Child Observation Form: Certificate III in Early Childhood Education

This assignment presents a child observation form designed for assessing children aged 2 and above, as part of the CHC30113 Certificate III in Early Childhood Education and Care program. The form guides observation of a child's interaction and language skills, including gestures, single and combined word usage, and stages of communication. It also covers play stages, and requires parent feedback with anecdotal information. The provided solution includes a completed observation form documenting the interaction skills, language skills and play of a child named Emily, with specific comments and details. The form is used to evaluate and understand the child's developmental progress in a real-world setting. It is an essential tool for early childhood educators to gather information and assess children's development.

Child Observation Form - B
Certificate III in Early Childhood Education
Assessment Workbook 4
Child’s Name: Emily
Age: 1
Use this form to record your interaction with children 2 years old and
above. Follow the instructions below:
1. With the assistance of the parent, interact with the child.
2. Gather more information from the parent’s own experiences with
the child
3. Record relevant stories or anecdotal information from the parent
4. Use the form below to document your observations:
Observation Guide
Frequency
Comments
Never
Rarely
Sometim
Often
INTERACTION SKILLS
Child looks at the parent
Child shifts attention from an
object or person to the parent
(demonstrates joint attention)
Child initiates to the parent
(verbally or non-verbally)
Child responds to the parent
(verbally or non-verbally)
Child’s interaction style:
Social | Reluctant | Passive | Own Agenda
Comments:
LANGUAGE SKILLS
Gestures:
a) Child uses a few gestures
(e.g. showing, waving bye-
bye)
TEMPLATES BY:

Child Observation Form - B
Certificate III in Early Childhood Education
Assessment Workbook 4
b) Child uses lots of gestures,
including pointing
c) Child imitates gestures
Single words:
a) Child uses a few single
words
b) Child uses lots of single
words
c) Child imitates single words
Single words combined with gestures:
a) Child uses complementary
gestures (a word + a
gesture that represents the
same thing. For example,
child says “Daddy” when
pointing to his dad.)
b) Child uses supplementary
gestures (a word + a
gesture that adds new
information to the
message. For example,
child says “Daddy” and
points to the ball he wants.)
Word combinations:
a) Child uses a few word
combinations
b) Child uses lots of word
combinations
c) Child imitates word
combinations
Child’s stage of communication:
Discoverer | Communicator | First Words User | Combiner
Comments:
PLAY
TEMPLATES BY:

Child Observation Form - B
Certificate III in Early Childhood Education
Assessment Workbook 4
Child’s stage of play:
Functional Play| Constructive Play | Pretend Play
Comments:
PARENT FEEDBACK
Provide examples of relevant stories or anecdotal information the child’s
parent shared with you about the child:
The child keeps on blabbering irrelevant words which do not make sense
and then laughs as she cracked a joke. It increases when we sit with her
during the dinner time.
OVERALL COMMENTS:
TEMPLATES BY: