject/Course __________________ Grade Level __________  Standard No(s) ________  Standard(s) (What students should know and be able to do) ______________________________________________________________________
_______________________________________________________________________________________________
District Elementary Course of Study (Concepts) or Secondary Guidelines for Instruction (Instructional Unit) _______________________________________________________________________________________________
Developed by ______________________ School____________________________ Cluster #___________ Phone # ________________

CULMINATING TASK/ASSIGNMENT What will individual students produce to demonstrate achievement of the standard(s)?	ASSESSMENT What criteria will be used to evaluate/score students' work/performance of the culminating task?	INSTRUCTIONAL ACTIVITIES What learning activities will students be involved in to acquire knowledge and skills to achieve the standard? Consider alternative strategies and modification to promote equal access for all learners.	TIME How much (approximate) time will be required to complete each of the activities?	RESOURCES What materials, textbooks, supplies, documents, etc., will be required for and instructional activity?
DIRECTIONS TO THE STUDENTS	Task to be scored: 4- 3- 2- 1-

*Model developed, refined, and field-tested by Mentor teacher Standard-Based Task Force School District

1996, Los Angeles Unified