Child Participation Evaluation Form Page 2
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2TOOLS FOR TEACHERS
CURRICULUM MODIFICATIONS: AN INTRODUCTION
CHILD PARTICIPATION EVALUATION FORM
Directions: Think of a child in your class who is struggling to participate. First, list the activities that are part of your daily classroom routine. Next, write
down the general expectations you have for all children during each activity or routine. Then think about how the child is doing during each of these daily
classroom activities. Finally, for activities during which the child seems to need support or enrichment, specify the particular concern.
Child’s name:
Teacher’s name:
Date:
Daily routines/Activities
What do we expect all children to do?
How is this child doing?
What’s the concern?
r Good
r Needs support
r Needs enrichment
r Good
r Needs support
r Needs enrichment
r Good
r Needs support
r Needs enrichment
r Good
r Needs support
r Needs enrichment
r Good
r Needs support
r Needs enrichment
r Good
r Needs support
r Needs enrichment
r Good
r Needs support
r Needs enrichment
NCQTL
For more information, contact us at: NCQTL@UW.EDU or 877-731-0764
This document was prepared under Grant #90HC0002 for the U.S. Department of Health and Human Services, Administration for Children and Families,
Office of Head Start, by the National Center on Quality Teaching and Learning.
WINTER 2014
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