Early Outcomes Summary Form PDF Details

The Early Outcomes Summary Form is an important document that helps track the progress of a student during their first few months of school. It can help identify any problems early on and allow for intervention before things get too far out of hand. By tracking the student's progress, educators can ensure that each child receives the individual attention they need to be successful. The form is also a great resource for parents, as it provides information about their child's strengths and weaknesses. Overall, the Early Outcomes Summary Form is an important tool for tracking a student's progress and ensuring they are on track for success.

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: