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Appendix D – Checklist of
Things to Remember

ADMINISTRATION MANUAL

New York State Alternate Assessment
(November 2006)

Checklist of Things to Remember: Yes/No Done Reviewed
1. Table of Contents:
All pages are numbered in the datafolio
Table of Contents page #’s match the corresponding pages in datafolio
2. Student Page:

Complete all fields: DOB, student name and ID#, based on date of birth indicate grade, district of residence, school name, service provider

List only test accommodations shown in the datafolio and in the current IEP
List only adaptive materials, equipment, techniques seen in the VE

Student’s date of birth corresponds to correct grade and assessed content areas per age chart on page 5 of the Administration Manual

3. Parent/Family/Guardian Survey:
Parent/Family/Guardian survey is included in datafolio

If unable to make contact, or if parent is unwilling to complete the survey, all dates attempted are documented on the last page and include all 3 pages in the datafolio

4. Data Summary Sheet (DSS):
One Data Summary Sheet for each AGLI assessed
All fields complete including AGLI code and ALGI text
Task reflects knowledge, skill, and understanding of the AGLI
Tasks are written simply without cues, prompts, levels of assistance, or criterion
Tasks and materials are age appropriate
Dates match the last three dates of recorded student performance data
Dates listed on DSS in chronological order with last date in right column
Percentages for accuracy and independence are filled in and match what is documented on VE
Mistakes made during data collection are crossed out, corrected, and initialed - NO erasures, correction fluid, black out, etc.
DSS is completed in permanent ink, NOT PENCIL
5. Verifying Evidence (VE):
Submit TWO pieces VE for each AGLI assessed
VE confirms data for LAST two dates of data transcribed to DSS
VE is labeled with student name, date of performance, content area, AGLI text, assessment task, and levels of accuracy and independence
If VE label used, it does not obstruct any student work (okay on back)
Tasks are written without cues/prompts or criterion
Date(s) on VE are within specified administration period
Last three dates of student performance data are transcribed to DSS
Mistakes made during data collection are crossed out, corrected, and initialed -NO erasure, correction fluid, black out etc.
VE requirements are completed in permanent ink, NOT PENCIL
Levels of accuracy and independence calculated correctly, include notes if calculations will not be clear to scorer    
Student Work Samples:
Work Samples are the student’s original work – not photocopied
   
Photographs, Video and Audio Tapes:
Informed Consent signed and included in datafolio
   
If classroom peers appear in photo/video/audio – Informed Consent for Incidental Photo/Video/Audio was signed and is on file with district    
Videotape is in VHS format    
Each video and audio tape clip is 90 seconds or less in length    
Photographic, video and/or audio tape evidence does not contain prerequisite steps – only those steps corresponding to performance of task    
Video/Audio Tape Clip Summary form was completed and affixed to tape    
Video clips are arranged in order of the datafolio content areas    
Recorded marker at beginning of clip with student name, date, content area, AGLI text, and assessment task; another marker at end of clip with levels accuracy and independence    
Video/audio tape labeled with name of student, teacher and school    
Minimum sequence of three photographs from same date and assessment task    
Each photograph has a caption that explains the steps the student took to complete assessment task    
Each photograph, video and/or audio clip clearly shows the student performing the assessment task described. Will someone who does not know student understand what the assessment task was?    
Data Collection Sheet (DCS):
Data collection for each task is clear and simple for others to follow
Only the step(s) relevant to the assessment task are listed
Accuracy and independence can easily be measured for each step
Teacher input on the DCS is original – not photocopied, and permanent ink was used (NOT PENCIL)
Staff who are recording the data have signed and initialed bottom of DCS (REQUIRED)
Supporting evidence is present, corresponds to one or two of last two dates of student performance data, and meets requirements for all VE
If supporting evidence is an OVF, date of assessment task matches DCS
-Observer is not supplementary school personnel
-Date on observer signature is same date as assessment task
-Observer signature is different from person who collected data (name different from staff member initials on DCS for that date)