MIDDLE SCHOOL CHECKLIST
ACADEMIC
Yes
No
Participate in 5 general education classes and meet academic expectations with necessary
modifications
Complete class work in class as class work
Complete homework at home as homework
Come with working homework completion plan and parental participation with homework
Study and complete homework with peers
Be organized, follow organizational system
Organize work area in general education class
Plug in computer
Transport materials to general education class
Be on time to class
Follow general education class guidelines
Follow assignment format, including paper heading in general education
Check locker before class at appropriate times
Pay attention in class
Answer questions in class
Ask questions in class
Go with LINK to class without staff support
Comments: ________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
COMMUNICATION
Yes
No
Communicate sorrow and remorse
Make appropriate comments
Use appropriate greetings spontaneously or as a response
Tell the teacher when one needs to leave the room
Speak clearly
Communicate problem or need in an appropriate way
1
Appropriately tell others when one wishes to be left alone
Facilitate with others
Free arm, hand, and fingers in order to facilitate
Ask questions
Answer questions
Comments: ________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
SOCIALIZATION
Yes
No
Initiate communication with peers
Go to class with peers
Go to cafeteria with peers
Interact with classmates and teacher in class
Interact appropriately in group activities
Interact in appropriately in peer conferences
Interact in appropriate horseplay
Express likes and dislikes
Wear appropriate clothing for peer group
Validate friendships
Minimize self stimulation during social periods and extracurricular periods
Choose and interact with appropriate peer group
Initiate appropriately enjoyed activities during free time
Expect that child will interact in appropriate social activities and horseplay
Comments: ______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
2
INDEPENDENCE
Yes
No
Go to bathroom independently
Button, unbutton, zip, unzip independently and at correct times
Wash and dry hands after using restroom
Do errands with LINKs
Cafeteria line with/without LINK
Move to and from bus
Appropriate hygiene
Operate combination locker
Use Kleenex
Tie shoes
Express important personal information (i.e., “my family does not celebrate Christmas”)
Follow schedule
Use TEACH functionally
Move from door to bus independently
Comments: _________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
BUILDING NORMS
Yes
No
Age-appropriate attire
Quite in halls
Walk at steady pace, no holding hands
Follow and understand basic school rules and procedures
Engage in extracurricular activities with LINK support
Follow and understand cafeteria rules
Appropriately use drinking fountain
Age-appropriate behaviors (i.e., no sucking thumbs)
Comments: _________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
3
BEHAVIORAL
Yes
No
Exit general education and return to Room # _______.
Understand one’s own behavior system
Operate within a working behavioral system that is ready for the middle school
Use TEACH functionally
Work out behavior problems before aggression
Use appropriate physical contact with LINKs
Follow timeout procedures appropriately and come with working timeout plan if
appropriate
Comments: _______________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
OTHER INFORMATION WHICH MAY BE REQUESTED
Yes
No
Current politics of parent/program relationship
Techniques which are effective with parents
Outwardly visible signs given off by the student which may indicate anger, potential
outburst, sickness, etc.
Names of previous LINKs and those coming to receiving school who may already have
relationship with student (staff members included)
Health and medical information
Familiar environmental items such as family pictures which have been posted over
student desk
List of activities in which student enjoys engaging
Comments: _______________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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