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Elementary Teacher Input for ARD-STUDENT NAME
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Student Name
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Grade
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Please mark the areas that need to be addressed. (Problematic behavior will be addressed in a different section.)
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Recent Test Scores
Name a recent test given in your class (BOY/MOY testing, interim testing, a unit test, a benchmark test, a diagnostic test, etc.) and what their grade was on it.
For example: On the Biomes Test, he scored an 87.
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Follow-up question... On the same recent test you gave in your class, what was the class average?
Continued example: On the Biomes Test, the class average was an 85.
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TWO ACADEMIC strengths (Must be content-based. A good way to determine this is to look at your gradebook and see what tests/topics they scored well on.)
For example: If you teach Reading, think about the skills you teach. Non-fiction text: comprehension, fluency, etc
DO NOT REPORT ON THEIR BEHAVIOR HERE! (That's a different section!)
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Does this student demonstrate academic needs in your class related to their disability?
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Weaknesses
What foundational or prerequisite skill(s) they are missing?
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General Behavior Strengths
Character/Personal Strengths: Select all that apply
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Social/Interpersonal Strengths:
Select all that apply
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Communication Strengths:
Select all that apply
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Learning/Executive Functioning Strengths:
Select all that apply
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As the classroom teacher, do you (or the inclusion para, if you have one) provide any additional behavior supports to this student so they can be successful in your class? (This does not include RISE behavior support.)
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Does the student's behavior interfere with their learning or the learning of others?
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Problem Behaviors
What behavior(s) are interfering with learning? Check all that apply.
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What typically happens before the behavior(s)? Check all that apply.
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How often do the behavior(s) occur?
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How long can the behavior(s) last?
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What helps the student regulate their emotions and behavior? Check all that apply.
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Anything else important about this behavior?
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Student Support Needs
Adult Support / Independence
Does this student require adult support beyond what typical peers need to be successful in your class? (Not including RISE behavior support)
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Explain Adult Support
What does that adult support for this student look like in your class?
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Communication Supports
Which of the following communication supports (beyond typical classroom instruction) do you provide this student?
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Class Type
What type of class do you teach?
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Inclusion
Does the student receive inclusion support?
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What content area do they receive inclusion support for?
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Inclusion Supports
What support does inclusion staff provide?
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Inclusion-How much?
How much inclusion support do they need?
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Instructional Accommodations
Do they need oral administration?
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Oral Admin-Why?
How does oral admin help the student be successful?
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Small Group Testing
Do they need to be in a small group for routine tests/quizzes? (This should be rare. If they need oral admin, they need to use headphones, just like on STAAR.)
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Small Group Testing-Why?
Explain why they need small group testing?
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Spelling Assistance
Do they need spelling assistance?
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Note-Taking Assistance
Do they need note-taking assistance in your class?
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Note-Taking Assistance-Why?
How does note-taking assistance help them be successful?
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Extended Time
Does they need extended time?
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Extended Time-Why?
How much extra time do they need for routine tests and assignments?
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Shortened Assignments
Do they need shortened assignments?
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Shortened Assignments-Why?
Please explain why they need shortened assignments.
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By how much do their assignments and assessments need to be shortened?
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Oral Response
Do they need extra time for oral response?
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Preferential Seating
Do they need preferential seating?
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Preferential Seating-Why?
What kind of preferential seating do they need and why? Check all that apply.
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Other Accoms?
Do you provide any of these other accommodations to this student regularly?
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Consultation with SPED Staff
Do SPED staff regularly provide academic or behavior support/consultation related to this student?
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Explain SPED Support/Consult
How? Check all that apply:
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Frequency?
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Further Thoughts
Is there anything else you'd like to add about this student?
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Thank you for your time and thoughtfulness! We appreciate the data!
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