Transition Application Rubric

Student Name: ______________________

Question Score
1. Why was student 1 2 3 4
placed at TLC? Unacceptable Satisfactory Strong Outstanding
Student does not Student does take Student takes full Student takes full
take responsibility some responsibility responsibility for responsibility and shows
for placement and but still points out actions in-depth understanding of
blames others. why other people why they were placed at
Or influenced their TLC
Leaves blank placement at TLC
2. What will student 1 2 3 4
do differently Unacceptable Satisfactory Strong Outstanding
when they are at Student states they Student can identify Student knows Student knows where to
Holmes? What will do nothing at least one where to go for help go for help, has a plan in
problem solving differently person/resource to and also has a plan in place and has ability to use
skills will they Or use when they need place the plan
use? Who will Leaves blank help at Holmes
they seek out for
help?
3. What has student 1 2 3 4
learned from Unacceptable Satisfactory Strong Outstanding
their experience Student states they Student answers Student demonstrates Student has insightful
at TLC? have learned vaguely but does and/or verbalizes response about skills
insight into
nothing have an acceptable and/or information
information and/or
Or response learned. Has also
skills learned at TLC
Leaves blank demonstrated change
4. What will student 1 2 3 4
need to work on Unacceptable Satisfactory Strong Outstanding
to improve their Student cannot Student lists one Student lists two Student list three
success when identify any skill/area and skills/areas and skills/areas and thoroughly
transitioning back skills/area that justifies response justifies responses justifies responses
to Holmes? needs improving Or Or
Or Student lists three Student list three
Leaves blank responses but not skills/areas but only
able to justify why justifies two
the three responses responses
are important for
future transition
 Transition Application Rubric
Score Sheet
Student: _______________________

Date: _________

Reviewer/Reviewees: __________________________

__________________________
Question 1-4 Score
1.
2.
3.
4.
Total: /16
Question five will be for school use

In order to pass student must:

Score 2s or better

Have an a 75% average or greater (12/16)

Student:
Will transition into Level IV
Has not met criteria to successfully transition into Level IV