| |
|
|
|
|
|
|
|
|
|
|
| Student's Name |
Teacher
/ Counselor |
|
|
|
|
Date |
Case # |
|
|
| Student Development Matrix |
|
| |
School
Assessment |
Program Assessment |
Assessment Key |
|
| |
Starting |
Ending |
2 |
3 |
4 |
5 |
5 |
- Thriving |
|
| Relationships with friends
& adults |
|
|
|
|
|
|
4 |
- Safe/Self-Sufficient |
|
| Sense of fair
play/cooperation |
|
|
|
|
|
|
3 |
- Stable |
|
|
| Leadership
Skills |
|
|
|
|
|
|
2 |
- At Risk |
|
|
| Teamwork |
|
|
|
|
|
|
1 |
- In Crisis |
|
|
| Ability to follow directions |
|
|
|
|
|
|
Assessment Dates |
|
| Makes wise decisions |
|
|
|
|
|
|
2) |
4) |
|
|
| Study Skills |
|
|
|
|
|
|
3) |
5) |
|
|
| Description of Key Terms |
|
| Thriving |
|
|
|
|
|
|
|
|
|
|
| Consistently respects others'
opinions and is able to express their beliefs in a non-confrontational
manner. |
|
|
|
| Shows compassion and concern for
others. |
|
|
|
|
| Demonstrates and models good
organizational skills. Serves as a positive role model for peers. |
|
|
|
| Consistently works well with
others. |
|
|
|
|
| Consistently follows directions and
listens. |
|
|
|
|
| Makes wise decisions. |
|
|
|
|
| Completes tasks in a timely &
orderly fashion. |
|
|
|
|
| |
|
|
|
|
| Safe / Self-Sufficient |
|
|
|
|
|
|
|
|
|
|
| Respectfully listens to others'
opinions. |
|
|
|
|
| Understands and respects the rights
of others. |
|
|
|
|
| Recognizes and is influenced by
positive role models. |
|
|
|
|
| Works well with others in most
situations. |
|
|
|
|
| Understands directions and
complies. |
|
|
|
|
| Makes safe decisions. |
|
|
|
|
| Needs little direction to complete
tasks in timely orderly fashion. |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
| Stable |
|
|
|
|
|
|
|
|
|
|
| Expresses own opinions but may have
difficulty listening to opinions of others. |
|
|
|
| Understands their right to make
choices. |
|
|
|
|
| Recognizes healthy leadership but
displays no interest in taking leadership. |
|
|
|
|
| Works well with others in certain
situations. |
|
|
|
|
| Cooperates but may not always
understand directions. |
|
|
|
|
| Seeks others' advice in making
decisions. |
|
|
|
|
| Displays interest in completing
tasks. |
|
|
|
|
| |
|
|
|
|
| At-Risk |
|
|
|
|
|
|
|
|
|
|
| Shows inappropriate responses to
others' opinions. |
|
|
|
| Shows little compassion and concern
for others. |
|
|
|
| Strongly influenced by peers'
decisions. |
|
|
|
| Works with others but requires
supervision. |
|
|
|
| Exhibits attitude and requires
monitoring. |
|
|
|
| Sometimes intimidates others. |
|
|
|
| Shows little pride in completed
tasks. |
|
|
|
| |
|
|
|
| In Crisis |
|
|
|
|
|
|
|
|
|
|
| Shows a total disregard for others'
opinions and usually resorts to physical violence. |
|
|
|
| Isolated and withdrawn. |
|
|
|
| Makes decisions with total
disregard for others. |
|
|
|
| Is unable to work with others. |
|
|
|
| Refuses to listen. |
|
|
|
| Frequently intimidates others; is
viewed as a "bully." |
|
|
|
| Refuses to complete tasks. |
|
|
|
| |
|
|
|
|
|
|
|
revised
5-30-01 rsk |
|
|
|
|
|
|
|
|
|
|
|
|