Student and Classroom Profile

This form will allow you an opportunity to look at your classroom/teaching area,
students, and school, and it will help you get an overview of your environment.
Complete this information with the help from your mentor. Please consult with
administrators and colleagues to answer them.

A. Student and Classroom

Information
1. Number of students on your case load:

2. Ethnicities that are represented among your students (check all that apply);

American Indian/Alaskan White, not Hispanic

Native Black, not Hispanic
Asian Hispanic
Pacific Islander Multiracial
Filipino
Other

3. Disabilities that are represented among your students (check all that apply):

SLD Read. Math W. L.

LD Read. W. L.
Math

Aut CI Deaf Deaf

Blind
DD ED Health Hearing Multiple
Ortho Lang Speech Vision
TBI

4. Number of students that are: English English Learners

proficient
Comments:

5. Resources that are available to assist you with your students who are English
Learners (EL):

Getting to Know My Students

2.2
 6. Research Based Curriculum available in your classroom:

Reading Math Written Language

Name Levels Name Levels Name Levels

7. Students receiving services outside of general education classroom:

Student Name Read. Level Math Level Lang. Arts Level

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.
 8. Groups for instruction:

Teacher/Paraprofessional Leve Curriculu Students

l m

9. Students receiving services in general education classroom:

Student Name Read. Teacher Math Teacher Lang Teacher

Arts
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
 SNAPSHOT OF YOUR CASELOAD
This form is provided to help you organize your caseload of student while including information that is often needed
to be retrieved at a moments notice.

Prima Readin Readin Mat Writin

Student Name Parent Names DOB Bus # Homeroom MEDS Other Comments
ry g g h g
Lang. Fluenc Comp. Leve Leve