1. K Screener

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1 RECOMMENDED PLACEMENT                      
2 Previous school exp Y/N Siblings Primary Language Handed Books Prescreen Data NOTES
3 Student Last Name Student First Name Student ID # Gender Federal Ethnicity Category SpEd ELL Low GRADE TEACHER Student Promotion Index (SPI) Score ADK AM PM Y/N Eng/Sp L/R/B 1 - Never; 2 - infreq; 3 - 3 a wk; 4 - daily Prints Name Recog 0-10 in random order Counts up to 10 objects Retell familiar story Able to concent. for 5 mins Recog & express feelings Waits for a turn Tells story w/ details in order Colors & cuts with ease Counts to 30 Recog ABC in random order Recog & draws shapes Holds a pencil correctly Engages in Conver. Adapts to larger group Rhymes words
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