1. Early Learning Standard: Identify an early learning standard from the CT ELDS or your state’s early learning standards.

· Domain:

· Strand:

· Learning Progression:

· Indicator:

· Source:

2. Objective (Begin with the words, “The children will….”

3. Assessment: Describe the assessment tool that you will use to assess the objective for your activity. (NAEYC: 3a)

4. Instructional Procedure: (NAEYC: 5c): Describe the lesson to show how you would engage and teach children to ensure that you meet your stated objective.

· Introduction (how you begin the lesson)

· Content of Lesson (brief description)

· Closing (how you end the lesson)

5. Health Problem or Disorder to Assess: You are only required to assess one issue, such as vision, hearing, speech, and language, or motor ability.

6. Activity Choice: Describe why you chose this activity and how this activity will identify the problem or disorder.

7. Assessment Method and Tools: Describe the method you will use to record your findings for each individual child.

8. Home-School Connection: Describe how this assessment activity could be replicated in the home.

9. What Observations would indicate the need for further screening or referral?

image1.png

image2.png