Classroom Based Assessment Form Junior High/High School

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Student Name:
Date of Evaluation Report Meeting:
ASSESSMENT SUMMARIES
ASSESSMENT AREA: CLASSROOM BASED ASSESSMENT
SUBJECT AREA:
Evaluator(s):
Date(s) of Evaluation:
ASSESSMENTS
Grades for 2010/11 School Year:
1st Semester
2nd Semester
Montana C.R.T. results where applicable: Grade 8 Results from 2010-11 school year
Score range: Reading: Novice: 200-224 Nearing Proficiency:225-249 Proficient: 250-288 Advanced: 289-300
Math:
Novice: 200-224 Nearing Proficiency:225-249 Proficient: 250-282 Advanced :283-300
Science: Novice: 200-224 Nearing Proficiency: 225-249 Proficient: 250-282 Advanced: 283-300
XXXX achieved a score of
in Math which places him in the
Grade to date for 2011/12 School Year. Freshman 9th Grade
range.
First Quarter:
Fourth Quarter:
Second Quarter:
Third Quarter:
1st Semester
2nd Semester
Other Current Classroom Based Assessment Results: e.g. tests, labs, homework completion.
Please comment on this student’s current involvement and progress in the general curriculum.
IMPLICATIONS FOR EDUCATIONAL PLANNING (required for Evaluation Report)
Please comment on the relevant implications for educational planning. For example:
 is academic achievement impacted by functional performance, behavior, or health factors
 does attendance impact performance in the regular curriculum
 if student already receives special education services – how does any recognized disability affect the
student’s current involvement and progress in the regular curriculum
 what adapted content or instruction and/or delivery methods are needed/ offered/ recommended
Ann Verploegen BSSNC 09/11 V1
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