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CalSTAT Technical Assistance and Training

California Department of Education, Special Education Division’s special project, California Services for Technical Assistance and Training (CalSTAT) is funded through a contract with the Napa County Office of Education. CalSTAT is partially funded from federal funds, State Grants #H027A080116A. Additional federal funds are provided from a federal competitively awarded State Personnel Development Grant to California (#H323A070011) provided from the U.S. Department of Education Part D of the Individuals with Disabilities Education act (IDEA). Opinions expressed herein are those of the authors and do not necessarily represent the position of the U. S. Department of Education.

Effective Reading Intervention Academy (ERIA)
Screening for Program Placement Worksheet

School Name:

District Name:

Teacher/Test Administrator:

Who are you testing? Put a "x" next to all those that apply:
A Classroom ___
A Grade Level ___
All Students ___
Special Education Students ___
General Education Students ___
Struggling Students ___
Row Number Student Name Indicate if English Language Learner Indicate if Special Education Student Student Grade Level CST - English-Language Arts Score CST - English-Language Arts Score Screening for Program Placement Suggested Placement Decoding Intervention Programs Fluency Intervention Programs
Grade Level Fluency Test:
(Specify whether using DIBELS, Reading Fluency Monitor, or other) 		Decoding Test using the San Diego Quick Instructional Level Phonics for Reading REWARDS Read Naturally The Six-Minute Solution
Pre Test Post Test Pre Test Post Test Pre Test Post Test Pre Test Post Test Pre Test Post Test (Highest Unit Completed) Pre Test Post Test (Highest Unit Completed)
Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________		 Date Test Given:
______________
Year:
2006		 Year:
2007		 Passage/ Grade Level CWPM Passage/ Grade Level CWPM Passage/ Grade Level CWPM Passage/ Grade Level CWPM First subtest student does not read 80% CWP First subtest student does not read 80% CWP CWP % Correct CWP % Correct Passage/ Grade Level CWPM Passage/ Grade Level CWPM Passage/ Grade Level CWPM Passage/ Grade Level CWPM
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California Services for Technical Assistance and Training (CalSTAT)
A Special Project of the Napa County Office of Education| 5789 State Farm Drive, Rohnert Park, CA 94928
Fax: 707-586-2735 | email:info@calstat.org