1
General
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
Unique Learning System materials are evident in multiple instructional
areas of the classroom.
Standards-based instruction reects the chronological grade band
of the students with age and ability respectful materials.
All team members show consistent responses and interactions with
individual students. (e.g., wait time before prompts, responding to
communication forms, natural cues to encouraging independence)
Communication/Behavior
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
All students are presented with communication opportunities, including
verbal and nonverbal modes of expression.
Level of prompting is appropriate to meet the individual student’s
participation levels, while maintaining the greatest level of independence
and addressing appropriate wait time.
Students are offered communication supports (e.g. objects, pictures, text)
and technology as needed to increase responses.
ADMINISTRATIVE TOOLS
Observation Checklist
SCHOOL TEACHER DATE
NUMBER OF STUDENTS NUMBER OF PARAPROFESSIONALS
OBSERVATION CHECKLIST
2
Literacy/Reading
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
There is evidence of shared reading experiences, including visual supports
or voice output options to build on student participation.
There is evidence of differentiated reading instruction to build on word
recognition and “learning-to-read” skills. (e.g. word wall, phonics activities)
Age-respectful / leveled reading materials are available and accessible
to all students.
Comprehension activities are scaffold using a variety of formats
appropriate to the different levels of students. (e.g. symbol support, text)
Writing Activities
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
There is evidence of varied writing activities for all levels of learners
including errorless writing, response to literature, book reports, topic
paragraphs and journaling activities.
Math Activities
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
There is evidence of math instruction for all level of learners ranging from
errorless engagement to full independence. paragraphs and journaling activities.
Instructional math reects application to real life skills (e.g., scenarios,
money, measurement and time).
Social Studies/Science Activities
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
Lessons align with the current topic for the month and presented
in age/grade appropriate materials.
Proles/Assessments
ROUTINELY
EVIDENT
SOMEWHAT
EVIDENT
NOT
EVIDENT N /A
Student proles and assessments are completed and up to date.
Evidence of data from assessments is being utilized to drive
instructional strategies
OBSERVATION CHECKLIST
3
Life Skills Activities
The following life skills instruction was demonstrated during observation:
Assistive Technology
The following technology was utilized during the observation: (e.g. interactive whiteboard, voice output,
communication devices, alternative keyboards, switch-activated software, iPod
®
, iPad
®
)
1.
2.
3.
Observation/Notes
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