THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA
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TITLE I, PART A STUDENT ELIGIBILITY CHECKLIST FOR GRADES PK4–2
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 | |
|Below grade level in concept of letter and sounds | |Weak understanding of patterns | |
|Struggles with blending and segmenting sounds | |Lacks ability to do one-to-one correspondence | |
|Demonstrates inability to recognize and generate rhymes | |Demonstrates poor number sense | |
|Oral vocabulary is limited for their grade level | |Lacks basic knowledge of mathematical concepts for current grade level | |
|Limited understanding of what is read to them | |Knowledge of measurement is low (i.e. longer, shorter, inches, feet, pints and quarts) | |
|Limited ability to know and use reading strategies | |Lacks ability to conceptualize single digit addition and/or subtraction | |
|Writing ability is below grade level | |Weak in understanding geometric concepts | |
|Weak comprehension of written materials | |Poor ability to solve word problems | |
|Weakness in following oral and/or written directions | |Estimation skills are below grade level | |
|Total Score | /10 |Total Score | /10 |
Principal’s Signature
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