Elementary 3rd - 5th Grade: Progress Monitoring Form 20 - 20

Elementary 3rd – 5th Grade
Progress Monitoring Form

20___ - 20___
Grade Level: __________
Student Name: ______________________________ Teacher: __________________________
Phone #___________________ ID#__________ # of Years in U.S. Schools: ________
(Starting in 1st Grade)
DEMOGRAPHICS Retention: K 1 2 3 4 5
□ Non-LEP
□ ELL □ SPED □ Migrant □ Eco. Dis. □ GT □ At Risk □ 504 □ Recent
□ M1
Immigrant
□ M2
TELPAS Listening Speaking Reading Writing Composite

2016-17 TELPAS (B, I, A, AH)
2017-18 TELPAS (B, I, A, AH)
STAAR DATA
READING MATH WRITING/SCIENCE
Assessments
Masters Grade
Masters Grade
Masters Grade
Did NOT Meet
Did NOT Meet
Did NOT Meet
Meets Grade
Meets Grade
Meets Grade
Grade Level
Grade Level
Grade Level
Grade Level
Grade Level
Grade Level
Approaches
Approaches
Approaches
Language
Language
Language
SE- STAAR Eng.
SS-STAAR Span.
Level
Level
Level
Level
Level
Level
2015-2016
2016-2017
2017-2018
Six Weeks Assessments:

Subject Lang. #1 #2 #3 #4 #5 #6
Math
Reading
Writing
Science
Campus Assessments/District ASSESSMENT DATA
 Campus  Campus  Campus  Campus  Campus
Goal
Lang.
 District  District  District  District  District

Date: ________ Date: ________ Date: ________ Date: ________ Date: ________
Reading
Math
Writing
Science
REPORT CARD: See Attachment
Attendance (# of Days Absent) :

1ST Six Weeks 2nd Six Weeks 3rd Six Weeks 4th Six Weeks 5th Six Weeks 6th Six Weeks TOTAL
September October November January February March April May

Reading
Math
I-Station :
TUTORING:
Monday Tuesday Wednesday Thursday Friday
Reading
Math
Writing
Science
RTI 504 Mental Impairment Physical Impairment
Tier 1 Tier 2 Tier 3 Instruction:
Accommodations
Start Date
Strategies:
Evaluation Date
Testing:
Skill of Intervention
TESTING ACCOMODATIONS ACCELERATED READER

□ Oral Administration Grade Level Goal: ____________
□ Extended Time Six Weeks Goal Word Count
□ Reminders to stay on task 1st
□ Small Group 2nd
□ Reading Support
3rd
□ Charts/Graphic Organizers/ Calculators
□ Bilingual Dictionary (Math/Science) 4th
□ Dictionary (ELAR/SLAR) 5th
□ One to One Testing
6th
1st Six Weeks
Is the student in need of intervention? ____Yes ____ No

* Complete the form below only if the student received a grade below 70% on Report Card or Assessment Data.
Excellent Satisfactory Needs Improvement Referrals:

Conduct
SUBJECT: ___________________________
Target Skill(s): __________________________________

__________________________________
__________________________________
__________________________________
Interventions COMMENTS:
SUBJECT:
After _________________________
School Tutoring Sheltered Instruction Observation Protocol (SIOP) CEI Lab
___________________________
Saturday Tutorials Reading Eggs Program Hands-On Activities
Target Group
Peer/Small Skill(s): __________________________________
Tutoring Dual Language Instruction Counseling ___________________________
Think Through Math __________________________________
Content Area Camps Immediate Feedback
I-Station Journal Writing
__________________________________ Morning Intervention ___________________________
Family Reading/Math Leveled Readers Planning/Intervention
__________________________________
Emergent Literacy Instruction Mentor RTI ___________________________
Literacy Teacher Intervention Reading Renaissance (A.R.) Individual Goals Other
Guided Reading Content Mastery
___________________________
Fluency Checks Pull Out ___________________________
___________________________
PARENT CONFERENCES:
Date Reason Plan of Action Parent Signature
2nd Six Weeks

 Complete the form below only if the student received a grade below 70% on Report Card or Assessment Data.

Conduct
SUBJECT: ___________________________
Target Skill(s): __________________________________

__________________________________
__________________________________
__________________________________
AfterSUBJECT:
School Tutoring _________________________
Sheltered Instruction Observation Protocol (SIOP) CEI Lab
___________________________
Target
Peer/Small Skill(s):
Group Tutoring __________________________________
Dual Language Instruction Counseling ___________________________
Emergent Literacy Instruction
__________________________________
Mentor RTI ___________________________
___________________________
___________________________
PARENT CONFERENCES:
3rd Six Weeks


Conduct
SUBJECT: ___________________________
Target Skill(s): __________________________________

__________________________________
__________________________________
__________________________________
SUBJECT:
After _________________________
___________________________
Target Group
__________________________________
___________________________
___________________________
PARENT CONFERENCES:
4th Six Weeks


Conduct
Target Skill(s): __________________________________
__________________________________
__________________________________
__________________________________
SUBJECT: _________________________
Sheltered Instruction Observation Protocol
After School Tutoring (SIOP) CEI Lab ___________________________
Target Group
I-Station __________________________________
Journal Writing Morning Intervention ___________________________
__________________________________ ___________________________
Emergent Literacy Instruction Mentor RTI
Literacy Teacher Intervention Reading Renaissance (A.R.) Individual Goals Other ___________________________
___________________________
PARENT CONFERENCES:
5th Six Weeks


Conduct
Target Skill(s): __________________________________
__________________________________
__________________________________
__________________________________
SUBJECT: _________________________
After School Tutoring Sheltered Instruction Observation Protocol (SIOP) CEI Lab
___________________________
Target
Peer/SmallSkill(s): __________________________________
Group Tutoring Dual Language Instruction Counseling ___________________________
__________________________________
___________________________
___________________________
PARENT CONFERENCES:
6th Six Weeks


Conduct
Target Skill(s): __________________________________
__________________________________
__________________________________
__________________________________
SUBJECT:
After _________________________
___________________________
Target Group
__________________________________
___________________________
___________________________
PARENT CONFERENCES:
End of Year Recommendations for

2019-2020 School Year
READING MATHEMATICS
Performance: Performance:
 Masters Grade Level  Masters Grade Level
 Meets Grade Level  Meets Grade Level
 Approaches Grade Level  Approaches Grade Level
 Did Not Meet Grade Level  Did Not Meet Grade Level
Did student receive during school interventions? Did student receive during school interventions?
 Yes  Yes
 No  No
Did student receive tutoring services? Did student receive tutoring services?
 Yes  Yes
 No  No
What setting works for the student? What setting works for the student?
The student needs the following strategies to be The student needs the following strategies to be
successful: successful:
1. ________________________________ 1. ________________________________
2. ________________________________ 2. ________________________________
3. ________________________________ 3. ________________________________
4. ________________________________ 4. ________________________________
5. ________________________________ 5. ________________________________
RTI status (if student had a packet) RTI status (if student had a packet)
Teacher Signature: __________________________________________
Date: ______________________

Elementary 3rd - 5th Grade: Progress Monitoring Form 20 - 20

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Elementary 3rd - 5th Grade: Progress Monitoring Form 20 - 20

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Copyright:

Available Formats

Elementary 3rd – 5th Grade

Progress Monitoring Form

TELPAS Listening Speaking Reading Writing Composite

Did NOT Meet

Six Weeks Assessments:

 District  District  District  District  District

Attendance (# of Days Absent) :

September October November January February March April May

RTI 504 Mental Impairment Physical Impairment

Tier 1 Tier 2 Tier 3 Instruction:

TESTING ACCOMODATIONS ACCELERATED READER

Is the student in need of intervention? ____Yes ____ No

Excellent Satisfactory Needs Improvement Referrals:

Target Skill(s): __________________________________

2nd Six Weeks

Is the student in need of intervention? ____Yes ____ No

Excellent Satisfactory Needs Improvement Referrals:

Target Skill(s): __________________________________

3rd Six Weeks

Is the student in need of intervention? ____Yes ____ No

Excellent Satisfactory Needs Improvement Referrals:

Target Skill(s): __________________________________

4th Six Weeks

Is the student in need of intervention? ____Yes ____ No

Excellent Satisfactory Needs Improvement Referrals:

5th Six Weeks

Is the student in need of intervention? ____Yes ____ No

Excellent Satisfactory Needs Improvement Referrals:

6th Six Weeks

Is the student in need of intervention? ____Yes ____ No

Excellent Satisfactory Needs Improvement Referrals:

End of Year Recommendations for

Teacher Signature: __________________________________________

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