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Evidence of Assessments (EAs) : Checklist

CHECKLIST FOR COLLECTION OF STUDENT DATA – SBA – SCHOLASTIC

CLASS X: 2012-13

Actual Form: www.icbse.com/forms/cbse/evidence-of-assessment.pdf

1.  School Details

i)   Name of the School (with Complete Address) providing samples to the Regional Office : ……………………………………….

ii)    School Number:   ………………………………………….

ii)   Name of the Principal:    ……………………………………..

iii)    Phone No. (School):    …………………………………………..

iv)   Fax No.:    ………………………………………….

v)   Mobile No.:   ………………………………………….

vi)   Email Id.:     ………………………………………….

vii)    Website, if any:      …………………………………………..

2.   Subject/s of which Evidences of Assessments are being sent {Please tick (✓)}

i)   English
ii)  Hindi                                              
iii) Mathematics                           
iv) Science                                               
v)  Social Science
…..
…..
…..
…..
…..

3.   Number of students in Class IX/X…………………………………………………………………………………………………….
4.   Number of Sections in Class IX/X……………………………………………………………………………………………………..
5.   Number of tasks in Class X (FA-1 and FA-2):

 FA-1FA-2
i)   English
ii)    Hindi
iii)    Mathematics
iv)    Science                                
v)   Social Science
…..
…..
…..
…..
…..
…..
…..
…..
…..
…..

6.     Number of tasks in Class IX (FA-3 and FA-4):

 FA-3FA-4
i)   English
ii)    Hindi
iii)    Mathematics
iv)    Science                                
v)   Social Science
…..
…..
…..
…..
…..
…..
…..
…..
…..
…..

7.  Criterion used in awarding final grades under Formative assessments

FA…….. i) All the tasks | | ii) Best of All | | iii) Best of Two | iv) Any other criterion:                                                            

FA…….. i) All the tasks | | ii) Best of All | | iii) Best of Two | | iv) Any other criterion: 

8.  Type of tasks in FA-3 and FA-4 (Quiz, Book Review, Visit, Field Trip, Survey Project Work ( group/Individual), Models, Unit Test, Group Discussion, Debate, Declamation, Dramatization, Role play, Presentation, Seminar, Practicals, Maths Lab Activities, Listening and speaking skills, Map work, etc).

Use separate sheets for each of the formative assessments.The evidence sent must include the breakup of marks on different rubrics/parameters of each  activity.

9.  Formative Assessment Samples

Samples provided in case of three categories with names

 

Names of students & Roll No. assigned by the Board

Total[1]

Total*

Marks

Types of

 

 

Marks obtained in

Maximum marks in

obtained in Summative Assessment I

Samples enclosed[2]

 

 

FA-1

FA-2

FA-1

FA-2

 

 

Top level of Achievement (Top 05 students)

1.

 

 

 

 

 

 

2.

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

5.

 

 

 

 

 

 

Middle level of Achievement (Mid 05 students)

1.

 

 

 

 

 

 

2.

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

5.

 

 

 

 

 

 

Bottom level of Achievement (Bottom 05 students)

1.

 

 

 

 

 

 

2.

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

5.

 

 

 

 

 

 

[1] This pertains to the Assessments of FA -1 and FA -2 which have been finally taken into account for arrivingat the grades. Samples of all assessments used for arriving at grades under FA -1 and FA – 2should be sent.

[2] There should be a variety of tasks / assessments and if samples are not possible, reports be attached.

9. Question Papers for Summative Assessment I (SA-1)                                                                                

(i)    Question Paper sent by CBSE

(ii)    Question Paper Mixed and matched from papers sent by CBSE

(iii)     Question Papers framed by the school

10. Summative Assessment Samples

Samples provided in case of three categories with names

 

Names of

Marks

Answer script,

Marks

 

students &

obtained in

supplementary

obtained in

 

Roll No.

Summative

answer scripts,

Formative

 

assigned by

Assessment

drawing sheet,

Assessment

 

the Board

 

graph paper etc. enclosed

 

Top level of

1.

 

 

 

Achievement

2.

 

 

 

(Top 05 students)

3.

 

 

 

 

4.

 

 

 

 

5.

 

 

 

Middle level of

1.

 

 

 

Achievement

2.

 

 

 

(Mid 05 students)

3.

 

 

 

 

4.

 

 

 

 

5.

 

 

 

Bottom level of

1.

 

 

 

Achievement

2.

 

 

 

(Bottom 05

3.

 

 

 

students)

4.

 

 

 

 

5.

 

 

 

11. Evidence of Assessment in Co-Scholastic

a)  Report of Activities done (in one page to be attached)

b)   Indicators of Assessment used (in one page to be attached)

List of Students who have been selected for the study of Evidence of Assessment         

(Formative Assessment)

 

Names

 

Grades Obtained in

 

 

of

 

 

 

 

 

students

 

 

 

 

 

& Roll

Life

Work

Visual and

Attitudes

Co-

Type of evidence enclosed

 

No.

assigned

Skills

Education

Performing Arts

and Values

Curricular Activities

 

by the

 

 

 

 

 

 

 

Board

 

 

 

 

 

 

Top level of

1.

 

 

 

 

 

 

Achievement

2.

 

 

 

 

 

 

(Top 05

3.

 

 

 

 

 

 

students)

4.

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

Middle level

1.

 

 

 

 

 

 

of

Achievement (Mid 05 students)

2.

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

Bottom level of

Achievement (Bottom 05 students)

1.

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 List of Students who have been selected for the study of Evidence of Assessment

(Summative Assessment)

 

Names

Grades Obtained in

 

 

 

 

of

 

 

 

 

 

students

 

 

 

 

 

& Roll

Life

Work

Visual and

Attitudes

Co-

 

Type of evidence enclosed

 

No.

assigned

Skills

Education

Performing Arts

and Values

Curricular Activities

 

by the

 

 

 

 

 

 

 

 

Board

 

 

 

 

 

 

 

Top level of

1.

 

 

 

 

 

 

Achievement

2.

 

 

 

 

 

 

(Top 05

3.

 

 

 

 

 

 

students)

4.

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

Middle level

1.

 

 

 

 

 

 

of

2.

 

 

 

 

 

 

Achievement

3.

 

 

 

 

 

 

 

(Mid 05

4.

 

 

 

 

 

 

 

students)

5.

 

 

 

 

 

 

 

Bottom level

1.

 

 

 

 

 

 

 

of

2.

 

 

 

 

 

 

 

Achievement

3.

 

 

 

 

 

 

 

(Bottom 05

4.

 

 

 

 

 

 

 

students)

5.

 

 

 

 

 

 

 

 I certify that the information given is correct and has been personally verified. 

Date: ……………………………………..

SIGNATURE OF HEAD OF SCHOOL

NAME……………………………………………..

SEAL OF HEAD OF SCHOOL COMPLETE ADDRESS………………………………………

ANNEXURE III

Attachments with the checklist (Please ✓ ):

1.

Samples of evidences of assessments for 15 students for FA-1 and FA-2 taken together

 

2.

Samples of evidences of assessments for 15 students for SA1

(Answer Scripts, Supplementary Answer Scripts, Drawing Sheets, Graph Paper etc.)

 

3.

Samples of Question Paper used for SA-1

 

4.

Samples of Marking Scheme used for SA-1

 

5.

Write-up on evidences of Formative Assessments that cannot be sent (if applicable)

 

6.

Write-up and samples on activities done under Co-scholastic areas

 

7.

Write-up on activities and indicators of assessment used for Co-scholastic Activities.

 

8.

Photocopy of the Attendance register highlighting the selected 30 candidates

 

9.

Copy of the Teachers’ Diary

 

10.

Student portfolio/Observation Scale/ Anecdotal Records used for co- scholastic areas and Activities

 

Receipt of Delivery of Evidences of assessment to the Regional Officer/City Coordinator Received the above material from………………………………………………………………………………………………………………..

Signature of the Regional Officer/City Coordinator Name and address             

Dated: