Transition from Preschool to Kindergarten Observation Form - UCPS ...
Transition from Preschool to Kindergarten Observation Form - UCPS ...
Transition from Preschool to Kindergarten Observation Form - UCPS ...
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<strong>Observation</strong> for <strong>Kindergarten</strong> <strong>Transition</strong><br />
Union County Public Schools<br />
Exceptional Children’s Programs<br />
<strong>Kindergarten</strong> <strong>Transition</strong><br />
Classroom <strong>Observation</strong><br />
Student Name: Date: Time of Day:<br />
<strong>Preschool</strong> Teacher:<br />
Primary Disability:<br />
Current level of Service:<br />
Observer:<br />
Number of Teacher’s Present:<br />
Location:<br />
Secondary Disability (if applicable):<br />
Related Services (if applicable):<br />
Observer’s Title:<br />
Number of Students:<br />
Subject Observed (please check one subject)<br />
o Center time o Meal time o Solitary play o Other<br />
o Circle time o Parent/Family time o Structured play o Other<br />
o Free Time o Rest time o Other o Other<br />
Learning Situation (please check all that apply)<br />
o Whole class o Single teacher o Independent work o Oneonone tu<strong>to</strong>r/assistance<br />
o Selfcontained classroom o Multiple teachers in room o Ability grouping o Cooperative learning (group)<br />
o Daycare setting o Related Service Providers o Small group o Other<br />
Student Behaviors Observed (please check all that apply)<br />
o Attends <strong>to</strong> tasks o Good selfhelp skills o Easily distracted o Clings <strong>to</strong> caregiver<br />
o Good communication skills o Good mo<strong>to</strong>r skills o Short attention span o Easily frustrated<br />
o Interacts with peers o Enjoys adult attention o Temper tantrums o Avoids eye contact<br />
o Follows directions/class routines<br />
o Doesn’t participate in routine<br />
activities<br />
o Poor peer interaction<br />
o Unusually shy/withdrawn<br />
o Engages in age appropriate play o Cries easily o Talks excessively o Perseverates<br />
o Friendly o Does not complete tasks o Does not initiate play o Imitates peer actions<br />
o Natural curiosity o Demands excessive attention o Immature behavior o Disruptive<br />
o Cooperative o Delayed language/Nonverbal o Takes turns/shares o Articulation delays<br />
o Works well independently o Poor mo<strong>to</strong>r skills o Avoids group activities o Does not follow directions<br />
Anecdotal Notes:<br />
Updated 12609
<strong>Observation</strong> for <strong>Kindergarten</strong> <strong>Transition</strong><br />
OBSERVER NOTES:<br />
<strong>Observation</strong> of student’s functioning in relation <strong>to</strong> concerns:<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
Benefits of regular/resource level of placement:<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
Benefits of separate/specialized setting(s) level of placement (if addressed as a consideration on the<br />
Student Profile Sheet):<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
Observer’s recommendations:<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
__________________________________________________________________<br />
Updated 12609