THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA
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TITLE I, PART A STUDENT ELIGIBILITY CHECKLIST FOR GRADES 3-5
School:
Teacher: Year of Service: 2019–2020
Student: Grade:
Complete the information below regarding the student’s performance in Reading and/or Math. Each description must be rated.
Enter a “1” for descriptions that apply and “0” for descriptions that do not apply to the student. A total score of 5 or more will qualify a student for services in the content area.
|READING |Rating |MATH |Rating |
|Classroom performance is below grade level | |Classroom performance is below grade level | |
|Inability to decode phonetically regular multisyllabic words. (Example: | |Demonstrates poor understanding of place value; Unable to write numbers both in | |
|Abracadabra) | |numerals and words | |
|Limited understanding of antonyms, synonyms homophones, and homographs | |Struggles to order and compare numbers for grade level | |
|Struggles with differentiating between different literary genres such as | |Lacks ability to understand algebraic concepts | |
|fiction and nonfiction | | | |
|Shows inability to draw conclusions or identify main idea based on a reading | |Weak understanding of number patterns; Unable to count by skip count | |
|passage | | | |
|Word structural analysis is below grade level | |Knowledge of measurement is low | |
|Limited ability to properly use grammar in written sentences such as periods, | |Lacks ability to conceptualize the 4 basic operations in mathematics | |
|question marks, commas, and apostrophes | | | |
|Weak understanding of common prefixes and suffixes | |Weak in understanding geometric concepts | |
|Shows weakness in following multistep oral and/or written directions | |Poor ability to solve word problems | |
|Writing ability is below grade level | |Estimation skills are below grade level | |
|Total Score | /10 |Total Score | /10 |
Developed by Catapult Learning in conjunction with HISD
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