I am a Speech Language Therapist in a public school. I push into each of 4 Kindergartens once a week. I strictly do activities that are Phonemic Awareness. This is an activity that I usually do starting midyear. Letters are changed, beginning letter, middle letter and then the last letter. Students change letters and read new words. Words are CVC and contain short vowels. This item includes 40 cards. I usually do one card as a warm-up. I use a dry erase board.