Reading

(This form is printable from your web browser.)

Teacher Nomination Form

Student Name:  _______________________________        Grade:  _________________
Teacher Name:  _______________________________        Date:  __________________

Check the column which best describes the student’s classroom performance.  Listed below is a range of possible characteristics and behaviors.  Indicate whether the student demonstrates the characteristic or behavior often, sometimes, or seldom.  Cite specific examples of the behavior by writing in the space provided or attaching a written narrative or student work.

Characteristic:
+/- Behavior

Seldom

Some-
Times

Often

Reading

               Specific
              Example

Reads early and above grade level: reads at least two years above grade level

 

 

 

 

 

 

Reads early and above grade level: does not alter rate of reading

 

 

 

 

 

 

Enjoyment in the reading process: eagerly engages in reading activities

 

 

 

 

 

 

Enjoyment in the reading process: avoids social interaction by retreating into a book

 

 

 

 

 

 

Advanced processing:  responds perceptively to literature

 

 

 

 

 

 

Advanced processing:  uses complex ideas and nuances to manipulate book talks

 

 

 

 

 

 

Characteristic:
+/- Behavior

Seldom

Some-
Times

Often

Reading

              Specific
              Example

Advanced language skills:  uses colorful and descriptive language

 

 

 

 

 

 

Advanced language skills:  uses expansive language to impress the teacher or peers

 

 

 

 

 

 

Long attention span: focuses on reading for long periods of time

 

 

 

 

 

 

Long attention span: may lose track of time

 

 

 

 

 

 

High level thinking: critically reflects and responds to text

 

 

 

 

 

 

High level thinking: justifies own interpretation and dismisses others

 

 

 

 

 

Heightened sensitivity: senses discrepancies and subtleties

 

 

 

 

 

Heightened sensitivity: may be overly sensitive to characters situations and unable to handle conflict

 

 

 

 

 

Please add any comments in the space below: