Brownsville Independent School District
Federal Programs Department
Title I, Part A Three-Year-Old Program
Name:_________________________________
D.O.B._______________ I.D.#______________
Entry Date:________ Withdrawal Date:______
Teacher’s Name:__________________________
School:__________________________________
School Year:______________________________
Early Childhood Developmental Checklist
Pre-
Working on Skill
Demonstrates Correct Usage
Post-
School:__________________________________
Observation Observation
Social/Emotional Development
Motor Development
School Year:______________________________
SE1
Shows awareness of feelings of self & others
GM1
Shows body coordination
SE2
Indicates choice perference (ex. L.C.)
GM2
Moves around while manipulating objects
SE3
Finds “acceptable” ways to get people’s
attention
GM3
Responds phsically to the beat of songs/ music
SE4
Initiates interaction with other children
GM4
Builds Tower (4 or more blocks)
SE5
Imitates activities (role play)
GM5
Demonstrates large muscle control
SE6
Participates in cooperative play
GM6
Balances on one foot
SE7
Participates in large group activities
GM7
Performs action opposing hand movement
SE8
Takes care of materials
GM8
Follows spoken instruction for simple movement
SE9
Completes task
GM9
Demonstrates control of movement with
surroundings
SE10
Expresses self through different art media
FM10
Manipulates small objects appropriately (hand-finger)
SE11
Uses different methods of solving one problem
FM11
Scribbles
SE12
Solves problems by negotiation
FM12
Strings beads
SE13
Develops positive self-image
FM13
Pours from one container to another
SE14
Shares, takes turns and plays with others
FM14
Fits materials together and takes them apart
SE15
Follows routines
FM15
Handles books appropriately
SE16
Works and plays independently
FM16
Participates in fingerplays
PreObservation
Post
Observation