Return this completed Excel worksheet as an email attachment to jon.eckert@wheaton.

edu Instructions: In this form report your assessment and evaluation data for each student. I. List the demographic data for each student, using codes provided. II. Enter the assessment scores on the pre and post assessments for the unit.

Your Name

Ethnicity White Black Hispanic Asian/Pacific Islander Native American Multiracial Other

Gender Female Male

Learning Needs FARM Eligibility yes (1) ELL no (2) Gifted (3) SPED (4) 504 (5) FARM

Student

I.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

Stud. Initials

Ethnicity

Gender

Learning Needs

FARM eligibility

II
Assessment Assessment Assessment

Assessmen t