South Carolina Association of Community Action Partnerships

Early Head Start Child Care Partnerships

School Readiness Individualized Development Plan

Child's Last Name:*
Child's First Name:*
Child's Middle Name:
Parent's Last Name:*
Parent's First Name:*
Parent's Middle Name:
Teacher's Name:
Site:
Center *

Goals Objectives & Planned Activities Progress
(written each time parent signs)
Date Goal
Start: Continued: Achieved:
Start: Continued: Achieved:
Start: Continued: Achieved:
Start: Continued: Achieved:
Start: Continued: Achieved:
I confirm that I have read and understand this form. *

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Parent Signature
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