Mod/Sev/Profound MIDDLE Checklist 1
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Mod/Sev/Profound MIDDLE Checklist 1 Student Initials ______
Jackson County Shared Services Special Education Program
Moderate/Severe/Profound Curriculum
Middle School Checklist
4/6/18 Mod/Sev/Profound MIDDLE Checklist 2 Student Initials ______Middle School (Ages 11-15) Student Name ______Age ______Date ______
Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Domain: Cognitive-Functional Academics Basic Counts by rote from 0-200 Concepts, Reads number symbols 0-200 Facts, and Writes number symbols 0-200 Procedures Reads number words zero-fifty Writes number words zero- fifty Demonstrates place values of 2,3,digit numerals (10’s, 100’s) Knows how to add with regrouping Can point to the fractional parts 1/2, 1/3, 1/4, 2/3, 3/4, when presented with diagrams of these fractional part. Relates fractional parts to liquid, dry and linear measure Measure- Uses thermometer to take ment body temperature States that normal body temperature is 98.6 F. Illustrates meaning of 1/2 and 1/4
4/6/18 Mod/Sev/Profound MIDDLE Checklist 3 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Tells what an ounce is (unit of measure) States the number of ounces in a pound States that some produce items and meat are usually sold for certain price per pound Utilizes liquid measurements in following cooking recipes. Time Tells time to the minute Time Constructs various time (cont.) schedules for activities such as school, church, meals, etc, Sets an alarm clock for any particular hour Tells that most public transportation runs on prescribed time schedules Secures information related to public transportation time schedules Tells what daylight saving time is Money Recognizes instantly all coins
4/6/18 Mod/Sev/Profound MIDDLE Checklist 4 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Recognizes the following bills One-dollar bill______Five-dollar bill______Ten-dollar bill______Twenty-dollar bill______Counts up to $5.00 in coins Counts up to $100.00 in bills Makes correct change after purchase up to $25.00 Writes amounts up to $200.00 with proper decimal placements Tells the approximate value of environmental items such as food, clothing, household items, rent, car, etc. Uses newspaper to compare prices on items such as food and clothing Keeps a daily record of personal purchases. Can tell what sales taxes are. Computes sales tax on purchases up to $25.00 Money Tells why it is important to get (cont.) a receipt for purchases Explains the value of standard work rates per hour.
4/6/18 Mod/Sev/Profound MIDDLE Checklist 5 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Computes gross pay for a 40- hour work week at minimum wage Writing See Elementary Section Reading Substitution of initial Consonant Sounds Ending Sounds Auditorily Initial Clusters Auditorily Initial Clusters Visually. Substitution of Initial Cluster Sounds Readily applies reading skills to novel situations. Compre- See Elementary Level hension Domain: Daily Living Personal Uses deodorant as needed Hygiene Practices keeping hair clean and combed Practices regular shaving as needed Practices proper hygiene during menstrual period Tells why body odor begins to be a greater concern during adolescence
4/6/18 Mod/Sev/Profound MIDDLE Checklist 6 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Devotes special attention to complexion care Accepts responsibility for keeping clothes clean Determines when clothing needs to be laundered Uses laundry facilities in the home Irons simple pieces of clothing Food, Labels/Names food items in: Nutrition, Produce_____ and Meats______Cooking Condiments_____ Health_____ Breads/Cereals_____ Dairy_____ Frozen Foods_____ Pharmacy______Paper Products______Snack Foods_____ Tells the amount of foods from the four basic food groups which should be eaten daily Plan well-balanced meals Explains sanitation as it relates to purchasing food, preparation, and storage
4/6/18 Mod/Sev/Profound MIDDLE Checklist 7 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Evaluates his own food habits as related to good nutrition Keeps food, dishes, and the kitchen clean Speaks of the necessity for family financial planning for food. Recognizes safe and unsafe diets Explains there are various ways to serve the same food. Sets table without assistance. Can operate correctly: microwave, oven, stove Plans simple meal Shops/Purchases for simple meal Prepares simple meal Prepares prepackaged food in can/box Food, Prepares five different Nutrition, nutritional lunches and Prepares three different salads Cooking Prepares two different side (cont.) dishes or rice, pasta or potatoes Preventing Explains how a good diet, rest, and and exercise all contribute to staying healthy
4/6/18 Mod/Sev/Profound MIDDLE Checklist 8 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Treating States some information about Illness the causes, symptoms, treatment, and prognosis for the following diseases and disorders Flu______Cancer______Heart Disease_____ Diabetes______Tells the importance of immunization States the importance of water sanitation Tells why sewage should be disposed of properly States the importance of relaxation Explains the importance of rest and restricted activity when ill Uses a thermometer and reads it appropriately Utilizes public health services Gets routine medical and dental examinations Tells it is important to follow the doctor’s recommendations
4/6/18 Mod/Sev/Profound MIDDLE Checklist 9 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Explains the method and appropriate uses of the emergency room at the hospital Alcohol, Tells that alcohol may affect Tobacco, judgment, speech, balance, and vision, and coordination Narcotics States that driving under the influence is against the law States effects of peer group pressure on drinking Tells that many people begin to smoke to gain recognition from peers Tells that smoking may cause lung cancer, bronchitis, emphysema, and heart disease Explains different ways people use tobacco States that there are laws regulating drug use and transportation Explains the harmful effects that volatiles like gasoline, glue, lighter fluid, etc., can have on the body Explains the serious legal and social problems to which drug abuse leads
4/6/18 Mod/Sev/Profound MIDDLE Checklist 10 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Domain: Social /Emotional Social- Participates in classroom, ization school, and community activity Associates closely with peer group Accepts responsibility in group whether as a leader or follower Makes attempt to resolve difficulties in a positive manner Reacts appropriately with members of opposite sex Accepts and carries out directions and orders Social- Ignores inappropriate ization behaviors/comments of (cont.) coworkers/students Laughs, jokes, and teases at appropriate times Makes introductions appropriately Requests information from people appropriately Stands at an appropriate distance from others when talking to them
4/6/18 Mod/Sev/Profound MIDDLE Checklist 11 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Under- Talks about personal problems standing at appropriate times. and Uses socially acceptable Accepting outlets for his emotions Oneself Tells about emotional changes associated with puberty Can explain physical changes occurring during puberty Identifies 2 negative/changeable qualities of self States 3 compliments to others Sets realistic goals for academic achievement Begins to make appropriate vocational plans with consideration for assets and limitations
4/6/18 Mod/Sev/Profound MIDDLE Checklist 12 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Domain: Vocational Vocation- Practices good work habits: ally Habitually gets to class on Related time_____ Attitudes Asks for help/further instruction when nec._____ Puts forth best effort in most tasks_____ Initiates tasks and carries them out with minimum supervision_____ Assumes responsibility in group projects. Practices common courtesies Cooperates with others and acts upon opportunities to help them Understands the importance of showing respect to those in authority Accepts criticism Practices safety precautions Explains the importance of work experience Explains that doing a good job at all times helps one to get good recommendations for other jobs
4/6/18 Mod/Sev/Profound MIDDLE Checklist 13 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Understands that all jobs are important and that one should hold his job with honor and respect Vocation- States various transportation ally modes in getting around the Related community Skills Demonstrates ability in the manipulation/care of tools and materials Vocation- Accepts responsibility for: ally keeping classroom clean and Related various jobs within school Skills (cont.)
4/6/18 Mod/Sev/Profound MIDDLE Checklist 14 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Analysis of Makes survey using telephone, Occupation newspaper, etc., of jobs n the community, compiling information on each of the following: Name of job_____ Location_____ Pay_____ Hours_____ Duties_____ Requirements_____ Working Conditions_____ Advancement_____ Transportation_____ Evaluates each job in terms of personal placement Getting a Practices filling out various job application forms, reading, and spelling all words independently Can role play interview situation, engaging in proper behavior Writes letter of application following a model Tells the common causes of unemployment and firing
4/6/18 Mod/Sev/Profound MIDDLE Checklist 15 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Domain: Leisure Participa- Tells about rules of baseball, tion in basketball, football and Organized volleyball Games Displays team spirit Participates in intramural or athletic teams Participa- Learns to play pool or ping tion in pong Organized Games Enjoyment Tells about pollution and helps of Nature to control it Goes on picnics Develops Listens to music from a variety Avocation- of categories al Interests Develops skill in social dancing Broadens skill in art and craft activities Attends community sponsored entertainment activities Domain: Community Eating Out Budget/carry money for lunch/snacks Eat in school cafeteria
4/6/18 Mod/Sev/Profound MIDDLE Checklist 16 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Order and eat in fast food restaurant Buy snacks/drinks from vending machines Purchase food from take-out restaurant Using Use post office Services Use pay phone Ask for assistance in stores Use hair styling salon Go to dentist and doctor Use a bank Make operator assisted phone calls Use parks Use public library Go to shopping malls with family and or friends Use public pool Using Take lessons (karate, Services horseback riding, music) (cont.) Go to sports camp Join youth group Play on recreation team (soccer, baseball) Attend spectator events, sports, concerts
4/6/18 Mod/Sev/Profound MIDDLE Checklist 17 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Go camping(family/youth group Go to teen center Go boating/fishing Go to movies Community Problem solve if lost in new Safety places Use caution with strangers Ask official person in charge for help Do not accept rides/food from others unless well known and/or prearranged Tell parent/adult where he or she is going (friends house, park) General Buy few items in store with Shopping limited money amount Purchase personal care items Buy gifts for others (holiday shopping) Buy specific clothing items (shoes, clothes) Travel Walk, ride bus, ride bike to and from school
4/6/18 Mod/Sev/Profound MIDDLE Checklist 18 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Walk (Wheel self) to various destination in school and community (store, restaurant, job site) Cross street safely Use public bus for general transportation Use taxi with supervision Under- Gives some information about standing social groups, such as peers, One’s and community figures. Rights, Exercises self-control in Responsi- classroom situations bilities, and States that our governmental Privileges officers are elected by the people Tells that it is a basic civic responsibility to vote Explains the importance of securing information on the person for whom he votes Under- Explains services that a standing community provides (power, One’s water, sewage, and telephone) Community Names some of the job opportunities in the community
4/6/18 Mod/Sev/Profound MIDDLE Checklist 19 Student Initials ______Performance Level t e g n c n n o i i e n s n d a i
Goal Area i n v n a e r e r t e p T n e p i d u Notes and a n S l I Skills M Modifications e d o M
= M
l a c i s y h P
= P
l a b r e V
= V
Explains proper method of expressing concerns or complaints related to community matters Operates simple and complex vending machines Uses appropriate table manners Keeps money and personal belongings safe in community settings Reads and understands bill in restaurant settings Pays bill appropriately Makes requests in assertive manner if needed Uses Post Office Uses Bank Safety in Practices pedestrian safety Community rules without reminders Explains or demonstrates the appropriate way to respond to emergency situations (sickness, injury, etc.)
4/6/18