ACADEMIC READINESS GUIDE
Your child's name
First Name
Last Name
Today's date
-
Month
-
Day
Year
Date
Your child's DOB
Your email
example@example.com
Does your child know
his/her first name
last name
phone number
birthday
address
Can your child write
his/her first name
last name
phone number
birthday
address
Can your child
tie shoes
zip
snap
button a shirt
dress to go outside
dress after using a bathroom
Does your child know these colors?
Primary colors (red, blue, yelllow)
purple
pink
green
brown
orange
gold
black
white
tan
Does your child know these numbers?
0
1
2
3
4
5
6
7
8
9
10
How high can your child count?
not at all
up to 5
up to 10
up to 20
up to 40
up to 50
up to a 100
Does your child know odd and even numbers?
yes
not at this time
Can your child repeat a series of four numbers after hearing them once (example; 3-5-4-7)?
yes
not at this time
Can your child draw or copy a square?
yes
not at this time
Does your child know the names of the following shapes?
circle
square
rectangle
triangle
diamond
oval
Can your child sing or recite the alphabet?
yes
not at this time
Type the alphabet letters your child recognizes. Please show them as listed ~ out of order. B__ E__ X__ F__ A__ O__ P__ C__ W__ Z__ D__ M__ G__ J__ N__ K__ H__ V__ I__ L__ Q__ S__ U__ R__ T__ Y__
Submit
Should be Empty: