Early Head Start Transition Planning Form Page 2

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________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
To individualize for your child, I intend to make these changes:
To the environment (including equipment & materials):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
To routines:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
To transitions into the program:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Transition Schedule:
Week #1
Attendance (Number of hour per day)
___________
Duration of adjusted schedule (1 day, 3 days, etc.)
______
Comments:
_____________________________________
Revised 12/12
A division of Cumberland Community Action Program, Inc. (CCAP)

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