CHILD REPORT

Appendix C You may copy and paste the information below to form the basis of your written paper. Items in bold are to be your paragraph headers

Teacher Interview Summary Paper

I. Pseudonym for child (do not use real name).

II. Teacher(s) interviewed

a. For each teacher you interviewed, list and describe the relationship to the child, how often the person is in contact with the child, and other pertinent information describing the relationship.

III. Raw notes

a. Provide a minimum of three pages of raw interview notes (running and/or anecdotal notes).

IV. Interview Log – keep a running log with the information below for each interview session.

Date	Time Began	End time	Total time	Interview Setting(s)

Provide a written justification for the selection of interview periods and settings.

V. Pertinent demographic information about child provided by the teacher

a. Describe the child (age, educational setting, temperament, etc.)

b. If this is the child with or with a disability, have the teacher indicate information about the child’s disability (i.e. describe the diagnosis, disability, and related characteristics).

The remaining paragraphs should be your summary (based upon your teacher interview). Use language related to the five developmental domains and criteria as mentioned in the Course Requirements.

2. The child’s current abilities

3. The child’s emerging skills

4. The child’s interests, likes, and dislikes

5. The child’s learning/behavioral needs

Note:

1. You are to complete 2 Teacher Interview summaries (one teacher for each child).

2. For all written assignments you are to use 12-point New Times Roman font, Microsoft WORD, 1” margins and single space, and include a title page. Careful attention to spelling/grammar is expected.

Appendix D

You may copy and paste the information below to form the basis of your reflection structure. Items in bold are to be your paragraph headers. Each reflection needs to be properly identified (i.e., Child Observation Reflection, Parent Interview Reflection, Teacher Interview Reflection) and appropriately placed following the corresponding data gathering components in the child reports. Also refer to additional criteria that must be met as explained in Course Requirements.

Observation/Interview Reflection Paper

I. Write 1-2 paragraph(s) describing what you did particularly well.

II. Write 1-2 paragraph(s) describing what you could have done better.

III. Write 1-2 paragraph(s) describing steps that you can take to improve skills (observation/running notes/interviews).

Note:

1. You are to complete 3 reflection papers per child (one for child observation, one for parent/family interview; one for teacher interview)

2. Criteria for evaluation include accuracy, thoughtfulness, depth, and logical deductions

3. For all written assignments you are to use 12-point New Times Roman font, Microsoft WORD, 1” margins and single space, and include the correct title page. Careful attention to spelling/grammar is expected.