STUDENT ASSESSMENT FORM KINDERGARTEN READINESS

STUDENT ASSESSMENT FORM KINDERGARTEN READINESS (To be completed by current early education teacher/school)

Please mail to: Royal Redeemer Lutheran School 11680 Royalton Road North Royalton, OH 44133 Or fax to: 440-237-7713

This recommendation is one of the factors used in selecting students for Royal Redeemer Lutheran Kindergarten program. We appreciate your cooperation and input. Please complete the requested information. We ask that the teacher who best knows and most frequently interacts with the student complete this form. This information will be used by our Admission Committee when they decide on accepting students for our school.

Student's Name: _______________________________ Current Preschool "grade" ____________

Current School: ________________________________ Previous "grades" attended ____________

School Address: ___________________________________________________________________

Teacher's Name: _______________________________ Phone: ____________________________

Thank you for your assistance in making sure each child has the correct placement for their Kindergarten experience. We appreciate all the efforts you have given to nurture and teach so children are ready for Kindergarten and look forward to learning. Krista Nagy, School Principal

SOCIAL DEVELOPMENT (Please mark S=Satisfactory or N= Needs to work on this)

Listens in a group setting Is attentive Shows self control Keeps feet and hands to self Is comfortable away from parents Works & plays well w/others

_____ _____ _____ _____ _____ _____

Contributes to group discussions Shares and take turns Accepts correction Accepts responsibility for actions Can manage personal needs Has a positive attitude

_____ _____ _____ _____ _____ _____

Comments _____________________________________________________________________________ ______________________________________________________________________________________

WORK HABITS (Please mark S=Satisfactory or N=Needs to work on this)

Can work cooperatively

_____

Begins & completes tasks on time _____

Puts effort into work

_____

Can work independently

_____

Works in a neat and orderly manner _____

Stays on task

_____

Comments______________________________________________________________________________ _______________________________________________________________________________________

READINESS SKILLS FOR KINDERGARTEN (Please mark S=Satisfactory or N=Needs to work on this)

Knows address, city, state

_____

Knows birthday

_____

Counts to 10 w/1:1 correspondence _____

Can recognize numbers 0-10

_____

Can recognize and name basic shapes

_____

Can rote count to 20

_____

Can recognize 22/26 upper case alphabet letters

_____

Can recognize some lower case alphabet letters

_____

Can print first name using upper _____ and lower case letters

Can print last name using upper and lower case letters

_____

Can recognize printed first and last name

_____

Can recognize and name 8 basic colors

_____

Comments______________________________________________________________________________ _______________________________________________________________________________________

LARGE MOTOR SKILLS (Please mark S=Satisfactory or N=Needs to work on this) The student can do the following: Run _____ Jump _____ Hop on each foot _____ Catch a ball _____ Throw a ball _____ Balance on each foot _____ Comments ______________________________________________________________________________ _______________________________________________________________________________________

FINE MOTOR SKILLS (Please mark S=Satisfactory or N=Needs to work on this)

Uses proper pencil grip

_____

Shows control using pencil/marker/ crayon _____

Can hold and use scissors correctly _____

Can cut on a given line

_____

Can use glue correctly

_____

Comments_________________________________________________________________________________ __________________________________________________________________________________________

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download