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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