Student Information

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Student Information

The purpose of this document is to gather information for each student about his/her language and literacy skills, first language literacy, and other factors that may impact the student’s production of explanations.

Be sure to fill this form out separately for each target student.

Teacher Name

Student ID

Student Initials

Student Gender

Male

Female

Clear selection

English Reading Level

In determining a rating for each student, consider his/her skills as compared to the average student in your class.

Below Average: student’s reading skills are below the class average

Average: student’s reading skills are about average

Above Average: student’s reading skills are above the class average

Clear selection

English Writing Level

In determining a rating for each student, consider his/her skills as compared to the average student in your class.

Below Average: student’s writing skills are below the class average

Average: student’s writing skills are about average

Above Average: student’s writing skills are above the class average

Clear selection

English Listening Level

In determining a rating for each student, consider his/her skills as compared to the average student in your class.

Below Average: student’s listening skills are below the class average

Average: student’s listening skills are about average

Above Average: student’s listening skills are above the class average

Clear selection

English Speaking Level

In determining a rating for each student, consider his/her skills as compared to the average student in your class.

Below Average: student’s speaking skills are below the class average

Average: student’s speaking skills are about average

Above Average: student’s speaking skills are above the class average

Clear selection

Is English this student's first language (L1)?

Yes

Clear selection

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms