Mcps Form 335 37 PDF Details

Mcps Form 335 37 is a document that Montgomery County Public Schools uses to communicate with parents and guardians about their child’s education. This form can be used to provide information about grades, discipline, or any other topics related to your child’s education. In order to make the most of Mcps Form 335 37, it is important to understand how it works and what it can do for you. This post will go over the basics of the form so that you can use it effectively when necessary. Keep in mind that there may be some variation among different schools in terms of what is included on Mcps Form 335 37, so always consult your child’s school directly if you have any questions.

You will see information regarding the type of form you would like to submit in the table. It can show you the time it will need to fill out mcps form 335 37, exactly what fields you will have to fill in and several other specific details.

QuestionAnswer
Form NameMcps Form 335 37
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names

Form Preview Example

Pre-kindergarten/Head Start Speech-Language Screening Instrument

Division of Early Childhood Programs and Services

 

MONTGOMERY COUNTY PUBLIC SCHOOLS • Rockville, Maryland 20852

Page 1 of 2

INSTRUCTIONS: This screening test is to be administered by a speech/language pathologist. For each response, place a check ( ) in column “C” (Correct) or column “I” (Incorrect) as appropriate. Space is provided for child’s response. Write “NR” for no response.

Student’s name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current school

 

 

 

 

Birth date

 

 

/

 

 

/

 

 

Age

 

 

 

Test Date

 

 

/

 

 

 

/

 

 

 

 

 

 

 

 

Home school

 

 

 

 

Primary language

 

 

 

 

 

 

 

Teacher

 

 

 

 

 

 

 

 

 

 

Speech pathologist

 

 

 

PART I: LANGUAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check One

A. GENERAL INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correct/Incorrect

1.

Tells first and last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Tells age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

B. NUMBER CONCEPTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Rote counts to 10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Counts blocks to 5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. COLORS (Display 6 colored blocks; point to each and ask:) “What color is this block?” (Circle correct responses.)

 

 

 

5.

Blue

Yellow

 

 

Purple Green

 

Red Orange

(Passing criteria: 3 correct)

 

 

 

 

 

 

 

(If not correct, ask child to point to colored blocks.)

 

 

 

 

/

 

 

 

 

correct

5.

 

 

 

 

 

 

 

 

 

 

D. PREPOSITIONS (Demonstrate with block and box and ask:) “Where is the block?”

 

 

 

6.

In

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Under

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

On

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

9.

Behind/In back of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If incorrect, ask child to place block in that position.)

 

 

 

/

 

 

 

correct

 

 

 

 

 

 

 

(Check correct responses: In Under On Behind )

9.

 

E.IDENTIFIES BODY PARTS (Ask child to point to body parts. Check those identified correctly.) (Passing criteria: 6 or more correct)

 

Nose Eyes Ears Mouth Hair

 

 

 

 

 

 

 

 

 

Finger Knee Elbow Arm Foot

Total Correct

 

 

/10

 

10.

 

 

 

F. COMPREHENDS SENSES (Read practice sentence to child.) “We use our hands to (touch/feel.)”

11.

11.

“We use our eyes to

 

 

.“ (see/look)

 

 

 

 

12.

12.

“We use our nose to

 

 

.“ (smell/breathe)

 

 

 

 

13.

“We use our ears to

 

 

.” (hear/listen)

 

 

 

 

13.

G. CATEGORIES (Use picture provided and say:)

 

 

 

 

 

 

 

 

 

14.

“Show me all the animals.”

 

 

 

 

 

 

 

14.

 

 

 

 

 

 

 

15.

“Show me all the food.”

 

 

 

 

 

 

 

15.

H. ANSWERING QUESTIONS (Ask sample question.) “Who cries?” (Explain as necessary.)

 

 

 

16.

What flies in the sky?

 

 

 

 

 

 

16.

17.

What animal swims in the water?

 

 

 

 

 

 

17.

18.

What animal bites people?

 

 

 

 

 

 

18.

19.

What do you do when you are hungry?

 

 

 

 

 

 

19.

20.

What do you wear when it’s cold outside?

 

 

 

 

 

 

20.

 

 

 

 

 

 

21.

What do you do when you’re sleepy?

 

 

 

 

 

 

21.

I.LISTENING COMPREHENSION (Directions: “I’m going to tell you a story. It has no pictures. Listen carefully. When I’m finished, I will ask you some questions about the story.”) (Read:) “One day, a man was painting a house. He was standing on a ladder. A bee buzzed around his head. The man climbed down and waited until the bee flew away.”

22.

Who was painting the house?

 

22.

 

23.

Where was he standing?

 

23.

 

24.

Why did he climb down?

 

24.

 

 

 

MCPS Form 335-37, Rev. 8/05

DISTRIBUTION: ORIGINAL/Cumulative Folder; COPY 1/Pre-Kindergarten/Head Start Unit;

 

 

COPY 2/Speech-language pathologist

 

 

Student’s name

 

Signature, Speech-language pathologist

PART I: LANGUAGE (continued)

Check One

 

Correct/Incorrect

J.AUDITORY MEMORY FOR SENTENCES (Example—say: “Black cat”)

25.

“Toy...Chair...Light”

 

25.

 

26.

“Cars are big.”

 

26.

 

27.

“He sleeps in a bed.”

 

27.

 

28.

“The boy played ball with his dog.”

 

28.

 

K.EXPRESSIVE LANGUAGE SAMPLE (Use sequence picture provided. Point to each picture and say: “Tell me a story about these pictures.” Record responses on lines provided, including articulation errors. Give credit if the child uses a minimum of three phrases or sentences that include action words.)

29.

 

29.

 

 

 

 

L. SYNTAX (Record any grammatical differences or errors on lines provided.)

 

 

 

 

 

 

 

 

 

 

M. FOLLOWING DIRECTIONS (Say: “Listen carefully. I want you to do three things.”)

 

 

 

30. “Clap your hands. Put your hands on your head. Touch your nose.”

30.

 

(Passing criteria: Child performs all 3 directions.)

 

 

 

If incorrect, say: “Close your eyes. Clap your hands.”

 

 

 

TOTAL

Correct/Incorrect

PART II: SPEECH

A. ARTICULATION (Record sound errors.)

Spontaneous speech: Intelligible Not intelligible Intelligible with careful listening Not enough said to judge

If multiple errors, administer Pre-kindergarten/Head Start Articulation Screening and check oral motor functioning.

Adequate Recheck

B. FLUENCY: Fluent Dysfluent Comments

C. VOICE: Adequate If not adequate, describe quality.

PART III: HEARING

No known problem Suspect problem

History of Problem

PART IV: FOLLOW-UP AND COMMENTS

 

1.

Speech and language is within normal limits.

3.

English Language Learner (ELL)

COMMENTS

2.Confer with team/observe further.

4.Administered in (language)

Watch Mcps Form 335 37 Video Instruction

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