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: _______________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 4