Student:
Class:
Date:
Student Identifies Name In Print: Yes / No
Student Writes Name: Yes / No / Emerging
Student Recites Alphabet: Yes / No / Emerging
Says Uppercase Letters:
Z X Y W U V T R S Q P O M N L J K I G H E F D B C A
Says Lowercase letters:
z y x u w t v r q s o p m n k l j i e h g f d b a c
Says Letter Sounds:
b.. c.. d.. f.. g.. h.. j.. k.. l.. m.. n.. p.. q.. r.. s.. t.. v.. w.. x.. y.. z..
a.. e.. i.. o.. u..
Counts Orally: 1-10 & 1-20
Numbers 1-10
Numbers 1-20
Reads Number 1-10 & 11-20
2 0 1 3 5 4 7 6 9 8 10
12 11 13 15 14 17 19 18 16 20
Demonstrates One-to-One Correspondence for Number 1-10 & 11-20
2 0 1 3 5 4 7 6 9 8 10
12 11 13 15 14 17 19 18 16 20
Knows Basic Shapes
Additional Shapes
Identifies Colors
red
yellow
blue
black
white
orange
green
purple
brown
Identifies Initial and Final Consonant Sounds
Read each word below to the student – The student is to say the sound heard at the beginning and end of the
word. For example, Say to the student – “What sound do you hear at the beginning of the word “big”? – the
student should say “buh”. Then say, “What sound do you hear at the end of the word “big”? – the student
should say “guh”. Place a “check” for correct responses and an “x” for incorrect responses.
__big__
__top__
__cap__
__dog__
__man__
__fin__
__hill__
__sun__
__rat__
Identifies/Reads Ten Common Sight Words
the
a
and
to
I
in
is
it
on
you
can
am
do
see
my
Demonstrates Understanding of Spatial Positioning and Direction Words
__ above
__last
__ below
__middle
__smallest
__in
__ end
__biggest
__on
__next to
__beginning
__top
__bottom
__left
__longest
__most
__right
__first
__shortest
__least
__second
__front
__more than
__third
__back
__less than
Uppercase Letter Sheet
Z
X
Y
W
U
V
T
R
S
Q
P
O
M
N
L
J
K
I
G
H
E
F
D
B
C
A
Lowercase letter Sheet
z
y
x
u
w
t
v
r
q
s
o
p
m
n
k
l
j
i
e
h
g
f
d
b
a
c
Letter Sound Sheet
Consonants
b
c
d
f
g
h
j
k
l
m
n
p
q
r
s
t
v
w
y
z
e
i
o
u
Vowels
a
Number Identification Sheet
2
0
1
3
5
4
7
6
9
8
10
12
11
13
15
14
17
19
18
16
20
Shape Identification
Basic Shapes
Additional Shapes
Color Identification
Sight Word Identification
the
a
I
in
you
can
see
and
is
my
to
it
am
on
do