Early Outcomes Summary Form PDF Details

In the realm of early childhood education and support, the Illinois Early Childhood Outcomes Summary Form represents a crucial tool designed to monitor and communicate the progress of young learners in key developmental areas. This comprehensive form serves various purposes, from assessing social relationships to gauging the acquisition of knowledge and the ability to meet one's own needs. It meticulously details the student's information, including their name, identification, and educational setting, alongside the date of entry and exit assessments. The evaluation process is collaborative, involving a range of professionals—coordinators, educators, psychologists, and speech or language pathologists, to name a few—who contribute their expertise to the ratings. Moreover, the form places significant emphasis on parental involvement, recognizing the critical role families play in a child's development. Through detailed metrics and evidence-based analysis, children are scored on a seven-point scale across various domains, ensuring a nuanced understanding of their growth. This careful consideration helps in tailoring educational plans that are not only responsive but also supportive of each child's unique journey. Additionally, the selection of a primary assessment tool further customizes the approach, taking into account the most appropriate method for each child. Ultimately, this form acts as a vital linchpin in crafting an educational environment that nurtures early development and addresses individual needs effectively.

QuestionAnswer
Form NameEarly Outcomes Summary Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesil early childhood outcomes form, illinois early childhood form, erly childhood outcomes, early summary form

Form Preview Example

ILLINOIS EARLY CHILDHOOD OUTCOMES SUMMARY FORM

Entry

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

SID:

 

Male

Female

Last

First

Middle

 

 

District:

 

 

 

 

School:

 

 

Exit

DOB:

Date:

Persons involved in deciding summary ratings - Role/Title

Bottom of Form

Top of Form

Positive Social Relationships

1 - Not Yet

2 - Between Emerging and Not Yet

3 - Emerging skills

4 -Between Somewhat and Emerging

5 - Somewhat

6 - Between Somewhat and Completely

7 - Completely

Summary of Evidence:

Acquire and Use Knowledge and Skills

1 - Not Yet

2 - Between Emerging and Not Yet

3 - Emerging skills

4 -Between Somewhat and Emerging

5 – Somewhat

6 - Between Somewhat and Completely

7 – Completely

Summary of Evidence:

Take Appropriate Action to Meet Own

Needs

1 - Not Yet

2 - Between Emerging and Not Yet

3 - Emerging skills

4 -Between Somewhat and Emerging

5 - Somewhat

6 - Between Somewhat and Completely

7 – Completely

Summary of Evidence:

Sources of Supporting Evidence – Date

Sources of Supporting Evidence – Date

Sources of Supporting Evidence – Date

special considerations

special considerations

special considerations

Did a Coordinator, LEA Representative or Administrator Participate in the Ratings?

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Did an Early Childhood Teacher Participate in the Ratings?

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Did a Psychologist or Social Worker Participate in the Ratings?

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Did a Speech/ Language Pathologist Participate in the Ratings?

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Did another Related Service Provider (e.g. OT/PT) Participate in the Ratings?

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

How was Parent Involved

 

1- Information Received in Team

 

 

2 - Information from Parent

 

3 - Did Not Use Information from

in the Ratings?

 

Meeting from Parent

 

 

Incorporated into assessment(s)

 

Parent in Ratings Process

 

 

 

 

 

 

 

 

 

 

Exit Rating Only

Made Progress Positive Social Relationships?

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

Made Progress Acquire use and Knowledge Skills?

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

Made Progress Take Appropriate Action to Meet Own Needs?

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

Primary Assessment (Select Only One)

 

 

 

 

 

1

- Assessment and Evaluation Programming

 

4 - Creative Curriculum Assessment

 

7- Transdisciplinary Play-Based

 

System (AEPS)

 

 

Assessment (TPBA)

 

 

 

 

 

 

 

2

- Carolina Curriculum for Infants and Toddlers

 

5 - Hawaii Early Learning Profile (HELP)

 

8 - Work Sampling System

 

 

/ Preschoolers with Special Needs

 

 

 

 

 

 

 

 

 

 

 

3

- High Scope Child Observation Record

 

6 - Individual Growth and Development

 

9 – Child has an IEP for Speech Only

 

 

Indicators (IGDI)

 

 

 

 

 

 

 

 

 

Entered into SIS by

 

Date: