Peer Support and Buddy Program Outcome Tracking Editable
- 24 pages
- Not Grade Specific
- PDF, fillable
$3.50
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About this resource
Everything an inclusion specialist, general education teacher or special educator needs to run a peer-buddy, peer-support or peer-mentor program and document that both students are actually benefiting — not just one student receiving help — in one fillable PDF.
EVERYTHING INSIDE — 24 pages, 635 type-in fields
- A binder cover, a spine label and 4 divider tab labels (cut-and-tape organizer set) with a table of what goes behind each tab
- A peer pair and group roster (12 rows): support peer, supported student, pairing rationale, program goal and setting
- A program structure page: the goal verbatim, planned activities (8-row table), frequency and facilitator
- An interaction frequency log (13 rows): date, setting, duration, teacher-facilitated or natural, who initiated it
- A social engagement observation sheet (12 rows): comfort level, who initiated the conversation, joint participation
- A peer mentor reflection log (11 rows) — the direct evidence the peer is learning something too, in their own words
- A supported student engagement tracker (12 rows) — weekly participation and comfort trend
- A mutual benefit checklist (8 items) plus a 6-row reporting history — the direct check that the benefit runs both ways
- An engagement and interaction progress graph with a 3-row data table and a "reading the graph" note
- A program effectiveness rating (5 indicators) plus a 7-row rating history
- A monthly outcome summary (5-row roll-up table) with an attendance/staffing note
- A program continuation decision template (4-option checklist) plus a 5-row decision history
- A general education teacher / facilitator observation form (7-row quick-mark table) — the second audience this file is built for
- A family update naming both students' progress, ready to send
- A 21-phrase observable-language phrase bank across four groups
- A filled-in worked example on an invented peer pair, every number traceable to its own table
What This Is, And What It Is Not
It is a fillable PDF. Open it in a PDF reader, click a line, a box or a cell, type, press Tab to move on, and Save As once per pairing. It works offline with no account or subscription. It is NOT a Google Sheets file, a Google Doc or an Excel workbook, and it does not calculate a rate or plot a point for you.
It is inclusion and social programming, not therapy: it does not provide or script an intervention, and it does not screen or determine eligibility for any service. Every rating and every mark on these pages is the facilitating adult's own observation, written in plain language. There is no clinical wording anywhere in the file, and no real student health data is pre-filled anywhere in it.
Who This Is For
Inclusion specialists, general education teachers and special educators running a peer-buddy, peer-support or peer-mentor program who need to document interactions, social engagement, and whether the pairing is actually working for both students — not just the one receiving support.
Also In This Collection
- Social Skills Progress Monitoring and Peer Interaction Data Sheets Editable (17719799) — individual social-skills data collection outside a structured peer program.
- IEP Goal Tracking Editable (17591575) — the single-goal tracker this program's own goal can plug into.
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