Union County Public Schools Exceptional Children's Program ...

Observation, Consideration of Specialized Setting for Kindergarten Transition
Union County Public Schools
Exceptional Children’s Program
Consideration of Separate/Specialized Educational Setting for Kindergarten Transition
Classroom Observation
Student Name: Date: Time of Day:
Preschool Teacher:
Primary Disability:
Current level of Service:
Observer:
Number of Teacher’s Present:
Location:
Secondary Disability (if applicable):
Related Services (if applicable):
Observer’s Title:
Number of Students:
Subject Observed (please check one subject)
o Center time o Meal time o Solitary play o Other
o Circle time o Parent/Family time o Structured play o Other
o Free Time o Rest time o Other o Other
Learning Situation (please check all that apply)
o Whole class o Single teacher o Independent work o One­on­one tutor/assistance
o Self­contained classroom o Multiple teachers in room o Ability grouping o Cooperative learning (group)
o Daycare setting o Related Service Providers o Small group o Other
Student Behaviors Observed (please check all that apply)
o Attends to tasks o Good self­help skills o Easily distracted o Clings to caregiver
o Good communication skills o Good motor skills o Short attention span o Easily frustrated
o Interacts with peers o Enjoys adult attention o Temper tantrums o Avoids eye contact
o Follows directions/class routines
o Doesn’t participate in routine
activities
o Poor peer interaction
o Unusually shy/withdrawn
o Engages in age appropriate play o Cries easily o Talks excessively o Perseverates
o Friendly o Does not complete tasks o Does not initiate play o Imitates peer actions
o Natural curiosity o Demands excessive attention o Immature behavior o Disruptive
o Cooperative o Delayed language/Nonverbal o Takes turns/shares o Articulation delays
o Works well independently o Poor motor skills o Avoids group activities o Does not follow directions
Anecdotal Notes:
Updated 6/29/09

Observation, Consideration of Specialized Setting for Kindergarten Transition
OBSERVER NOTES:
Observation of student’s functioning in relation to concerns:
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Benefits of regular/resource level of placement:
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Benefits of separate/specialized setting(s) level of placement:
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Observer’s recommendations:
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Updated 6/29/09