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Caring and Safe Schools
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*This sample information-gathering tool is intended for collecting information over time and to facilitate information sharing during student transitions.
Assessing Student Behaviour
▪ The sample information-gathering tool provided in Figure 13 may be helpful to boards and schools in developing guidelines for assessing student behaviour. The tool is designed for assessing the behaviour of students with special educa- tion needs, although it may be adapted for use with all students. The sample form includes a checklist for identifying supports and interventions that are already in place for the student and assessing their effectiveness.
FIGURE 13. SAMPLE INFORMATION-GATHERING TOOL FOR ASSESSING THE BEHAVIOUR OF STUDENTS WITH SPECIAL EDUCATION NEEDS*
Student Information
Name: ______________________________________________________________________________ Grade: __________ Age: __________ Gender: M F
Brief description of recent behavioural issues and/or types of incidents:
Description of what has typically led up to recent incidents (e.g., transition issue/distractions, peer interaction, events):
Description of types of immediate responses to and consequences of incidents:
Special education information: IEP IPRC Exceptionality (if applicable): ________________ Program ________________________________ Service(s) __________________________________
Relevant Information:
(e.g., most recent report card; summary of assessments; communication, social, and self-help skills; relevant family information; first language; medical information; previous school(s)/
board information; previous incidents)
