Name: ____________________________
Evaluator(s): _______________________
Date:
| Component |
Evaluation
Inadequate Adequate Exceptional
|
1. Background and context of
problem
- Problem is identified in observable,
measurable terms
- Present level of performance
vs.
expected level
- Baseline data
|
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2. Description and analysis of the
problem
- Problem Solving Assessment methods
used
- Discussion of functional hypothesis
generated
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3.
- Link problem analysis data
with goals
for intervention
- Describe most enabling environment
for this student
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4. Provide specific description of the
intervention (individual, group,
organizational) and steps for
implementation |
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5. Discuss collaborative efforts with
family, school, and/or community-
based individuals
|
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6. Provide outcome data
- Change in behavior/skills
- Progress toward goals
|
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7. Preparation for Presentations
- Case Organization
- Overheads, etc.
|
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Overall evaluation of comprehensive exam:
Pass __________ Fail ___________
Retake (explain on reverse) __________
Pass with reservation (explain on reverse) __________