FORM 4.3) Getting to Know You Name: 1. How do you spend your spare time? Check (v) all that apply and draw a circle around your favorite three activities. cfr try” CArvovoS eng 0 vans Cpe with friends Clone ‘sports Internet, IM sw veacomputr games D outdoors sleeping O writing stening to music CI volunteering rts, crafts, building things © playing an WStrument © extracurricular activities at school won biking/four-wheeling _C) OTHER: ly and provide an example if you can. 2. What talents Tas have? Check all that ay W athletic: AYiNG JaSéVal{o aristic: CO Writing: Musical: © Communication: O Leadership: 1 Performing a OO Technology: 1 Math/sciences: Mechanical skills: © Cooking, sewing: G Interpersonal skills: OTHER: 3. What personal qualities do you have that you consider to be-strengths? Check up to five. O leadership O patience «creativity sense of humor C1 independence caring, empathy O hard worker ‘loyalty D imagination dependability D determination optimism O self-control coping skills © problem solving C persistence D ambition SY-honesty D organization Wore 1D competitiveness Gi extraversion (outgoing) O working well with others CO OTHER: ‘4. What areas of skill or knowledge would you like to become an expert in? List any topic that it is something you don't usually learn about in school (e.g., skateboarding, interests you, even if video games, sports statistics, cheerleading, horseback riding). Drawirg Permission tophetacaps this firm i 2 at Copperteh be The Guittard Boe 1955. How do you learn best? Check all that apply. a. Group size: D alone 19’medium group (5-7 people) O whole class 1G small group (2-4 people) b. Learning style: O visual D hands on listening O memorizing & discussion 1D activity/experiential learning © apprenticeship OYfaking notes Yeading 1 thinking about what I've read or heard © OTHER: c. What is your preferred study environment? O library © study hall at school © bedroom ‘other room in my house O with friends © public place (e.g., coffee shop) G resource room Oo OTHER: 6. What are your preferred classroom activities? Check all that apply. D lecture C discussions 1D projects C debates O group games O presentations tWreading O creative writing OI worksheets CO labs/experiments CO cooperative learning O brainstorming D outdoor activities O field trips C learn, then teach others C0 role playing © simulations O taking tests C1 selt-directed learning 0 individual research 1 doing homework eon, 1 working on the computer. feacher-led instruction 1D doodling Sane nie with friends O OTHER:Reading and Writing Interest Inventory (Created for Project CLASS by Gay Ivey [20066] and used with permission.) Reflect on your reading interests and learning preferences, and write your answers to the foltowing questions. If you could read anything, what would it be? Why? Deters cr how they mene Sergi (1-0 Vium game) Karine Desen ‘What makes you want to read in (name of subject area)? Enohsy= Renen Rovere, Fiche, O.IGY Herter, Sheri meer? bew Write about a good experience you had with reading in (name of subject). eg 62 Ged You Louie pub A awe yg CHER plus Cw OTR AI Wwrece the beew Write about a bad experience you had with reading in (name of subject). Freee y wes ved, reotirg bed te Poy a con Write about a good experience you had with writing in (name of subject). TOPS SIS, WET RH Femey wey Write about a bad experience you had with writing in (name of subject). Lit « re ne te Crese ib, we dies tre Soune weed taver O5.0@ CorStbe® Mises What kinds of reading do you do outside of school? PiSteg, Kd VeMP, resce What are your favorite things to do outside of school? oO Bom eG yeu He What have teachers done that helps you the most with reading? fer Comp f. hea ON Qevng bed 1G Mone Sure T Gat wire ach t When have you felt really proud of yourself? Why did you feel this way? Keet.e@ ~L Feit line Creaed AF Elita belt 1A Ved a Perk od What pushes your “hot button?” (Or, what do you hate?) Feepie Riche en ° What else would you like me to know about you as a person and a student that will help me teach Cr here Scmtik ry dor : a , you better? Rue 4 right © 2009 Solution Tree Press download this nage n-trea camilitarac3-2-1 Biography Poem Template Three descriptive traits . . . Lover of [list 2 things] . . . Who learns best by [list 1 way] .. . Name... It’s About Me! Use the information on the 3-2-1 and write a summary about yourself. Be ready to share your summary wilh a small group. for Adolescent Literacy # Copyright © 2009 Solution Tree Press n tree com @ Visit go.solution-tree.comiliteracy to download this nas.FORM 2.5 Executive Skills Questionnaire for Students Gig probe 1 Moderate protien Ril problem 3 Slight probleny No probiem tem 1. Lact on impulse. 2, get in trouble for talking too much in class 3. | say things without thinking, TOTAL SCORE: 4. L say, “I'l do it later” and then forget about it, 5, | forget homework assignments or forget to bring home needed materials. 6. | lose or misplace belongings such as coats, notebooks, sports equipment, etc TOTAL SCORE: I get annayed when homework 1s too hard of confusing oF ta 2 too tong to finish 8. I have’a short fuse: am easily frustrated. 9,,1 get upset easily when things don't go as planned TOTAL SCORE: 10. Ihave difficulty paying attention and am easily distracted. 11. Prun out of steam before finishing my homework 12. Lhave prodtems sticking with chores until they are done TOTAL SCORE: 3.1 put off homework or chores until the last minut 14. It's hard for me to put aside fun activities in ander to start homework, 15. [need many reminders to start chores. TOTAL SCORE: 16. | have trouple planning for big assignments (knowing what to do first, second, etc.? 17. It’s hard for me to set priorities when | have a jot ot things to do 18. | become overwhelmed by long-term projects or big assignnients. TOTAL SCORE: J. My backpack and notebook are disorgaiized 20. My desk or workspace at home is a mess | have trouble keeping bedroom tidy. TOTAL SCORE: a Beg Dastson ated Bichard Gute Pron Dos terns as granted te mre basers of th abuse oul: see copyright page tor deta Lasadg = PRE WARE red Cane 2010, The Gaultord Press Per PR SURES AES NRL Y PPExecutive Skills Questionnaire tor Students (puvr - havea hand tine estunting how tong it takes to do something (Such ay homey 3 23. Lotter don’t hush homework at nyght and rush to get # dane in schoo! Lefore class, 3 24, Tn slow getting, ready for things (e.g., School or appointments? Ca Tota score: IG eo oer nc 16. H's had for ne ti changes in plans oF route so | 27 thave problems with operi-ended homewerk assignments (e.g. doesn't Know what about when given a creative whiting assign! TOTAL SCORE: High School Students Only 28. L dont ha ho aS ettective study strategies 29. don't check my work for mistakes even when the stal ss are high. 30. I don't late my pertornan and change tactics in order to \crease SUCCESS, TOTAL SCORE: obs 31, can’t seem t ve up money for a desired obye 42. T don't see the value uv earning gc 4 grades to achieve a 33. If should be studying and something ty comes up, it's hard for me Gs Aw to make myself stuch TOTAL SCORE: _ 7. KEY ee Items Executive Skill Items Executive Skill | i fo 46 ) enon ce) 1 le 18 | 19-21 22-24 Time management | 2 28 70 Metacognition \ a1 gs erustence Your Executive Skills Strengths Your Executive Skills Weaknesses Werk ing Mernerg Tosh iaiticticn Time Manage ment Flexiyil: by a Repenase inhibition Gool-directed per sisterueferrets Student Learning Survey a Characteristics Like Me! Not Like Me! >) 4 [Eeioy toting stores [Preter gym class and sports Teed to mover can't sit stil £ Read books just for fun Like choices on how to do things Need quiet when I work Prefer to do writing and research Prefer to build or make things Like details Enjoy math class Like to sing or play instrument Prefer working in groups Like to plan things Good at planning Need noise when | work Prefer to create charts, graphs [Prefer organizing projects [Need to know the big picture Enjoy drawing and creating Like to do one thing at a time Prefer working alone Prefer to be told how to do things Not great at planning | Enjoy word games Prefer to draw pictures Like teaching others Like art Like to be the cheerleader of the group Like to keep my group on task Enjoy the role of recorder Like to present or perform — = Power I 1: for Atolescent Literacy # Copyright © 2009 Solution Tree Press