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Child Outcomes Summary Form (Exit)

The Child Outcomes Summary (COS) Exit form is used to evaluate a child's progress at the time of exit from an early intervention or Early Childhood Special Education (ECSE) program. This form measures developmental changes in the same three outcome areas assessed at entry:

  • Positive social-emotional skills (including relationships)

  • Acquisition and use of knowledge and skills (including communication)

  • Use of appropriate behaviors to meet needs

The COS Exit form allows teams to compare a child's current abilities with their initial entry ratings, providing insight into developmental growth and the effectiveness of program services. Like the entry form, ratings are determined through a collaborative approach utilizing multiple sources of information.

Key components

Student information

The following table shows all the fields that appear in the Student Information section in the Child Outcomes Summary form.

Field Name

Description

Data Flow

Source

Student

Name of the student for whom the meeting has been called.

In

This information is auto-populated based on the student records.

STN

Student Test Number

In

This information is auto-populated based on the student records.

Birth Date

Date of Birth of the student to determine the age.

In

This information is auto-populated based on the student records.

School

The name of the school in which the student is currently enrolled.

In

This information is auto-populated based on the student records.

Current Grade

The class/grade in which the student is currently enrolled.

In

This information is auto-populated based on the student records.

Entry Date

The date on which the child was enrolled in the program

Out

Use the date picker to select the desired date.

Exit Date

The date on which the child exited from the program

Out

Use the date picker to select the desired date.

Exit Reason

The reason why the student has exited from the program.

Out

Select the reason from the drop-down list.

Team Members

The following table provides details about the team members captured in the COS form.

Field Name

Description

Data Flow

Source

Name

The IEP Committee name selected.

Out

Use the look-up feature to find the member.

Role

The role assigned to the member selected.

In

Enter the text

  • To add more, click the Add more member records icon and the drop-down menu reappears in a new line that follows.

The entries in the log are sequenced chronologically by default. However, you can also shuffle the hierarchy of the disabilities added in any sequence.

  • To move a log entry upwards in the list, use theimage-20250219-060415.pngicon.

  • Likewise, to move a log entry downwards in the list, use theimage-20250219-060719.pngicon.

You can also delete any disability from the list by clicking theimage-20250218-161914.pngicon.

Apart from the details of the officially assigned or selected team, you must collect some additional details about Family information on child functioning.

The following four options are provided. You can select all that apply.

  • Received during a team meeting

  • Collected separately

  • Incorporated into assessment(s)

  • Not included

Skillset information

The response to the question [To what extent does this child show age-appropriate functioning, across a variety of settings and situations, on this outcome?] captured in the COS Entry Form, is logged here.

Since the pre-training response was captured at entry and the program has ended, this section prompts you to respond to the post-training follow-up question.

Has the child shown any new skills or behaviors related to acquiring and using knowledge and skills since the last outcomes summary?

Here, for each of the following three Cognitive and Socio-Emotional skills of the student:

  • Positive Social-Emotional Skills (Including Social Relationships)

  • Acquiring And Using Knowledge And Skills

  • Appropriate Behavior And Skills

You can choose one of the seven assessment levels to measure and assess each skill and provide a detailed justification for your choice.

  • N/A - Not Yet Assessed

  • 01 - No Use of Immediate Foundational

  • 02 - Some Immediate Foundational

  • 03 - Emerging Immediate Foundational

  • 04 - Rarely Uses Immediate Foundational

  • 05 - Some of the time

  • 06 - Some Concerns

  • 07 - Completely Age Appropriate

Lastly, you must provide the progress assessment and subsequently log your comments in detail.

To provide a detailed response in the last two sections, you can answer in one of the three ways:

  • Insert or Upload your response from a statement bank. Insert or upload your response from a statement bank.

  • Narrate and record your response as voice Narrate and record your response as an audio file.

  • Write the response as text in the field given Write the response as text in the field given.

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