TWO OPTIONS: OPTION 1
You may choose to complete this description of your child and
send it to the Child Study Team Contact Person before the Evaluation or Individualized Education Program meeting to provide a picture of your child which may be used in establishing your child's present levels of education performance.
A PICTURE OF _____________________________
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Photo of Your |
1. Who is __________________________________________? (Describe your child, including information such as place in the family, personality, likes and dislikes.)
2. What are ________________________________________'s strengths? (Highlight all areas in which your child does well, including educational and social environments.)
3. What are ____________________________________________'s successes? (List all successes, no matter how small they may seem to you.)
4. What are ______________________________________________'s greatest challenges?
(List the areas in which your child has the greatest difficulties.)
5. What supports are needed for ________________________________________? (List supports that will help your child achieve his / her potential.)
6. What are our dreams for ____________________________________? (Describe your vision for your child's future. Include both long term and short term goals.)
7. Other helpful information. (List any pertinent information, including health care needs, that have not been detailed elsewhere on the form.)
DEVELOPING A PICTURE/PROFILE OF YOUR CHILD
TWO OPTIONS: OPTION 2
Child Profile for _________________________________________________
As a parent, you have many chances to observe your child. You see your child in many different situations - at home, the playground, the daycare center, or around the neighborhood. You know how your child acts in new situations, reacts to adults and other children, and makes needs and wants known. All of this information is very helpful to other team members. Please fill out this form and share it with the CST. This information will help other team members learn about your child's strengths and needs as they plan your child's new program.
Cognition
How well does your child understand and remember experiences? Does your child know his/her name? How about basic colors, shapes, and body parts? Can your child remember where things belong in your home, match objects that are the same, and tell when two things are different? Can your child tell a simple story and remember what comes first, next, or last in a game or activity? Does your child know where he/she lives?
My child is able to: My child has not yet learned to:
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
Communication
How does your child make needs and wants known - by using sounds, words, or gestures? How well does your child understand what others are saying? Watch how your child responds to requests or commands. If your child uses words, are most of the words easily understood by others? If not, does your child understand most of what other people say? Are there certain sounds that your child has trouble pronouncing? If you tell a simple story, can your child answer two or three questions about it afterwards? Have you ever wondered about your child's ability to hear?
My child is able to:
My child has not yet learned to:
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
Movement
How well does your child use and coordinate movements? Think about your child's large muscle movements. Does your child roll over, pull to standing, and sit either
with or without help? What about crawling, creeping, or walking with help or alone? Does your child try to run or climb stairs?
My child is able to:
My child has not yet learned to:
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
Social Interaction
How does your child react to other children and adults? Does your child smile when called by name? Can your child play alone for a short period of time? How about playing close to other children in a small group? How does your child react to strangers? What does your child do when left with a new baby-sitter? What makes your child happy or upset? What calms your child? How would you describe your child's temperament?
My child is able to:
My child has not yet learned to:
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
Daily Routine
What kinds of things does your child do during daily activities? Is your child nursing, drinking from a bottle, or drinking from a cup? Does your child eat solid food, finger foods, or try to self-feed? Have you begun any toilet training? Does your child sleep through the night, take naps, or have difficulty calming down to go to sleep? Does your child try to undress by pulling off socks or pajamas? Does your child enjoy taking a bath?
My child is able to:
My child has not yet learned to:
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
____________________________________ ____________________________________
Complete each statement below:
1) Three words that best describe my child are _______________________________________
______________________________________________________________________________
2) My child's best times of the day are ______________________________________________
3) My child has a difficult time when _______________________________________________
4) My child's favorite toys are ____________________________________________________
5) My child's favorite activities are _________________________________________________
6) My child's favorite foods are ___________________________________________________
7) The most important thing I want other team members to know about my child is __________
______________________________________________________________________________
8) Other special things about my child are ___________________________________________
9) My biggest concerns about my child are __________________________________________
10) Something my child has just learned to do that we are very proud of is _________________
______________________________________________________________________________
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