Summer/Extended-Year Data Update Form
 

Complete for students whose programs were extended into summer or fall of second grade. (Max of two per teacher) Hand in to your teacher leader when completed no later than the December holidays. Thank you!

Form should be completed if child was carried over OR if Plan for child with incomplete program indicated the program would be extended.
RR Teacher who delivered carry-over services:
RDIC - Re-entry Hearing and Recording Sounds (37 max)
School and district where child was carried over:
RTRL - Re-entry Text Level (Test books 0-10, even #s 10-30)
Last year’s Reading Recovery teacher (if different):
Last Date of Child’s Program (month/day/year)
School and district where child had RR last year (if different):
Number of weeks (Only during carry over including Roaming)
Last Year’s Web Data Record #
Number of lessons (Only during carry over including Roaming)
Student name: LAST, First initial(s)
End-of-program status (Circle One):
Discontinued
Recommended Action after at least 20 wks total
Incomplete (<20 weeks) at end because time ran out
Moved while being served
None of the above (Memo required)
Status of extended RR child (Circle one):
Served
Not served - Moved
Not served - Other
Child not tested at end of summer/extended program (Circle one):
Moved
Absent
Unavailable
For RR child with a summer/ extended RR program plan (Circle only one):
A. Grade 1 child cont’d in summer
B. Grade 1 RR child cont’d in gr.2
C. Kindergarten child cont’d in gr.1
Exit Test Date (month/day/year)
Re-entry same as year-end ( )
Only if re-entry was within 3 weeks of year-end
Exit Reading Group Placement (Circle One):
High / Upper Middle / Lower Middle / Low

 

 

 

 

 

Re-entry Test Date (month/day/year)
XXLI - Exit Letter ID (54 max)
Re-entry Reading Group Placement (Circle one):
High / Upper Middle / Lower Middle / Low
XXOWT - Exit Word Test (20 max)
RLI - Re-entry Letter ID (54 max)
XXCAP - Exit CAP (24 max)
ROWT - Re-entry Word Test (20 max)
XXWV - Exit Writing Vocabulary
RCAP - Re-entry Concepts About Print (24 max)
XXDIC - Exit Hearing & Recording Sounds (37 max)
RWV - Re-entry Writing Vocabulary
XXTRL - Exit Text Level
(Test books 0-10, even #s 10-30)

 

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