Learning Difficulties Tracking Chart



Class: Teacher:

Learning Difficulties Tracking Chart

Student is Having Difficulties Learning Successfully in the Classroom

Student’s birth date: Gender:

Name:

Parents’ names & contact information:

Married? Divorced? If divorced what are the custody arrangements?

Other potentially relevant information:

Tier 1

Reasons for Concern:

o Academic

o Cognitive

o Social

o Behavioural

o Emotional

o Physical

Academic or Cognitive:

Date(s) of class instruction:

What was being taught?

Observations

Do you have a 1. sample of the work? Yes (attach) No (get one if at all possible) NA

2. Student profile

3. Student questionnaire

4. Parent questionnaire

5. Relevant challenges & strategies sheet if appropriate

6. Class profile

Comments:

Social, Behavioural, Emotional:

Date(s) of observations:

Situations structured unstructured:

Observations:

Comments:

Physical:

Date(s) of observations:

Situations:

Observations:

Comments:

Information from OSR

Individual Education Plan? YES? NO?

Key points? Or attach copy.

Parent Interview

Date:

Parents/Guardians present:

Parents’ comments

Next steps tried:

o more intensive instruction

▪ group instruction or work

▪ PEER TUTORING

▪ WORKING WITH

➢ VOLUNTEER

➢ EDUCATIONAL ASSISTANT

➢ SPECIAL EDUCATION TEACHER

➢ OTHER STAFF MEMBER

➢ PARENT

➢ OTHER

o DIFFERENTIATED INSTRUCTION OR REMEDIATION:

o TEACH LEARNING STRATEGIES:

o BEHAVIOUR MODIFICATION TECHNIQUES:

o ACCOMMODATIONS:

▪ EQUIPMENT:

▪ TIME

▪ SEATING PREFERENCE

Comments on next steps

Approximate Time Next Steps are Reviewed:

Successful? Not successful?

Reason and place in student’s Learning Profile:

Have you attached a sample of the work after the next steps were implemented?

Yes No NA

Other information & comments:

If not successful, date when child was flagged as at risk:

Parents informed: YES NO

Date informed

Their response?

Tier 2

Results of Tier One Require Further Investigation, Support & Action

Date of referral to In-School Support Team:

Date of Team Meeting:

Team Members Present:

Recommendations of Team Meeting:

For Teacher Action:

Further accommodations?

Modifications to Expectations?

Additional Interventions?

Further Assessment by Teacher?

For Other Professional’s (Names & Positions)

Action:

Further Assessment?

Additional Interventions?

Tier 3

Results of action on Tier 2 recommendations and reasons for moving to Tier 3

Do you have more work samples attached? Yes NA

Date Parents informed:

If team meeting is student referred for psycho-educational assessment? YES NO

If not, what was the reason:

What strategy is going to be employed instead?

Pedagogical or psychological reasons for the strategy?

If student is referred for psycho-educational assessment:

To whom is the student referred? Date of referral

Kind of Assessment

Expected Date of Assessment

Actual Date of Assessment

Date of Presentation of Assessment

Is there a working summary for teacher’s use? YES NO

Recommendations:

Recommendations for action outside the current classroom or materials?

Information attached? Yes No

Comments:

Date of implementation of those recommendations:

Date teacher plans to reassess e.g. next report card

Date for next psych-educational reassessment:

Teacher’s Personal Record:

What works well:

What needs improvement:

Reflections:

This tracking sheet was created as a personal tracking sheet for you as a teacher who will be undoubtedly working with many kids who need help. First it is to help you remember what you need to document everything to get students help as swiftly as possible. It is based closely on Education for All, especially p. 20 & 35. Secondly, it is to help you track and document what kind and how timely the help your students are getting outside the classroom and outside the school. Thirdly, it is to give you a tool to jot notes on your evaluations on how things are working for you and your students.

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

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

Google Online Preview   Download