"Sit Classroom Observation Form - Tier 2 - Andrea Ogonosky"

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SIT Classroom Observation– Tier 2
Form D
Completed by Special Education Teacher
Student Name __________________________ Observer Name _________________________
Teacher/Subject_________________________ Class Size _________ Date ______________
Time In ___________ Time Out __________ Task/Activity___________________________
Time on Task Sample (Using 30-second timed intervals, circle + if student is engaged with
task at time of observation, and circle – if not engaged.
1
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 19 20
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
Delivery of Instruction
_________________________________________________________
_________________________________________________________
Use of Accommodations _________________________________________________________
_________________________________________________________
Teacher Feedback
_________________________________________________________
Peer Behaviors
_________________________________________________________
Other
_________________________________________________________
Student Behaviors (N = not observed, S = sometimes, O = often)
Eyes oriented to task
____
Fidgeting in seat
____
Listens to directions
____
Looking around room
____
Interacts with teacher
____
Careless /quick response
____
Working 1/1 with teacher
____
Plays with materials
____
Engaged in independent task ____
Stares blankly
____
Small group
____
Doodles
____
Area organized
____
Makes noises
____
Volunteers answer
____
Talks out of turn
____
Follows 1-step directions
____
Disorganized materials
____
Follows 2-step directions
____
Slow to respond
____
Follows ___-step directions ____
Noncompliant
____
Responds to positive praise ____
Out of seat
____
Copies from OH/board
_____
Argues with peers
____
Other _________________ ____
Other ________________
____
When called upon, gives correct answer
Y
N
Attends to other students when they give answers
Y
N
Knows appropriate place in text
Y
N
Facilitates others in group/class
Y
N
Completes assignment within required time
Y
N
Observed introduced
Work is accurate
Y
N
curriculum level ___
Andrea Ogonosky's Response to Intervention Handbook (2008).
SIT Classroom Observation– Tier 2
Form D
Completed by Special Education Teacher
Student Name __________________________ Observer Name _________________________
Teacher/Subject_________________________ Class Size _________ Date ______________
Time In ___________ Time Out __________ Task/Activity___________________________
Time on Task Sample (Using 30-second timed intervals, circle + if student is engaged with
task at time of observation, and circle – if not engaged.
1
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 19 20
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
Delivery of Instruction
_________________________________________________________
_________________________________________________________
Use of Accommodations _________________________________________________________
_________________________________________________________
Teacher Feedback
_________________________________________________________
Peer Behaviors
_________________________________________________________
Other
_________________________________________________________
Student Behaviors (N = not observed, S = sometimes, O = often)
Eyes oriented to task
____
Fidgeting in seat
____
Listens to directions
____
Looking around room
____
Interacts with teacher
____
Careless /quick response
____
Working 1/1 with teacher
____
Plays with materials
____
Engaged in independent task ____
Stares blankly
____
Small group
____
Doodles
____
Area organized
____
Makes noises
____
Volunteers answer
____
Talks out of turn
____
Follows 1-step directions
____
Disorganized materials
____
Follows 2-step directions
____
Slow to respond
____
Follows ___-step directions ____
Noncompliant
____
Responds to positive praise ____
Out of seat
____
Copies from OH/board
_____
Argues with peers
____
Other _________________ ____
Other ________________
____
When called upon, gives correct answer
Y
N
Attends to other students when they give answers
Y
N
Knows appropriate place in text
Y
N
Facilitates others in group/class
Y
N
Completes assignment within required time
Y
N
Observed introduced
Work is accurate
Y
N
curriculum level ___
Andrea Ogonosky's Response to Intervention Handbook (2008).