Instructions for PEAK Assessment Electronic Data Sheet

1. Enter the student's name, classroom, and building location on the Triangle Tab.
2. Enter the date and assessor name on the Triangle Tab next to the color you would like
associated with this assessment.
3. On the Data Tab, enter the date of the assessment next to any skill the student
has demonstrated mastery of.
- Be sure the date is the same as the date entered on the Triangle Tab.
4. The triangle on the Triangle Tab should be filled in for a visual representation of the
student's progress.
 1A 1B

2A 2B

3A 3B 3C 3D

4A 4B 4C 4D 4E 4F

5A 5B 5C 5D 5E 5F 5G 5H

6A 6B 6C 6D 6E 6F 6G 6H 6I 6J

7A 7B 7C 7D 7E 7F 7G 7H 7I 7J 7K 7L

8A 8B 8C 8D 8E 8F 8G 8H 8I 8J 8K 8L 8M 8N

9A 9B 9C 9D 9E 9F 9G 9H 9I 9J 9K 9L 9M 9N 9O 9P

10A 10B 10C 10D 10E 10F 10G 10H 10I 10J 10K 10L 10M 10N 10O 10P 10Q 10R

11A 11B 11C 11D 11E 11F 11G 11H 11I 11J 11K 11L 11M 11N 11O 11P 11Q 11R 11S 11T

12A 12B 12C 12D 12E 12F 12G 12H 12I 12J 12K 12L 12M 12N 12O 12P 12Q 12R 12S 12T 12U 12V

13A 13B 13C 13D 13E 13F 13G 13H 13I 13J 13K 13L 13M 13N 13O 13P 13Q 13R 13S 13T 13U 13V 13W 13X

14A 14B 14C 14D 14E 14F 14G 14H 14I 14J 14K 14L 14M 14N 14O 14P 14Q 14R 14S 14T 14U 14V 14W 14X 14Y 14Z

Assessment Date Assessor Name Color

Learner:
Location: Instructor(s):
Program
Number Mastery Date Notes
1A 0
1B 0
2A 0
2B 0
3A 0
3B 0
3C 0
3D 0
4A 0
4B 0
4C 0
4D 0
4E 0
4F 0
5A 0
5B 0
5C 0
5D 0
5E 0
5F 0
5G 0
5H 0
6A 0
6B 0
6C 0
6D 0
6E 0
6F 0
6G 0
6H 0
6I 0
6J 0
7A 0
7B 0
7C 0
7D 0
7E 0
7F 0
7G 0
7H 0
7I 0
7J 0
7K 0
 7L 0
8A 0
8B 0
8C 0
8D 0
8E 0
8F 0
8G 0
8H 0
8I 0
8J 0
8K 0
8L 0
8M 0
8N 0
9A 0
9B 0
9C 0
9D 0
9E 0
9F 0
9G 0
9H 0
9I 0
9J 0
9K 0
9L 0
9M 0
9N 0
9O 0
9P 0
10A 0
10B 0
10C 0
10D 0
10E 0
10F 0
10G 0
10H 0
10I 0
10J 0
10K 0
10L 0
10M 0
10N 0
10O 0
10P 0
10Q 0
10R 0
11A 0
11B 0
11C 0
11D 0
11E 0
11F 0
11G 0
11H 0
11I 0
11J 0
11K 0
11L 0
11M 0
11N 0
11O 0
11P 0
11Q 0
11R 0
11S 0
11T 0
12A 0
12B 0
12C 0
12D 0
12E 0
12F 0
12G 0
12H 0
12I 0
12J 0
12K 0
12L 0
12M 0
12N 0
12O 0
12P 0
12Q 0
12R 0
12S 0
12T 0
12U 0
12V 0
13A 0
13B 0
13C 0
13D 0
13E 0
13F 0
13G 0
13H 0
13I 0
13J 0
13K 0
13L 0
13M 0
13N 0
13O 0
13P 0
13Q 0
13R 0
13S 0
13T 0
13U 0
13V 0
13W 0
13X 0
14A 0
14B 0
14C 0
14D 0
14E 0
14F 0
14G 0
14H 0
14I 0
14J 0
14K 0
14L 0
14M 0
14N 0
14O 0
14P 0
14Q 0
14R 0
14S 0
14T 0
 14U 0
14V 0
14W 0
14X 0
14Y 0
14Z 0

Total Score: 0