Learning media assessment

Resources - Forms - Form5: Initial Selection and Confirmation of Literacy Medium

Use

Use Form 5 with:

  • pupils who are entering an early conventional literacy programme, (normally in Reception Class).

If unsure, use Form 4: Early Literacy Acquisition Sensory Skills Checklist

Purpose

  • To select the literacy medium in which the pupil will begin initial literacy instruction

Access Form 5

Hard copy

Form 5 (PDF) for print or download and completion as hard copy

Complete and save/print

Form 5 (form) for completion online and then print or save to your own device. [No information is stored online.]

Example

Here is an example of a completed Form 5 for a young pupil.


Guidance

Observers should be very careful to complete this form according to the guidance.


This form should only be used in conjunction with other parts of a comprehensive learning media assessment and should never be the sole source of information for decision-making regarding learning media.

Form5, Initial Selection and Confirmation of Literacy Medium

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