Middle and High School Organizational Skills Checklist

Middle&School&and&High&School&

Organizational&and&Independent&Work&Skills/Motor&Skills&Checklist&

&

Student&Name:&___________________________________________________& &

Grade:&____________________________________&

School:&_____________________________________________________________&

Setting:&___________________________________&

Completed&By:&____________________________________________________&

Date:&______________________________________&

Please&complete&the&following&form&and&return&to:&_____________________________________________________________________.&&

&

Always/Often& Sometimes& Rarely/Never&

Instructions:&& Compare&student&to&others&in&the&class.&&& Please&indicate&N/O&(Not&Observed)&if&you&have¬&had&the&& opportunity&to&observe&the&behavior&in&your&setting.&

& & & ORGANIZATIONAL&SKILLS&

& & & Follows&daily&schedule&&&arrives&on&time&

& & & Uses&and&follows&assignment&book&or&planner&

& & & Organizes&and&studies&course&materials&

&

&

&

Arrives&to&class/new&activity&with&needed&materials&and& supplies&

&

&

&

Shifts&from&one&classroom&activity/setting&to&another& within&the&allotted&time&

& & & Homework&is&completed&&&handed&in&on&time&

& & & Does&work&during&classtime&

& & & WORK&SKILLS&

& & & Understands&assignment&expectations&

& & & Listens&and&works&without&distractions&

& & & Begins&and&completes&work/tests&within&time&allowed&

& & & Turns&in&work&on&time&

& & & Completes&multiMstep,&longMterm&projects&

& & & Obtains&and&completes&makeup&assignments&when&absent&

& & & Organizes&school&materials&

& & & Uses&independent&time&appropriately&

&

&

&

Participates&actively&in&class&discussions,&group&activities,& projects&

&

&

&

Advocates&for&self&to&clarify&classroom&requirements&or& meet&personal&needs&

& & & MOTOR&SKILLS&

&

&

&

Moves&through&school&environment&in&a&safe&and&timely& manner&(including&emergency&evacuations)&

&

&

&

Utilizes&all&school&environments&(i.e.&lunchroom,&locker& room,&stage)&

& & & Participates&in&physical&education&class&

&

&

&

Meets&personal&needs&(eating,&dressing,&toileting)&within& the&daily&schedule&

Produces&handwritten&work&(notes&and&assignments)&that&

& & & are&legible&and&completed&within&time&lines,&without&

fatigue&

&

&

&

Physically&manages&school&materials&and&belongings&in&a& timely&manner&

& & & Organizes&folders&and&locker&

& & & Operates&standard&computer&and&mouse&

Comments/Adaptations& & & & &

&

& & Comments/Adaptations& & & & & & & & & &

&

Comments/Adaptations& &

&

& &

&

&

& &

Please&complete&both&sides&of&this&form.&

Middle&School&and&High&School&

Organizational&and&Independent&Work&Skills/Motor&Skills&Checklist&

What&are&some&of&the&student's&strengths?&

&

&

&

&

&

Do&you&have&concerns®arding&this&student's&academic&performance?& &

Yes& &

No&

&

&

&

&

&

Do&you&have&any&concerns®arding&this&student's&attendance?& &

&

Yes& &

No&

(including&time&out&of&the&classroom&due&to&medical&procedures)&

&

&

&

&

&

Do&you&have&concerns®arding&this&student's&behavior?& &

&

&

Yes& &

No&

&

&

&

&

&

Does&this&student&show&age&appropriate&social&skills?&

&

&

&

Yes& &

No&

Explain&Further:&

&

&

&

&

&

Is&peer&acceptance&impacted&by&this&student's&disability?& &

&

&

Yes& &

No&

&

&

&

&

&

Check&all&accommodations/modifications&that&you&routinely&make&for&this&student&and&add&as&

needed:&

visual&schedule&or&cues&&

&

&

paraprofessional&support& &

scribing&by&staff&for&written&responses

assignments&modified&&

copies&of¬es& &

&

portable&word&processor/access&to&computer&

alternative&keyboard&(larger/smaller)&

modified&tests&

repeated&&&simplified&directions

slant&board&

extra&time&for&assignment&completion&&

other:&

Please&complete&both&sides&of&this&form.&

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