Child Study Assessment

Early Childhood
Child Study Assessment

STUDENT INFORMATION
Beginning Date of Evaluation Period
Beginning Date of Evaluation Period
End Date of Evaluation Period
End Date of Evaluation Period
Select Evaluation Timeframe
EVALUATOR INFORMATION
EVALUATION RUBRIC
RatingIndicator Met with Excellence (3)Indicator Met (2)Indicator Not Met (1)
1. Overview of the Child
2. Overview of Potential Assessments
3. Assessment choices 
4. Reflection on Expected Data
5. Conventions of Writing
6. Strengths & Needs
7. Instructional Implications & Recommendations to family
8. Family Characteristics
9. Communicating with & Incorporating Family Input with the Assessment Data
10. Family Recommendations
11. Advocating for Child
Overall Evaluation
Justification:
Recommended Action:
I, the Candidate’s Evaluator, having compiled and retained evidence of justification, make the recommendations noted below.
To be completed at the interim evaluation or before:
To be completed at the final evaluation:
Date of Evaluation Meeting:
Date of Evaluation Meeting:
Required Signatures:
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Click to Sign...
By signing, the Candidate acknowledges receipt and review of this evaluation (not necessarily agreement).

A copy of this completed/signed document must be provided to the Candidate. Another copy must be submitted to and retained by the Institution of Higher Education according to the record retention policy guidelines. 4

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