Module 12 Planning for One Child
This planning form is taken from the Appendix of the textbook on page 144. Before completing
the form, you will observe the child taking observation notes. Then you will complete the form
based on the child’s interests and developmental level.

Child age and general information:

Observation notes (detailed paragraph or 2 of the child's activity and interests while you
observed):

Planning Form: For each area, plan an experience/activity and detail what materials and adult
interactions you will do.

Learning area /Equipment, toys, materials
Plan for additional/future
Experiences and adult
scaffolding
Fine motor/manipulative
Large motor/movement
Blocks and constructions
Creative
Sensory experiences
Reading and literacy
Dramatic play
Exploration math and science
Cozy corners
Outdoors
Songs
Special events (e.g., walks,
visitors)
Families

Discuss why you made the decisions that you did connecting to both your observations and
what you have learned this semester.