CHILD REPORT

Appendix A

(This is the recommended format for the child reports. It ensures that all required components are addressed and included in each child report.)

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

CHILD REPORT (Identify 1 or 2)

Child Observation Summary

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

II. Raw notes

a. Submit a minimum of 4 pages of raw notes (running and/or anecdotal notes)

III. Observations Log – keep a running log with the information below for each child

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

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

IV. Pertinent demographic information about child as gathered from child observations only

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

b. Indicate if this is the child with or with a disability. If it is the child with a disability, describe the diagnosis, disability, and related characteristics.

The remaining paragraphs should be your summary (based upon your observations across settings) of the child. Use language related to the five developmental domains and criteria as mentioned in the Course Requirements.

V. The child’s current abilities

VI. The child’s emerging skills

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

VIII. The child’s learning/behavioral needs

Note:

1. You are to complete 2 Child Observation summaries (one 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 B

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

Parent/Family Interview Summary

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

II. Indicate family member(s) interviewed.

a. For each family member 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 family

b. Describe the child (useful information about child’s experiences and life at home, etc., as gathered during the parent interview only)

c. If this is the child with or with a disability, 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 observations across settings) of the child. Use language related to the five developmental domains and criteria as mentioned in the Course Requirements.

IX. The child’s current abilities

X. The child’s emerging skills

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

XII. The child’s learning/behavioral needs

Note:

1. You are to complete 2 Parent/Family Interview summaries (one parent/family 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.