Parental Consent for Individual Child Observation

I gi ve my permission for my child, f C1 ,to be the focus child for

6~ ,
1

a studc"t i" the Bdgham You"g U"ive,sity-ldaho CHILD 350

course, for the purpose of learning about observation and assessment of child development and

learning. During this time, the above-named student will perform formal assessments and

observations of my child. I understand that my child's name and other personal information will

be kept confidential and all the information gathered will be used only for the purposes of

assignments for this course. I understand that all information will be available to me and that I

may ask questions at any time. At the end of the semester the above-named student will share

what they have learned with me. I further understand that I may revoke my consent in writing for

any reason. If I have questions or concerns, I may contact the above-named student's instructor

at the number below.

r~\r)\A ~
Parent's Name (printed)

1Dwlfl-A M~~
Parent's Signature

Date: V / \ D/1))~\

CHILD 350 Instructor Contact Information

Trevor Rowe 496-4038
[email protected]
 Peabody Picture Vocabulary Test, Fourth Edition
ii·MH:F
PPVT9~ Lloyd M. Dunn, PhD
Douglas M. Dunn, PhD
Yea r , Mont h Day

11_
Namc: : f~ q (A\ \?J\C\~ Sex: OF ID i:: - - - - - - -- Test Date \~

A,klress \J,1-11- WY'\ 1i t v~1"-,l7(;j WM;\ Currrnt GraJ e: _ _ __ __ _ _ __ _ __ _ _ _ Birth Date 2-..JJ2:1 l J...l-
Ci1,·: N "
1\r l xn l11f
Fdm nti1111 C1Hnpktrd: _ _ _ _ _ _ __ __ __ __ Age•
• Do m,1 w und up
Ji ib_ 1-,1,.
State: \'\) ZIP: <?,')\o<Opl_p Scht1uV.-\g1:nry : _ _ _ _ _ __ _ _ __ __ _ __
NORMS USED:
Tcachcr/Co uns,·lor: D Grad e: Fall
- - - --:::--- --:--- - - - -
£n.~_r\s""'
I lomc Pho ne : - - - - -
D Gr.iJc: Spring
Language Spoken at 1-lonu·: Exa 111incr: _ _ __ _ _ _ __ _ _ _ _ __ __ _

RcaStHl for Tl'Sting:

Score Summary
RAW SCORE
(r r,•m h f l'( un r ai=•· ! I [Dii[]

Graphical Profile
, ta ndard ~co re
11.,hk 111. Ii ~- 1•r 11 \ 1 ffi
C,1 nhJ r 111..1· ln tt-r,.11
' 1.ihk ,, I . ll l. PT II\ \ rm:i - [00)
Pr rce111 ik
1 l .ihl,· ll i i [11]
1 1
- - - - - - 0. % · 2.2% . 13.6% . 34.1 Jo 34 .1% 13.6% 2.2~~ .. 0. %
'-h ,rm.11 ( urn· I c1u1v:1lr n1 (N CE ) Df?71
--:sso· - --4S0 - 3SO -280 -150 [ Avg. +150- - +~ +3S0~ 0 Q~
t
1 l.1hlrf\.1 1
·- l t I I ' ,.,,,
[±]
t

·-~ '"' .
I
50 60
1
70
I
80 90 100
t '
11 0
140 ,so 160 ::,i1 .1m nc
',1Jml.m l X on· 20 30 40
• J.1 hl,· l\-t 1

. .
f • , •- I
1 ;> 5 9 16 25 i 63 7~ S-l
l1crccn11l c <,r,m 1h -x .,lt.· \'.1lur (ll~ \ ' l
NCE
,. I J.i hlr I\ ' ,11 11 1'1 1 rnJ
Sta n in c
" ,~ 111\\~1· : :
(lc~cn plhHI
E,clromoly Low
Score r Modoratoly
Low Score
j Lo T
A mgo Score
High Moderately
High Score
1 Extremely High
Score
O .\ _gc 1::.qui , ak n l
l l.1 hl r I\ ·n [lBI
O C.,raJc r qu1,-=i lr n1
c l.ihlr ll h l
Recommendations:

Copy righl (ti 1959, 1981, 199 7, 2007

Wascana Li mit ed Partnership. All rights reserved.
Published and dislr lbu t cd c 11 cluslvely by NCS Pearson , Inc.

Product Number 30 707 ( 25)

30 70 9 ( 100)
 Start Your Administration Here

Administering Items Calculating the Total Number of Errors

The Trai n ing Items nm sl he admi nistered lir~t. Tra nsfe r the m1111bcr of erro rs per Sl' t III the hoxt:s Training Items
Dirri: ti o n~ arr l1:,,1nl on the tram ing ease l 1x1grs. hclow, and ad<l up the to tal erro rs. Ile sure to use All ins1ruc1ions for introduti ng the test and
1hr /1lh t"SI nasal Sl·I and the hig,110 1 Ceiling Set. Sec adm inistcrin~ the Trai nin g l! t'ms are loc 11ed in
Tht· Start Item is th e fir-.1 ncm 111 the agf -a ppn1prl:Hl'
Chapl cr l of 1hc manual for fun her dc1ai ls. lh (' (';(SC I.
item ~ct. Start It em, art· li '-lrd in 1hr ri gh 1-h:md r o lum n
,,n thi:- pagr. ;md nn the tahhed casd page~ . Ages 2:6 Through 3:11
Sci I Sci 2 Set 3
The Complrtc Set Ruic requi res the acl minis1r;t1h111 tl r
Set h _ _ Tra ining Pa g e A
:ti\ I :! ll l' IH!-- II\ il1l' -.c 1 in tHda. bcg11111ing w11 h the fir:-. t S,·t 5
it r m in th e ~t· 1
Al. baby 1 2 3 4 E
Set 7 S,·1 8 Sct 9 - - A2. car 2
1 3 4 E
The Basa l Set Ru ic is tlll(' ( l ) t l T : cm (ll ) error, in a
s,·t. Est.lhli,h the Bas;i\ S,·t fi r:,_,,t. If ncn-~-:-;1ry. admi nister
Sl't 10_(2_ Set 11 ~ Sct 12 _\_ A3. fish 2 3 4 E

Sci 13 _1_ J£_ 2

cu lil.T ~c t:-. unt il th t· ruk is 1111.·t ,u un lil ~l' I I b A4 . candy 3 4 E
Sci Sct l 'i _:J_
t·nmplc1n l. Thr 11 11·,1 furwan.l hy :-. t' lS unt il a Ceil mg Set
i-. tih1:1i1wd . S,·1l t, _ _ :\her the t.·xa minc(· rr~ ponds corrcr ll y ,m d wi1hou1 hel p
10 1wo Training lrems. go to 11cm I , and begin testing.

l:'n,.j ,
The Ceiling Set Ruic is ~ight U-i ) or ll h l Tt' erro rs in ;1 Sci 17 _ _ Set IH _ _ Sci 19 _ _
items in dw Ct·iling Set.
:--t't. ~h' P lt·s1mg altrr ginn g n ll Total Erro rs
(h : l\l r ~n 11..1-.,1...,,
er[] Age 2 .6-3: 11
J 1"1le1lm 1,1. ll< t l

Recording Responses and Errors

Calculating the Raw Score
RtT11rd 1hc cxam ini:eS rl'SPLlnSl' t I . .2. 3. Llr -f } on tht..·
rccnrJ fnnn hy t.."in..: ling tht..· cnrrl·s po ndi ng numba Rl.'1.:ord 1h1.: 1rnmha of the Cl'i ling 11cm . which i~
Ages 4 Through Adult
;1 ftcr th l· ~1i mu lus ,nm l for e;teh ilem . The correct the last item in 1hc Ct.·ili ng Sl' t. For example . if llw
re..; pnnsc is in red . St.·c 1hl' exampk hd ow. t. 'Xamincc·s ltight'sl Ceiling St.· t was 5(·t 6, the Ceiling Training Page B
Item wo uld be Tl . Subtrac t fro m th r Cei ling hem Bl. crying 1 2 3 4 E
lndil';Hc ;rn erro r (i ncorrec t or no ri:s ponsc) by drawing th <' w tal num hcr of errors 111;.u k by the cxaminct
an o bliq ue lin e th rn ugh the E. as shown bdc1w. <from the Basal Se t through the Ceili n~ Se t l. The
82. wash ing 2 E

Exa mple: re sult is the Raw Scorl'. Sec Chapter 1 o f the m:mu al 8 3. hiding 2 3 E
for further details. 84. sitting 1 2 3 E

1. cat Cdling lt rm \t?JQ Aft er the examincc responds n :i r rcc tl y and witho ut
2.
3.
apple
ballo on
Total Errors 1-0 hdp to two Training Items. go to the appro pria te
Start Item, and begin tcs1ing.

4. han d Raw Score

0
Transfer th is R.;1w Senn:- l o thl' reco rd for m l' l l\'C r .

• Fo r each se t. rl'curd the number of am rs in lhl' ho .. : Start Item 13 37 49 61 73 BS 97

labckd "N umbe r of Errors ...

2
 • Ba s al Sci Ruic: l )nc ( I ) l'r zcw (0 ) n rnrs in a Sl' L • Ceiling Sci Ruic: Ei~h1 (8) or mon.· n ro r!'.> in a s1.:t.
• Compktc Set Rnk : Admin i~h·r .ill 12 items in thr ~r l
in order. stnrHng wi th th e firs t item in thr Sl' I.

• Start Ages 2:6-3: 11

1. cat 1 2 3 4
SET 1
E
• Start Age 4
13. running 1 2 3 4
SET 2
E 25 . flag 1 2 3 4
SET 3
E
14. window 1 2 3 4 E 26. gate 1 2 3 4 E
2. apple 1 2 3 4 E
15. neck 2 3 4 E 27. sad 1 2 3 4 E
3. balloon 1 2 3 4 E 1
16. talking 2 3 4 E 28 . hopping 1 2 3 4 E
4. hand 1 2 3 4 E 1
17. blue 3 4 E 29. plant 1 2 3 4 E
5. airplane 1 2 3 4 E 1 2
E 30. kangaroo 1 2 3 4 E
6. bird 1 2 3 4 E l 18. thumb 1 2 3 4 l
E r 31. muffin 1 2 3 4 E
7. tree
8. table
1
1
2
2
3
3
4
4
E
E
' 19. grapes
20. swimming
1
1
2
2
3
3
4
4 E 32. game 1 2 3 4 E
21. circle 1 2 3 4 E 33. barn 1 2 3 4 E
9. drinking 1 2 3 4 E
22. mail 1 2 3 4 E 34 . writing 1 2 3 4 E
10. frog 1 2 3 4 E
23. hammer 1 2 3 4 E 35. ring 1 2 3 4 E
11. money 1 2 3 4 E
24 . candle 1 2 3 4 E 36. farmer 1 2 3 4 E
12. umbrella 1 2 3 4 E
Number of Errors - Number of Errors -
Number of Errors -

• Start Age S
37. zipper 1 2 3 4
SET4
E
• Start Age 6
49. knee 1 2 3 4
SET 5
E
•
61. map
Start Age 7
1 2 3 4
SET6
E

E 50. donkey 1 2 3 4 E 62. lock 1 2 3 4 E

38. nest 1 2 3 4
4 E 51. measuring 1 2 3 4 E 63. package 1 2 3 4 E
39. mountai n 1 2 3
3 4 E 52. huge 1 2 3 4 E 64. fruit 1 2 3 4 E
40. horn 1 2
3 4 E 53 . coin 1 2 3 4 E 65. brain 1 2 3 4 E
41. pear 1 2 -
3 4 E 54. porcupine 1 2 3 4 E 66 . goat 1 2 3 4 E
42. yawning 1 2 I. I.

43 . caterpillar 1 2 3 4 E
' 55 . tearing 1 2 3 4 E • 67 . jewelry 1 2 3 4 E
2 3 4 E 68. statue 2 3 4 E
44. chin 1 2 3 4 E 56. rectangle 1 1
-
2 3 4 E 57. full 1 2 3 4 E 69 . chain 1 2 3 4 E
45. pouring 1 -
2 3 4 E 58. astronaut 1 2 3 4 E 70. leaking 1 2 3 4 E
46. decorated 1
2 3 4 E 59. ship 1 2 3 4 E 71 . cashier 1 2 3 4 E
4 7. triangle 1
·-
2 3 4 E 60. hook 1 2 3 4 E 72. binoculars 1 2 3 4 E
48. desk 1

Number of Errors - Number of Errors - Number of Errors -

3
 • Complelr Sri Rnlr: :\dmmi~h' r ,111 11 Ll l' l11' 111 tlw ' l' l • Bas al Sci Ru ic: t )n l' I I ) o r :cm ( l)) nn ,r-. in :1 sr1. • Ce il ing Sci Ru ic: Ei).!IH (H) or 111 11 r L· errors in ;i -.t·t.
m ,,nlcr. '-1:trlln)! \\ llh the f,r-; 1 Hr m in th t· ,;:ct .

" Start Age 8 SET 7

73 . divi ng 2 3 4 E 97. antlers
- -I
1 2 3 4 E
74. raccoo n 2 3 4 E 86. root 2 4 98 . calculating 1 2 3 4 E
75. island 2 3 4 E 87. sharing 2 3 4 E 99. pair 1 2 3 4 E
76. drilling 2 3 4 E 88. hive 2 3 4 E 100. printing 1
-- I
- ~ - 4- ~
77. harmonica 1 2 E 89 guitar 101. missile

ffi
3 4 2 3 4 E 1 2 f
- 3. 4
78. time
79 . electrician
1 2
2
--
3
3
.
90. terrified
91. camper
1
1
2
2
3
3 4
4 E
E
, 102. angle
103. jaw
2
2
3
3
4
4
E1
E
80. frame 2 4 E 92. liquid E 104. cliff
3
----1
1 2 3 4 2 3 4 E
81. tornado 2 3 4 E 93 . jogging 2 E 105. rough 1 3
---- 1 3 4 2 4 E
82. peacock 2 3 4 E 94. tortoise 1 2 3 4 E 106. nost ril 1 2 3 4 E
annoying 2 3 4 E 95. unhappy 1 2 3 4 E 107. walrus 1 2 3 4 E
E 96. racket 1 2 3 4 E 108. compass 1 2 3 4 E
Number of Errors Number of Errors - Number of Errors -

" Start Aga 11-12 SET 10 " Start Age 13 SET 11 " Start Ages 14-16 SET 12
109. pedal

I111.
110. construction 122. exhausted 134. grooming
C,.11
I112. arriving 12 3. funnel

a-
135. canine
I113. pyramid 124. harvesting 136. hinge
I arctic 125. adjustable 13 7. colliding 2 3 4 f
114. signal 126. grai n 138. parallel
o.i1
115. fictional 127. pelican
_II g
a-
139. t hermos
116. shore 128. nutritious 1 4 140. scholar
117. deflated 129. hoof 1
118. sanding 130. tubular 1
E 141. pelvis
142 . applauding an
u-o•
d ing 1 2
119. greetlng E 13 1. disappointed 143. amphlblan
120. bouquet 1

Number of Errors - Number of Errors

4
• Complete Sc:t Rule: Administer all 12 i1,·111s in thr srt • Basal Set Ruic: One ( I ) or zero (0) errors in a set. • Ceiling Set Rule: Eight (8) or more errors in a set.
in ordrr. sianin11 wi1h the fi rst item in the set.

146. archery 158. duet 3 4 E 170. descending

147. tuba 159. salutation 171 . attire
148. escorting 160. pod 172. physician
149. fungus 161. liberated 1 73. agriculture
150. blazing 162. composing 174. banister
151. infant 163. exterior 175. lubricating
152. hurdling 164. aviation 176. illumination
153. foundation 165. irregular 177. gavel
154. astonished 166. spherical l 78. cascade
155. capsules 167. easel 179. goblet

181 . perplexed 1 2 3 4 E
182. orating 1 2 3 4 E
183. marsupial 1 2 3 4 E
184. oasis 1 2 3 4 E
185. enticing 1 2 3 4 E
186. trowel 1 2 3 4 E
187. hoisting 1 2 3 4 E I Co11tinue on page 6

188. culinary 1 2 3 4 E
189. receptacle 1 2 3 4 E
190. enumerating 1 2 3 4 E
191 . concave 1 2 3 4 E
192. monetary 1 2 3 4 E

5
• Complclc Set Rult.: :\clmim, tr r :lll 1 l i1t·m, in l he ,;r t • Basa l Set Ruic: O ne ( I ) or : ao (l) ) &.:rrtlrS i n :i set. • Crlling Srt Ruic: Ei~l11 (H) or more errors in a ,c l.
in order. ~,ar1i ng with tlu- first i1nn 111 the 5C' l.

SET 17 SET 18 SET 19

193. nape 1 2 3 4 E 205. beaker 1 2 3 4 E 2 17. precipice 1 2 3 4 E
\NAl'PJ (BEE kuhrl IPRE S uh puh~J
---- - ---
194 . indigent 1 2 3 4 E 206. caliper 1 2 3 4 E 218. succulent 1 2 3 4 E
~NdiJuhntJ

195. entomologist 1 2 3 4 E
{KA luh puhr)

207. inoculating 1 2 3 4 E
- (SUHK yuh luhnt]

219. quiescent 1 2 3 4 E
Jf'fl tuh MOL uh 1uhst) (1n OK yuh l,,)'1 mg) fkwiy ES uhntJ

196. grove 1 2 3 4 E 208. encumbered 1 2 3 4 E 220. gable 1 2 3 4 E

JGROHV] (in KUHM buhrd) {GAYbuhlJ

197. fowl 1 2 3 4 E 209. expunging 1 2 3 4 E 22 1. perambulating 1 2 3 4 E

Jf.OW\.J l•k SPUNJ ;ngJ j puh RAM byuh IJyt ingJ
-

,.
198. incisor 1 2 3 4 E 210 . pachyderm 1 2 3 4 E 222. conflagration 1 2 3 4 E
lin SIY zuhrj JPAK ; duhrrn) (con fluh GRAY shuhn )

199. siphoning 1 2 3 4 E 211 . diverging 1 2 3 4 E 22 3. lacrimation 1 2 3 4 E

{Sl't' luhn iog] [duh VUHRj ingj (l.ik ,uh MAY ~huhn]

200 . frond 1 2 3 4 E 212. copious 1 2 3 4 E 224 . nidificating 1 2 3 4 E

\FROND) [KOH pee uhs j {NIO ul fuh kayt ing)

201. objurgating 1 2 3 4 E 213. edifice 1 2 3 4 E 225 . creel 1 2 3 4 E

(OS 1uhr gayt ,ng} [ED uh fuh s] IKREELJ

202. equestrian 1 2 3 4 E 214 . perilous 1 2 3 4 E 226. laciniated 1 2 3 4 E

{PAYR uh luhs) (luh SIN ee ayt ed]

4 E 215 . isthmus 1 2 3 4 E 227. spinet 1 2 3 4 E

[IS muh~ I (SP I nuht)

4 E 21 6. lamenting 1 2 3 4 E 228. pedagogue 1 2 3 4 E

{luh MENT ;ng) {PED uh gog)

Number of Erro Number of Errors - Number of Errors -

Pronunciation K~y
ay = long d u = \tlortu oo ,is in loot cc = long c j = solt g uh as in 1hove iy = long i
g = hMdg oy J~ in coin oh = long o s - soft c ,lrJs in farm yoo = long u k = hard c
uhr as in circlr. J = short a ow ,u in loucJ ir JS in cht!t'r e = short e aw as in law ayr a~ in chair

i = short i uu ,15 in foot ohr as In shore o = short o

Notr: ( APS with in pronunciation indic.u e primary stress.

6
June 15, 2021

Dear Greg and Tami,

Thanks so much for taking the time to getting the technology in order so that Tyden and I were
able to meet over Zoom and for meeting with me to discuss the results of his assessment. This is
just a brief letter to summarize the assessment that was given and what we discussed during our
meeting together.

The PPVT (Peabody Picture Vocabulary Test) is a short assessment where your child was shown
four pictures and then given a vocabulary word. Your child was then asked to determine which
of the four pictures best matches the vocabulary word that was given. This was repeated for
many sets. As the sets progress, the words and pictures get more advanced. Based off of the
scoring, the assessor is able to measure your child’s receptive vocabulary and understanding of
words normal to development.

We discussed, during our meeting, that Tyden is developing normally and wonderfully. Tyden’s
scores were in the low average range, which is no cause for concern. His receptive vocabulary is
normal for his age and grade. We will continue to monitor his scores in the future and look for
improvement as time progresses.

I appreciate you and Tyden taking the time. Tyden is right on track with his receptive vocabulary
and this is something to be aware and proud of.

Best Regards,
Bailey Blacker

“This letter reflects a student’s efforts to understand and implement child observation and
assessment and is not an official diagnosis of your child’s actual development. Please see a
licensed professional if you have questions or concerns about your child’s development.”
How do you know the child you administered the assessment to?
The child is my nephew.

What went well during the administration of the PPVT?

I was pleasantly surprised with how well it went over zoom. I was really worried that we would
have a difficult time, but I practiced beforehand which made things easier and go more smoothly.

What could be improved?

Next time, I think I could do a little better at explaining what the PPVT is to the student or child I
am assessing. I didn’t want Tyden to feel any pressure because the word “assessment” can be
kind of scary, but I could have done a better job of explaining what it was.

Give an overview of the parent conference.

The conference went well. We had a good visit and talked about Tyden’s results.

What went well during the conference and what could be improved?
I was able to speak plainly and openly with Tyden’s parents about his results from the
assessment. I came prepared which helped me feel more confident. Next time, I want to ask if the
parents have any questions, I meant to ask, but the parents had to leave the meeting early so it
was a little rushed.