Preschool to Kindergarten Transition Summary



Preschool to Kindergarten Transition Summary

Next Placement: District: _________________ School: ________________

|Child |Child’s Name: | |M / F |DOB: | |

|Informatio| | | | | |

|n | | | | | |

| |Parent(s)/Guardian(s): | |Home Lang: | |

| |Home Address: | |

| |Home/Cell Phone: | |

|Current |Center/Classroom: | |Enroll Date: | |

|Program | | | | |

| |Teacher: | |Phone: | |

| |Program Type: |Please circle: 2 day, 3 day, 4 day, 5 day / Full Day Half Day |

| |Attendance (check one): | Above average Average Below Average |

The purpose of the Kindergarten Transition Summary is to provide transition information between

the child’s family, preschool program and the receiving school.

Teacher/Caregiver Summary

|Y Some N |Y Some N |

|Physical Development & Health |Language and Literacy |

| Takes responsibility for own needs and well-being appropriately | Listens to and follows multi-step directions |

|Motor Skills - run, climb, jump, hop |Uses an expanded vocabulary |

|Motor Skills - balance, hop, etc. |Recognizes/names 10 letters |

|Motor Skills - throw, kick, bounce etc. |Shows awareness of features of print |

|Uses crayons and pencils with control |Writes first name/begins to write words |

|Uses scissors with control |Identifies spoken sounds with words |

| |Cognition and General Knowledge |

|Social and Emotional Development | Experiments, predicts, draws conclusions and communicates based on |

| |experiences |

| |Connects numerals 1-10 to counted objects |

| |Describes features/location of typical things in environment |

| |Makes comparisons among objects describing similarities/differences |

| Responds to/Takes direction from more than one adult | |

|Shares with others | |

|Works independently | |

|Participates in classroom community appropriately | |

|Uses compromise/talk to resolve conflict | |

|Recognizes, labels, and expresses strong feelings/responds appropriately | |

| |Approaches to Learning |

| | Uses creativity and imagination during play and routine tasks |

| |Maintains attention and persists in tasks |

| |Takes on pretend roles/situations with others |

| |Takes turns |

| | |

Health/Developmental concern(s) referred for further consultation

Special Needs/Education: Health: Concern Plan

Has IEP – Eligibility: ___________________ Yes No Allergy/Nutrition: ____________ _____________

Referral pending Yes No Physical Health: ____________ _____________

Per LEA/ISD–no eval. needed/didn’t qualify Social/Emotional: Concern Plan

Internal referral – concern resolved* Yes No ________________________ _____________

*Initial concern addressed and/or no concern after further screening/RtI

|Parent Comments: | |Teacher Comments: |

| | | |

I, _______________________________ give permission for MSU CDL to release the above information,

(Print Name)

assessments, care plans and IEP (where applicable) for ____________________ to assist in providing a smooth

(Print Child’s Name)

transition for the upcoming school year. Signature: _______________________________ Date: ___________

______________________ Date: ______________

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Revised from CACS Head Start

summary

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