C. Wilson Anderson, Jr., MAT

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IDENTIFYING STUDENTS WHO HAVE DYSLEXIC CHARACTERISTICS

In the child with dyslexia the ability to perceive, retain and recall language symbols is distorted despite average to above average intelligence. The language system does not function properly and the student can not "show" what he/she has learned. Visual symbols and auditory sounds fail to stay in their correct relationship to each other, so that words are not easily and accurately recognized or recalled in speaking, reading, written expression, and spelling.

General Observations
_____ Appears to have average to above average intelligence
_____ Seems to know the subject matter, but does poorly on tests
_____ Appears disorganized in tasks and/or thinking

Oral Language Observations
_____ Poor in expressing self orally
_____ Has difficulty "retrieving" words

Reading Observations
_____ Is a poor reader
_____ Appears to read but not comprehend
_____ Oral reading is hesitant and/or inaccurate
_____ Reversals, insertions or omissions are present

Written Expression Observations
_____ Written vocabulary is meager, stilted, limited when compared to oral vocabulary
_____ Awkward or slow writing
_____ Poor written expression
_____ Submits "variations" of the same paper

Spelling Observations
_____ Can't spell on a level expected for intelligence
_____ Does okay on spelling tests, but the words are not retained
_____ Uses only words that he/she can spell

Based on these Observations that I have checked,_______________________ is referred to the Building Level Assessment Committee.

Signed______________________________________ Date______________


Education Consultants of the Midwest, Inc., 
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Permission is granted to reproduce this sheet for classroom teacher use. 11-5-94

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