End of Quarter Self Assessment - Template

First and Last Name:

Table #1: Grade Breakdown:

Percentage
(%)

Overall Grade

Breakdown by category

Category 1
(participation)

Category 2
(communication)

Category 3
(assessments)

Category 4 (final)

Table #2: Evidence of Learning

1 Missing Assignments
and/or Zeros

2 The assignment(s) that I

a am proud of and
demonstrate my course
content knowledge is/are
(links to canvas)

2 Explain your choice(s).

b

3 The assignment(s) that I

a struggled with the most
were (links to canvas)

3 Explain your choice(s).

b

3 How did I handle this

c struggle? What will I do
next time Im in a similar
situation?
Table #3: Work habits and Social Development Profile
Rate yourself using the following scores
1=ALWAYS ..... 2=USUALLY ..... 3=SOMETIMES ..... 4=HARDLY
EVER .... 5=NEVER
Work habit Rati
ng
Overall: I come to class on time.

Overall: I bring all my materials. I organize my work and materials.

Overall: I listen and follow directions well. I get to work quickly.

Overall: I complete assignments on time and turn them in on time.

Overall: I try to do my best work and get extra help when I need it.

Overall: I feel like I am in control of my academic achievement.

Overall: I feel like I can get help from my teacher.

Overall: I feel like I am challenged in this course on a regular basis.

Overall: I seek challenges when I need a challenge.

Group work: I consistently pull my weight.

Group work: I engage and contribute intellectually.

Group work: I try to get as much out of each in class activity that I can.

Group work: I stick together with my group to help make sure everyone achieves
a high depth of understanding.

Group work: I ask questions in my group when needed. I will ask my teacher to
make sure I understand the content if my group cant help me.

Group work: I try to answer the questions my group members ask.

Group work: I listen to the opinions of my group members.

Group work: I include others and try to invite someone who is quiet in to the
conversation.

Group work: I often engage in side conversations that distract others.

Group work: I use class time effectively.

Group work: When conflict arises, I help try to work through it and do not give up.

Group work: If I get frustrated, I shut down and isolate myself from others to work
through the problem on my own.

Course Specific (example): I can consistently understand what the teacher is

saying when speaking in Spanish.

Course Specific (example): I can consistently speak in Spanish in class.

Is there anything else that you would like Sra. Dougan to know about? ____________________________
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