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					                     Teacher

      Child’s Name




Alt.ernate
Ranking


Knows
sounds


Reads easy
patterned
text


Reads on 1st
grade level or
above

Non-reader

Knows
alphabet

Grasps new
skills quickly


Behavior/
Short atten.
span/ Imm.

Parental Help


Kdg. Repeat.


Testing
should be
consid./
Referred


Retention
Rec.

Speech prob./
Place.


Attend. Prob./
frequent
moves

Reading Ren.
 range
To = T
With = W
Indepen. = I


Dominie Text
Level


Helpful
Comments

				
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posted:3/29/2012
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