Site Visit

  • Start Time

  • School Personnel Involved

  • Required Monthly Rubric Items

  • Other Items Discussed

  • Technical Assistance or Guidance Provided by Sponsor

  • Areas of Strength

  • Compliance Concerns or Suggestions

  • Overall Assessment

  • Items Requiring Follow-up

  • End Time

Student File Checklist

Student Files

  • Student File Checklist

  • Student File
  • Sign-In Sheet Included?

Biographical Information

  • Student Initials

  • Student ID Number

  • Grade Level

  • Birth Certificate with Proper Name/Spelling

  • Explanation

  • Proof of Residency

  • Explanation

Health Information

  • Signed Emergency Medical Release

  • Explanation

  • Immunization Chart

  • Immunizations Current?

  • Explanation

  • Explanation

  • Vision Screening

  • Vision Current? (K, 1, 3, 5, 7, 9, new students)

  • Explanation

  • Explanation

  • Hearing Screening

  • Hearing Current? (K, 1, 3, 5, 9, new students)

  • Explanation

  • Explanation

Academic Information

  • Did student transfer from a different school?

  • Records Release

  • Explanation

  • Transcript from Previous School

  • Number of Release Requests Documented

  • Date of Most Recent Request

  • Most Recent School Grade Report

  • Explanation

  • State Test Results

  • Explanation

Overall Assessment

  • General Comments or Concerns

  • Student File Follow-up Needed?

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