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Person completing this form: Directions Tavian Blayton Valentin Aubrey Diego Lucas Leyla Kelisha Jerimiah Trinitii Mark Diana Lilyana Yodani Pablo Jaykob
For each student include the date that the indicator was assessed. In the same box as the date, use a / for introductory level; an X for mastery; and leave the space under the date blank if the student is not yet able to complete the task.
1. Listen to stories read to him or her 2. Answer questions 3. Tells the differences between print and pictures 4. Recognizes letters of the alphabetLetters in first name and some others 5. Recognizes and writes name 6. Writes or scribbles notes, letters, stories 7. Holds a book correctly 8. Recognizes and says simple rhymes
X 2/13
X 2/13
X 2/13 / 2/20
X 2/13
X 2/27 X 2/20
X 2/13 / 2/13
X 2/13
X 2/13 / 2/20
/ 2/27
/ 2/13
X 2/20
X 2/20
X 3/20
X 2/27
X 3/20
X 2/27
Adapted and reprinted with permission from Ready Set Soar, Montgomery County Ohios Pre-Kindergarten Readiness Initiative, 2012, http://www.ready setsoar.org
X 2/20
X 2/27
X 2/20
X 2/27
X 2/27
X 2/27
X 2/27
X 2/20
X 2/20
X 2/20
X 2/27
1. Expresses his or her own wants and needs 2. Listens to adults/others and follows simple
X 2/27 X 2/20
X 2/20 X 2/20
X 2/27 X 2/20
/ 2/27 X 2/27
X 2/27 X 2/27
/ 2/27 / 2/27
X 2/27 X 2/20
X 2/20
X 3/20 X 3/20
/ 2/27
X 2/27 X 2/20
X 2/27
Adapted and reprinted with permission from Ready Set Soar, Montgomery County Ohios Pre-Kindergarten Readiness Initiative, 2012, http://www.ready setsoar.org
X 2/18 X X2/27 X
X 2/20 X 2/20
X 2/13
X 2/27
X 2/13 /
X 2/20
X 2/13
X 2/13
X 3/20
X 2/20
1. Tries several ways to solve a problem 2. Persists with a task 3. Makes detailed plans and follows through until they are completed 4. Engages in pretend play with props X 2/20 X X 2/20 X 2/20 X 2/20 X 2/20 X 2/20 X 2/20 X 2/20 X 2/20 X 2/20 X 2/20 / 2/20 X 2/20 X 3/20 X 2/20 X 2/20
X 2/20
X 2/20
X 2/20
X 3/20
X 2/20
X 2/20
X 2/20
X 2/20
X 2/20
X 2/20
X 2/20
X 3/20
X2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/13 X 2/20
X 2/20 X 2/20
X 2/20
X 2/20
X 2/20
X 2/20
X 2/20
X 2/20
Adapted and reprinted with permission from Ready Set Soar, Montgomery County Ohios Pre-Kindergarten Readiness Initiative, 2012, http://www.ready setsoar.org
2/20
2/20
2/20
Adapted and reprinted with permission from Ready Set Soar, Montgomery County Ohios Pre-Kindergarten Readiness Initiative, 2012, http://www.ready setsoar.org