Classroom Assessment Selection Checklist Form
Use this form to select and review a classroom assessment using clear criteria, ratings, and notes.
Assessment Basics
Assessment Name / Title
*
Grade Level
*
Please Select
Pre-K
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
Subject Area
*
Please Select
English Language Arts
Mathematics
Science
Social Studies
History
Reading
Writing
Art
Music
Physical Education
Computer Science
Other
Assessment Purpose
*
Assessment Date / Intended Administration Timeframe
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Selection Checklist and Evaluation
Assessment criteria or desired features
*
Curriculum alignment
Ease of scoring
Time efficiency
Differentiating instruction
Student engagement
Progress monitoring
Formative use
Summative use
Other
Overall fit for the classroom assessment
*
Poor fit
1
2
3
4
5
6
7
8
9
Excellent fit
10
1 is Poor fit, 10 is Excellent fit
Preferred assessment format
*
Written test
Performance task
Project-based
Oral presentation
Observation checklist
Portfolio
Other
Compare assessment options or review categories
Rows
Strong fit
Moderate fit
Needs revision
Option 1
1
2
3
Option 2
4
5
6
Option 3
7
8
9
Notes and Selection Outcome
Selection outcome
*
Selected
Needs review
Not selected
Notes / justification
Submit
Should be Empty: