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.
Question | Answer |
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Form Name | Early Outcomes Summary Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | il early childhood outcomes form, illinois early childhood form, erly childhood outcomes, early summary form |
ILLINOIS EARLY CHILDHOOD OUTCOMES SUMMARY FORM |
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Name: |
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SID: |
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Male |
Female |
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Last |
First |
Middle |
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District: |
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School: |
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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
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
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
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? |
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Yes |
No |
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Did an Early Childhood Teacher Participate in the Ratings? |
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Yes |
No |
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Did a Psychologist or Social Worker Participate in the Ratings? |
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Yes |
No |
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Did a Speech/ Language Pathologist Participate in the Ratings? |
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Yes |
No |
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Did another Related Service Provider (e.g. OT/PT) Participate in the Ratings? |
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Yes |
No |
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How was Parent Involved |
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1- Information Received in Team |
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2 - Information from Parent |
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3 - Did Not Use Information from |
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in the Ratings? |
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Meeting from Parent |
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Incorporated into assessment(s) |
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Parent in Ratings Process |
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Exit Rating Only
Made Progress Positive Social Relationships? |
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Yes |
No |
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Made Progress Acquire use and Knowledge Skills? |
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Yes |
No |
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Made Progress Take Appropriate Action to Meet Own Needs? |
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Yes |
No |
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Primary Assessment (Select Only One) |
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1 |
- Assessment and Evaluation Programming |
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4 - Creative Curriculum Assessment |
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7- Transdisciplinary |
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System (AEPS) |
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Assessment (TPBA) |
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2 |
- Carolina Curriculum for Infants and Toddlers |
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5 - Hawaii Early Learning Profile (HELP) |
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8 - Work Sampling System |
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/ Preschoolers with Special Needs |
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3 |
- High Scope Child Observation Record |
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6 - Individual Growth and Development |
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9 – Child has an IEP for Speech Only |
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Indicators (IGDI) |
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Entered into SIS by |
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Date: |