Student:                                                                           

Date:

Subject:  

Teacher:

1.     Prepared for instruction

        1.1.   Arrives in class on time

       Y    I    N

1.2.   Makes eye contact with teacher

       Y    I    N

1.3.   Stays seated and quiet

       Y    I    N

1.4.   Has homework ready to hand in

       Y    I    N

1.5.   Has pens or pencils ready

       Y    I    N

1.6.   Has appropriate materials out

       Y    I    N

2.     Completes homework and class work

2.1.   Neatly writes or types work

       Y    I    N

2.2.   Demonstrates best effort

       Y    I    N

2.3.   Completes work in a timely manner  

       Y    I    N

2.4.   Returns work unwrinkled, whole, unstained

       Y    I    N

3.     Uses organizational strategies

3.1.   Uses homework planner

       Y    I    N

3.2.   Neatly places work for each subject into its folder

       Y    I    N

3.3.  Uses homework folder nightly

       Y    I    N

3.4.  Cleans out notebook weekly

       Y    I    N

3.5.  Keeps book bags out of traffic areas

       Y    I    N

3.6.  Puts name, date, and title on each assignment

       Y    I    N

4.     Maintains time on task

       4.1.   Focuses on given assignment

       Y    I    N

4.2.     Uses speaker power* during discussion
 *Speaker Power:  When a student asks for speaker power, (s)he raises her/his hand.
 When  acknowledged, that student has the right to be listened to with respect and without   interruption.

       Y    I    N

       4.3.   Asks for teacher assistance in appropriate manner

       Y    I    N

5.     Works independently

5.1.     Attempts to use learning strategies before asking for help

       Y    I    N

5.2.     Works quietly without disturbing other workers

       Y    I    N

       5.3.   Shows attempt to complete homework or writes at least 2 sentences explaining his/her  
                 problem

       Y    I    N

6.     Works cooperatively

6.1.   Uses speaker power* (*see 4.2 above)

       Y    I    N

6.2.   Respects opinions of others

       Y    I    N

6.3.   Demonstrates individual accountability

       Y    I    N

6.4.   Displays positive interdependence

       Y    I    N

6.5.   Addresses group members and teachers by appropriate name

       Y    I    N

7.     Invested in academic progress

7.1.   Knows grade, reading, writing, and math levels

       Y    I    N

7.2.   Knows and uses individual learning strategies

       Y    I    N

7.3.   Sets SMART goals with teacher (specific, measurable, attainable, realistic, and timely)

       Y    I    N

7.4.   Monitors his/her own progress toward goals

       Y    I    N

7.5.   Shows initiative in day-to-day work

       Y    I    N

7.6.   Learns and employs self-advocacy skills

       Y    I    N

Comments:

Assessment:
H=Honors   
P=Progressing
U=Unsatisfactory

© Bridge Learning Academy – shown here with permission. Use this as a guide
for designing a form to assess students with behavior problems. Adapt it to Visual Arts
Shared by Michael Gerrish – Bridge Learning Academy.

The guidelines Michael uses are based on NJCCCS. They are

Report Card Academic Outcomes – Visual Art

1.    Demonstrates aesthetic awareness in creating and responding to the Arts

2.    Demonstrates awareness of skills in a variety of Visual Art media

3.    Demonstrates an understanding of the Elements and Principles of Art

4.    Demonstrates an understanding and command of the Critique process

5.    Demonstrates an understanding of the Visual Arts’ role in World Cultures,
      History and Society

From the NJDED: go to http://www.state.nj.us/njded/cccs/drafts/vpa.pdf and also see chart below:

The Core Curriculum Content Standards in the Visual and Performing Arts

Standard 1.1 All students will acquire knowledge and skills that increase aesthetic awareness in dance, music, theater and visual arts.

Standard 1.2 All students will refine perceptual, intellectual, physical and technical skills through creating dance, music, theater and/or visual arts.

Standard 1.3 All students will utilize arts elements and arts media to produce artistic products and performances.

Standard 1.4 All students will demonstrate knowledge in the process of critique.

Standard 1.5 All students will identify the various historical, social, and cultural influences and traditions which have generated artistic accomplishments throughout the ages and which continue to shape contemporary arts.

Standard 1.6 All students will develop design skills for planning the form and function of space, structures, objects, sound and events.

Michael Gerrish is Director of Academic Technology & Distance Learning
The Bridge Academy of New Jersey
1958-B Lawrenceville Road, Lawrenceville, NJ 08648