Second Grade Student Evaluation Form



Student FORMTEXT ?????School FORMTEXT ?????Date of Birth FORMTEXT ?????Grade FORMTEXT ?????Teacher FORMTEXT ?????Race FORMTEXT ?????Sex FORMTEXT ?????Parent/Guardian FORMTEXT ?????Phone # FORMTEXT ?????Address FORMTEXT ?????Referring Person: FORMTEXT ?????Relationship FORMTEXT ?????Date FORMTEXT ?????This checklist needs to be completed by the classroom teacher. Signature: _________________________________Motivation Characteristics(adapted from GRS-S 2003)Never/Not ObservedHardly EverSome-timesOftenAlmost AlwaysAlways Shows pride in work FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Strives to achieve, wants to perform at the highest possible level FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reacts to challenges enthusiastically FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Approaches situations expecting to do well FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Places high value on mastery and success FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Works tenaciously, not easily discouraged FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Sets high standards for his/her performance FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Sets challenging goals FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Takes on new and difficult tasks or projects FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Strives to improve or become more competent FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Persists on tasks even when initial efforts are not successful FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Attempts tasks that are above current skill level FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX *Does this child require testing modifications? FORMCHECKBOX Yes (Attach Documentation) FORMCHECKBOX No ModificationsPerformance DataReadingMathCurrent Average/Grade % FORMTEXT ????? FORMTEXT ?????Standardized Testing (BOG/EOG/EOC)Test Year, Name, and PercentileEx.—2014 NC EOG 93%ile FORMTEXT ?????Ex.—2014 NC EOG 98%ile FORMTEXT ?????Other Performance Data(Benchmark Testing, TRC, classroom assessments) Ex.—BOY TRC ≥U FORMTEXT ?????Ex.—Measurement Unit Test 99% FORMTEXT ?????Teacher Observations/Comments*You may use the back of this referral if you need additional space to further describe support for an AIG evaluation. FORMTEXT ????? FORMTEXT ?????1333512318900AIG Specialist/ContactTeam Decision: FORMCHECKBOX No Evaluation FORMCHECKBOX Conduct Evaluation AIG Specialist or AIG Contact FORMTEXT ?????Date FORMTEXT ????? ................
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