Optional Information (For Organizational and Tracking Purposes Only)

Note: Different Mexican foods could be used. Food from any country could be used.

NYSAA for Science and Social Studies Multi-Step Task Data Collection Sheet
Student Name: / NOTE: A Data Collection Sheet cannot stand alone; supporting evidence is required. Includes a minimum of three dates. Complete in full, including staff initials, for each date.
ACCURACY (Acc) KEY: (+) Correct Response (-) Inaccurate/No Response
Describe Steps of the Assessment Task (recommend at least 4): / Date / Date / Date / Date / Date / Date / Date / Date
Acc
+/- / Acc
+/- / Acc
+/- / Acc
+/- / Acc
+/- / Acc
+/- / Acc
+/- / Acc
+/-
Student tastes Mexican food 1 - taco
Student tastes Mexican food 2 – enchilada
Student tastes Mexican food 3 – mole
Student tastes Mexican food 4 – Mexican rice
Total +’s
Total Steps
Fraction / / / / / / / / / / / / / / / /
Percent (%) / % / % / % / % / % / % / % / %
Staff Initials of person recording the data REQUIRED for each date
Staff Key (REQUIRED)
Initials and Name of staff recording data are required to verify initials recorded above / Initials: _____ Name: ______Initials: _____ Name: ______
Initials: _____ Name: ______Initials: _____ Name: ______

Optional Information (for organizational and tracking purposes only):

Content Area: Science üSocial Studies (HS only) AGLI Code #: 92115

Assessment Task: AT92115A – The student will explore the lifestyle of a foreign country.

NOTE: It is acceptable to document a single step activity on this form. Be sure the step(s) clearly describe all requirements of task.