Innovative Testing & Evaluation Services

Shelly Taylor’s

INNOVATIVE TESTING & EVALUATION SERVICES

PO Box 167 Phone 717-938-1135

EVALUATION WORKSHEET

NAME: ______TELEPHONE #: ______

GRADE: ______E-MAIL: ______

ADDRESS: ______

PARENT’S NAME ON AFFIDAVIT: ______

Does your portfolio include documentation for each subject?YES NO

If you are in grades 3, 5, or 8, what standardized test did/will you take this year? ______

Special note: Students in grades 9-12 who are going through a diploma program: it is mandatory you fill out the form: COURSE DESCRIPTION AND CREDITS EARNED.

Students in 7th grade and older should fill out HIGH SCHOOL PLANNING FORM.

Both forms can be found at:

List major social, academic, or ministry oriented, extra curricular activities, and/or awards:

List a few of your favorite or most memorable field trips. A complete list can be included in your portfolio.

MATH: Course Title: ______

Curriculum Used: (please limit to 3)

List 4 areas or topics covered in this math course:

Make comments or list challenges concerning this year’s math studies:

ENGLISH/LANGUAGE ARTS: Course Title: ______

Curriculum Used: (please limit to 3)

Is a book list included in your portfolio? YES NO Number of books read this year: ______
Your favorite book and/or author:

For student in 9-12 grade, list title and author of “classics” read this school year: (please limit to 3)

Does your portfolio contain 4-10 composition/writing samples? YES NO

SCIENCE / HEALTH: Course Title: ______

List curriculum and/or books used: (please limit to 3)

List five topics you covered in science this year:

From science, I particularly enjoy learning about ______because:

SOCIAL STUDIES: Course Title: ______

List curriculum and/or resources used: (please limit to 3)

List five topics you covered in social studies this year:

From social studies, I particularly enjoyed studying about ______because:

OTHER SUBJECTS:

Any comments about physical education?

Any comments about an art education?

Any comments about music education?

Did you have an on going fire and safety education program? YES NO

GRADES 9 - 12:

Did you give a speech this year? YES NO If yes, give title, when, and where given:

MANDATORY: Course Description and Credit Earned form to be filled out for Short Form w/Credit or Detailed Evaluations. Mail, along with this Evaluation Worksheet, to Shelly one week before evaluation.