Middle school checklist



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MIDDLE SCHOOL CHECKLIST
ACADEMIC

Yes No


Participate in 5 general education classes and meet academic expectations with necessary

modifications



Complete class work in class as class work

Complete homework at home as homework

Come with working homework completion plan and parental participation with homework

Study and complete homework with peers

Be organized, follow organizational system

Organize work area in general education class

Plug in computer

Transport materials to general education class

Be on time to class

Follow general education class guidelines

Follow assignment format, including paper heading in general education

Check locker before class at appropriate times

Pay attention in class

Answer questions in class

Ask questions in class

Go with LINK to class without staff support

Comments: ________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________
COMMUNICATION

Yes No


Communicate sorrow and remorse

Make appropriate comments

Use appropriate greetings spontaneously or as a response

Tell the teacher when one needs to leave the room

Speak clearly

Communicate problem or need in an appropriate way

Appropriately tell others when one wishes to be left alone

Facilitate with others

Free arm, hand, and fingers in order to facilitate

Ask questions

Answer questions

Comments: ________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________
SOCIALIZATION

Yes No


Initiate communication with peers

Go to class with peers

Go to cafeteria with peers

Interact with classmates and teacher in class

Interact appropriately in group activities

Interact in appropriately in peer conferences

Interact in appropriate horseplay

Express likes and dislikes

Wear appropriate clothing for peer group

Validate friendships

Minimize self stimulation during social periods and extracurricular periods

Choose and interact with appropriate peer group

Initiate appropriately enjoyed activities during free time

Expect that child will interact in appropriate social activities and horseplay

Comments: ______________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

INDEPENDENCE

Yes No


Go to bathroom independently

Button, unbutton, zip, unzip independently and at correct times

Wash and dry hands after using restroom

Do errands with LINKs

Cafeteria line with/without LINK

Move to and from bus

Appropriate hygiene

Operate combination locker

Use Kleenex

Tie shoes

Express important personal information (i.e., “my family does not celebrate Christmas”)

Follow schedule

Use TEACH functionally

Move from door to bus independently

Comments: _________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________
BUILDING NORMS

Yes No


Age-appropriate attire

Quite in halls

Walk at steady pace, no holding hands

Follow and understand basic school rules and procedures

Engage in extracurricular activities with LINK support

Follow and understand cafeteria rules

Appropriately use drinking fountain

Age-appropriate behaviors (i.e., no sucking thumbs)

Comments: _________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________



BEHAVIORAL

Yes No


Exit general education and return to Room # _______.

Understand one’s own behavior system

Operate within a working behavioral system that is ready for the middle school

Use TEACH functionally

Work out behavior problems before aggression

Use appropriate physical contact with LINKs

Follow timeout procedures appropriately and come with working timeout plan if

appropriate

Comments: _______________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________


OTHER INFORMATION WHICH MAY BE REQUESTED

Yes No


Current politics of parent/program relationship

Techniques which are effective with parents

Outwardly visible signs given off by the student which may indicate anger, potential

outburst, sickness, etc.



Names of previous LINKs and those coming to receiving school who may already have

relationship with student (staff members included)



Health and medical information

Familiar environmental items such as family pictures which have been posted over

student desk



List of activities in which student enjoys engaging

Comments: _______________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________



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