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Otsego Elementary School Faculty Handbook - Half Hollow Hills

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Teacher Information<br />

Areas of Concern<br />

Reading: ____ had difficulty with phonics<br />

____ omits, adds, substitutes, or reverses<br />

letters, words or sounds when<br />

reading<br />

____ weak literal comprehension<br />

Math:<br />

____ weak vocabulary<br />

____ difficulty memorizing facts<br />

____ weak problem solving skills<br />

____ unable to apply math skills<br />

Behavior/<br />

Social: _____ difficulty interacting with peers<br />

_____ isolates self during play<br />

Language:____ difficulty expressing ideas verbally<br />

____ needs questions and directions<br />

repeated<br />

____ difficulty understanding abstract<br />

concepts<br />

Writing: _____ difficulty with sentence structure<br />

_____ difficulty generating ideas<br />

_____ difficulty with writing mechanics<br />

Other:<br />

_____ decline in quality of work<br />

_____ inconsistent performance<br />

_____ difficulty concentrating<br />

_____ cannot work independently<br />

Area of Concern for Student Learning: Complete description of concern: _____________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

Strengths and areas of interest:<br />

What does the student know? When do the student’s eyes “light up?” During what instructional material does<br />

the student participate most often? Do they participate during specific activities during the day?<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

What does the student do?<br />

What do the student’s work products look like? (e.g., tests, projects, classwork, group work. Are there<br />

things he/she can produce better than others?) _______________________________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

How does the student think?<br />

Does the student think: abstractly, concretely, sequentially, randomly, in details or large concepts?<br />

_________________________________________________________________________________________<br />

How does the student approach something that he/she is unsure of? Does the student: mark up the paper, refuse<br />

to work, daydream, go to the bathroom/nurse’s office/water fountain/pencil sharpener? Does the student bother<br />

someone until the other student becomes upset? _____________________________________<br />

Please list all previous differentiation, accommodations, strategies, and interventions:<br />

_________________________________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

_________________________________________________________________________________________<br />

The answers to these questions will provide the basis for the brainstorming process at the IST<br />

meeting. Please attach samples of student work that illustrates your concerns.<br />

Forms/IST Review Form

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