ARM | Assessment Review Form

Assessment Review Form

Complete this form PER STUDENT.
Guardian 1
Guardian 2
Date of Consult

MonthDayYear
Date
Student ID
Account ID
Academic Expecations
Who is doing the enrollment?*
Trial Tutor
Enrollment Director
Who was present at the meeting?*
YesNo
Student Info
Student's Desired Center*
Student's Name
Pronoun
Grade
School
Subject(s)
Siblings
Sibling ages
Sibling Info
YesNoIn Progress
IEP
YesNo
Anxiety
YesNo
Parents Needs Improvement
YesNoMaybe
MotivationStudy SkillsSelf-ConfidenceOrganizational SkillsTest Taking SkillsTurning In Homework
Final Improvements Recommended
- BR Program Recommended
  To add UFLI as supplement go to Reading section.
- BR Program
- AlphabetNumbersCounting to 100
- UFLI Lesson to start
- BR Extras (Monday)
- UFLI Lessons (Monday)
- First Lesson (Letters and sounds 1-32; Phonics 1-64)
- YesNo
- BR Tutor Alerts (ex: Help with writing alphabet)
- BR Curriculum Notes (ex: Add Reading Level 1 as well)
- BR Hours Recommended
- YesNo
- Recognizing LettersConsonant SoundsShort Vowels 1Short Vowels 2Initial Blends and DigraphsFinal Blends and DigraphsBlends - Digraphs - Short VowelsLong Vowels 1Long Vowels 2LnR Modified VowelsVariant and Irregular VowelsCompound WordsSyllabicationRoots and Affixes 1Roots and Affixes 2
- Word Attack Lessons
- Vocab Level
- Comp level
- FluencyHandwritingRFU'sUFLI 15 minUFLI Entire Session
- Additional Curriculum
- Reading Levels Recommended
- Reading Hours Recommended
- Tutor Alert Reading
  (ex: Write out answers, watch b/d flipping)
- Curriculum Notes (ex: Only Comprehension)
- YesNo
- AdditionSubtractionMultiplicationDivision
- Math Facts
- Select Topic 1 (Numerations, Multiplication, etc) with Level (1,2,3, etc)
- Select Topic 2 (Numerations, Multiplication, etc) with Level (1,2,3, etc)
- Select Topic 3 (Numerations, Multiplication, etc) with Level (1,2,3, etc)
- Math Levels Recommended
- Math Hours Recommended
- Math Tutor Alerts (Ex: Focus on lining up math)
- Math Curriculum Notes (Ex: Only do Sub until next level)
- YesNo
- Writing Levels Recommended
- Writing Hours Recommended
- Recommended Starting Writing Level
- Writing Tutor Alerts (Ex:Help with Spelling, etc)
- Writing Curriculum Notes (ex: Notify if too hard / easy)
- YesNo
- Recommended Other Curriculum
  Put Subjects here
- Other Tutor Alerts
- Other Curriculum Notes
- Recommended Other Hours Levels
- Recommended Other Hours
- YesNo
- YesNoLater
- Tier 1Tier 2Tier 3
- Hours for Study Skills
- Study Skills Tier? Monday
- YesNoLater
- YesNo
- YesNoYes with limits
- Homework Notes
- YesNo
- About Student (for Student Binder)
- ❌ Academic Goals (for Student Binder)
- Academic Goals (for Student Binder)
- Binder Notes
- Total Hours Recommended*
- EnrollFollow upAdditional Assessment(s)
- Follow up Date
  
  MonthDayYear
  Date
- Additional Asssessment to be done
- Package Discussed
- Assessment Notes
- Should be Empty:

Assessment Review Form

Student Info