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Student Name TN ID
Student Birthdate Age Gender
Birth Country Language
School Grade
District Date 1st US School
Check here if:
Test Year
Performance Level Listening Speaking Reading Writing Oral Literacy Comprehension Composite
Expected Current Year Expected Growth for 2016-17 WIDA Accountability Growth Score to Meet One Year Students in Grade Level Composite Score Standard Accountability Growth with Same Prior Year Standard Score
Considerations:
Composi te Sco re
5
(^4) 3.6 3.
3
2
1
0 2016 2017
Stu dent Progr ess
4.5 (^) 3.94. 1
(^4) 3.4 3.
3 2.
2
1
0
2016 2017
Learning Improvement Goals
When developing goals, consider the Can Do Descriptors for the subsequent level in each domain.
Listening
Speaking
Reading
Writing
Literacy
Observed Learning Outcomes
Please provide specific observed outcomes using quantifiable information where possible.
Listening
Speaking
Reading
Writing
Literacy
Accommodations
Check the box for each accommodation used/needed.
Instruction Visuals (pictures, charts, graphs, etc.) Word-to-word dictionaries Bilingual dictionaries Graphic organizers Colored screens, changing font, changing text size, etc. Read aloud (assignments) Extended time Rewording/simplification of instructions Frequent and multiple checks for understanding Other:
Environment & Setting Cooperative learning groups Proximity to teacher, white/interactive board, charts, posters, etc. Same language peers (if available), peer pairing, cooperative learning arrangement Other:
Formative Assessments Read aloud items and choices (not ELA/social studies) Extended time Word-to-word dictionary Alternate format (visual cues, oral Q&A, etc.) Colored screens, changing font, changing text size, etc. Other:
Summative Assessments Read aloud science, math, and social studies items and choices* Extended time Word-to-word dictionary* Rest breaks Unique Accommodation Request