Example: Completed action plan form Goal Setting 1/4/2013 Initiative: Date: Action step or change to be accomplished: To get an A in Algebra What actions or changes will occur: Parents and guardians who contribute (by helping with homework, and creating good study environment); will study more and dedicate more hours to algebra; will take fewer breaks and watch less TV in order to study more. Who will carry it out: Me (the protégé) with the help of my mentor and parents. By when (for how long): Start as soon as possible and carry it out until algebra grades substantially improve. What resources are needed: Books, school material, time, and recognition from parents and mentor. Celebration after accomplishments. Communication (who should know what): Parents and mentor must be aware of the developments and status of this action plan so that they can provide support and recognition.
