‘Avo 967 jouonzonpe so} panned uonecydng “uedueg WoURNERY » 2 29 © 9U0 Jo101—uH04 Suipiosey iUoWssessy quEpIS “a xIpUOddy Student Assessment on THT TTT UT A ay Ape VU VU vi Recording Form: Level One sehoo! examiner See eee ee ee Student mode of response Bbcin's Cleyegazes other Assessment Summary [Obectivos | #otitoms | Date ae [objective & Za [ [Objective 2 6 4 Objecthe 3 3 : Otjectne (tot pau epesematon) |e | Object & vt leur representation 4 | Objective 5 & z ice 4 [objects Baas [Otjectie 23 | Tota Gores s = Ey Assessment Items Object 1: Rend sight words. Pla «chocch the appropriote cdurn foreach word ead Corey and RASpENGaTEy, Sco one poRR TOF cach check, The demonstration Item is not scored, Add the ponts and record te tial score, Transits sore tothe kscoeatonrt Ses, Independertiy, Ssore one port for eash chect. The demrorstration is score tb the Assessment Summary. Date Demonstration [ion 2 | em 4 bey = >= I [ [ren2 Wiend ~ tem 3 art = Gomme sla Total] ZS L a ‘Gnjectve 2: Pole to sight words to Sertences. Pisce a chackin the appropeto column foreach word ead concaly and Item is nct scored, Ade tho pols and record the total score. enter Dato| Cenonstaton [geen tem 4 S[Objective 8: Pot to toxt as Hs rad, Paco a check n the appropriate colurnn for each Sersenoe polried to Completely and lndepencerty in 2 tetttoright, teptobotom fashion. Score one pol for each check. The demenstretion Rem Is not scored. Add the points and record the tal score, Fonsfor this score tothe Asarssrrent Summary. Demenstation | Maly happy fog | [Moe is a green freg. Moe can jum. [Moe is a green frog. Moe ls 8 boy fog. [Moe can sing, Mos can sing am at school, and Ioan say, “Ribbit, Pb, ib Total Ts 1 ‘Objective 4: Say and/or pol to a word to complete a repeated story ine (without ploture representation). Place a checkin the S column for eech item sald veroall) (cr va AAC cevce) anc another checkin the P ccumn if the word ls polrted to. Score one porntfor each fam sale ‘and cne pont for each item pointed to. The demansiation item Is rot soored. Acd the ports and record te total sere. Transfer this sore to the Assessment Summary si UO Jeno7—UuO4 SuIpicoay IuaWssassy IWapMs :¢ xIUaddy @ go Dots | fale sors. el = Dennsiaton [Moe ia een rg, nom 15 Meo i your fond nem 6 [He cen ump unser a tabe- aes tem 17, | Moe is a boy frog. ee nem 18 [Meo | i Samet [ee } Til I t ‘Objecthe 4: Say and/or point to word to complete a repeated story line (with picture representation). Pisce a check in the appropriata column for ezch sentance pointad to completely and independently. Sore one pont fer each check. The demenetretion Rem isnot scored. the points and racer tha total eco Transfer this score tothe Assessment Summa. Dato, Demonstration [Mas ls @ green ro, em 19) [Mice Is your tend, [ T Trem 20 1 a kam 24 [em 22: nective 5: Respond tIRerel qvstons about a stor. Piaze checkin the ancora column for ach corect response. Score ove oht for each check. Add the poins and recor the ‘otal scare. Tarsfer this score to the Assessment Summary Date am 23 "FE [ola Roe” Wats Nos? (ine 3) Sasi Se tem 24 Wo fe Mos? (ine 3) Saeeetl nem 25 Wrat can Mos Go? (une 4) (pe | ads 3 | Moe kes Sine” Moo ikes bore. Wino else i ous Moe tk? Line 4) Tons? | Wrat oan Mo do? (Une 6 - nem 25 Wrat can Mos say? (ine £3) ae = | total! | Jo "Auo on jouowwanpe 40} pan|LIod UOREDHING "AIEdLEg WOLIUIERY LOO ANAANAKANAHAAANNAHNANAHANHANANHANNAATe Se ee eee oe oe ee Re SER RP NP RP OP POP AP OO Re OF OP CP OPA Gs UF Ur ar are 1§ | Psicctve ©: identity etersound covespondences. Place a check nthe appropiate column for each Kem cowec. Score one pal fer 6Sch & |_| chech The domonsrtion hom i not scored, Add te polis and record the toa sour, Tanse this sors to te Assesenent Sumitene i ao i 2 | [Deroreveton TF 2 3 | [rom29 [rm ae | | £ | [temo Tm T T E | [temst im he acaee Total a z ‘Dijective 13: Polt to pictures /words representing new vocabulary. Place = check h the appropriate soln foreach Rem Goreok Score one port for wach check. The demonstration item Is nat scored. Ada the pots and record tre total coro, Trancier this eosre FT | tote Assessment sunman. z F Date ! 2 | [Benonsuatin —— Tone a | [ramaa bay pace £ | [nmas end z [eae g Item 34 lei | i ds 1 ae tel Tota L L & 69 @ 9UQ [ene —tWIOY AueWIUINg UoWISsassy WoaIsseI9 :g xIpuaddy