Language
English (US)
Chinese
Español
Français
Your Name
*
First Name
Last Name
Student information
Student Grade
*
Sixth Grade
Seventh Grade
Eighth Grade
L.I.F.E. Skills
Courses
*
English Language Arts & Reading
Mathematics
Science
Social Studies
Reading Workshop
Math Lab
Speech
Other
Courses - Continued
Course Periods
*
Advisory
Pull Out
Before School
Consultation
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
After School
Strengths and Areas of Concern
Please follow the directions regarding each question to provide an accurate representation of the student for their IEP. If you have nothing to say on the matter, feel free to leave the space empty and continue with the form.
What are the student's strengths?
What areas of concern do you have in regards to the student's progress in your classroom?
Describe the student's growth in the time you have worked with them.
What accommodations are you currently using with the student?
Functional
/ Behavior Competencies
Seemingly, never
Rarely, with prompts
Sometimes, with prompting
Always, after prompts
Independently, without prompting
follow directions
1
2
3
4
5
remain on task
6
7
8
9
10
complete work
11
12
13
14
15
follow class and school rules
16
17
18
19
20
participate with a group
21
22
23
24
25
use appropriate language
26
27
28
29
30
develop relationships with adults
31
32
33
34
35
develop relationships with peers
36
37
38
39
40
self-regulate emotions
41
42
43
44
45
Functional
/ Vocational Competencies
Seemingly, never
Rarely, with prompts
Sometimes, with prompting
Always, after prompts
Independently, without prompting
be punctual
46
47
48
49
50
maintain good attendance
51
52
53
54
55
work independently
56
57
58
59
60
self-advocate
61
62
63
64
65
accept assistance
66
67
68
69
70
work as a team player
71
72
73
74
75
finish work by the deadline
76
77
78
79
80
initiate work
81
82
83
84
85
navigate technology in the classroom
86
87
88
89
90
Functional
/ Motor Competencies
Seemingly, never
Rarely, with prompts
Sometimes, with prompting
Always, after prompts
Independently, without prompting
navigate the hallways
91
92
93
94
95
take notes in a timely manner
96
97
98
99
100
write with legible handwriting
101
102
103
104
105
type accurately with few errors
106
107
108
109
110
Functional
/ Communication Competencies
Seemingly, never
Rarely, with prompts
Sometimes, with prompting
Always, after prompts
Independently, without prompting
communicate wants and needs
111
112
113
114
115
address others appropriately
116
117
118
119
120
interact with peers at a socially expected level
121
122
123
124
125
follow multi-step directions
126
127
128
129
130
maintain relevance during conversations
131
132
133
134
135
Academic Competencies
Depending on the courses in which you work with the student, the following list contains appropriate Texas Essential Knowledge and Skills (TEKS) to list notable strengths and areas of concerns. Additionally, if you do not feel that you have enough information to document the skill, you may leave the response blank and continue with the form.
Academic/
Reading
below average
low average
average
high average
Not available
apply phonics to new words
136
137
138
139
140
use context clues in reading
141
142
143
144
145
monitor their reading, making adjustments when necessary
146
147
148
149
150
find the stated main idea
151
152
153
154
155
determine the implied message in a text
156
157
158
159
160
infer, with supporting evidence
161
162
163
164
165
determine fact from opinion and claim
166
167
168
169
170
apply strategies for comprehension
171
172
173
174
175
summarize a selection
176
177
178
179
180
Academic/
Writing
below average
low average
average
high average
Not available
write simple sentences
181
182
183
184
185
develop compound sentences
186
187
188
189
190
create a composition with a clear topic sentence
191
192
193
194
195
include supporting evidence in a composition
196
197
198
199
200
complete a composition with a concluding thought
201
202
203
204
205
utilize elements of the writing process
206
207
208
209
210
write with appropriate punctuation, capitalization, and grammar
211
212
213
214
215
write with appropriate spelling
216
217
218
219
220
write in a variety of forms, such as literary works, personal narrative, expository and persuasive genres
221
222
223
224
225
support a response with evidence from the text
226
227
228
229
230
Academic/
Math
below average
low average
average
high average
Not available
determine the value in economic values
231
232
233
234
235
tell and calculate time
236
237
238
239
240
read, write, and identify place value
241
242
243
244
245
recall math facts
246
247
248
249
250
estimate the value of a number
251
252
253
254
255
solve problems with fractions, decimals, and percentages
256
257
258
259
260
simplify using the appropriate order of operations
261
262
263
264
265
collect and represent data on a graph to draw conclusions
266
267
268
269
270
identify congruent shapes and lines of symmetry
271
272
273
274
275
Academic/
Science
below average
low average
average
high average
Not available
practice safety rules in a lab
276
277
278
279
280
understand the Scientific Method
281
282
283
284
285
read and interpret graphs
286
287
288
289
290
collect data and take measurements
291
292
293
294
295
work well with peers in a lab situation
296
297
298
299
300
apply critical thinking and problem solving skills
301
302
303
304
305
Academic/
Social Studies
below average
low average
average
high average
Not available
locate places on a map
306
307
308
309
310
understand political issues
311
312
313
314
315
understand economic issues
316
317
318
319
320
understand social issues
321
322
323
324
325
read and interpret charts
326
327
328
329
330
read and interpret graphs
331
332
333
334
335
read and interpret timelines
336
337
338
339
340
read and interpret models
341
342
343
344
345
identify the cause and effect of relationships over time
346
347
348
349
350
Teacher Survey/
Functional Vocational Assessment
*
Excellent
Satisfactory
Improvement Needed
[Job Skills] 1. Quality of work
351
352
353
[Job Skills] 2. Level of independence
354
355
356
[Work Behavior] 3. Attention span
357
358
359
[Work Behavior] 4. Personal habits and manners
360
361
362
[Work Behavior] 5. Effort/ Motivation
363
364
365
[Work Behavior] 6. Ability to self correct
366
367
368
[Work Behavior] 7. Response to correction from others
369
370
371
[Work Behavior] 8. Punctuality
372
373
374
[Work Behavior] 9. Attendance
375
376
377
[Interpersonal Skills] 10. Social/ Personal - Appears at ease with others
378
379
380
[Interpersonal Skills] 11. Peer Relationships - Mixes well with group
381
382
383
[Interpersonal Skills] Cooperation/ Attitude
384
385
386
[Interpersonal Skills] 13. General activity level
387
388
389
[Interpersonal Skills] 14. Able to accept change
390
391
392
[Interpersonal Skills] 15. Appearance/ Grooming
393
394
395
[Interpersonal Skills] 16. Able to comprehend oral and written instructions
396
397
398
[Interpersonal Skills] 17. Can communicate adequately with others
399
400
401
Transition/
Teacher Survey
Poor
Fair
Average
Above Average
Excelent
1. Is on time for class
402
403
404
405
406
2. Turns in assignments on time
407
408
409
410
411
3. Completes assigned tasks
412
413
414
415
416
4. Completes work in a neat and orderly manner
417
418
419
420
421
5. Organizes time and materials
422
423
424
425
426
6. Is neat and clean in personal appearance
427
428
429
430
431
7. Displays interest and enthusiasm for tasks
432
433
434
435
436
8. Attends classes regularly
437
438
439
440
441
9. Seems confident of ability to work with others
442
443
444
445
446
10. Shows ability to adapt to new situations
447
448
449
450
451
11. Shows a positive, overall attitude
452
453
454
455
456
12. Is honest in dealing with others
457
458
459
460
461
13. Responds well to authority
462
463
464
465
466
14. Prefers activities in groups
467
468
469
470
471
15. Prefers individual activities
472
473
474
475
476
16. Adapts socially to accommodate peers
477
478
479
480
481
Transition/
Teacher Survey
Signature
Submit
Should be Empty: