This checklist is geared towards CCSS exam. It helps the teacher to assess the students and see if the students have understood the previous standards in math that were taught. It allows the teacher to drive instruction according to how well the students do or struggle. The parents signature allows the teacher to show she has kept communication lines open and is making the parent knowledgeable as to what will be on the state exam as well as what their child has learned or is learning. A great way to keep track of children and a great way to keep data on students and a great artifact to use in Domains 4. Add assessment grades a lesson and a rubric to this and you have hit up Domain 1 as well.
This two paged document includes:
Standards CC.4.OA.1, CC.4.OA.2 AND CC.4.0A.3 checklist
Two questions per standard.2q