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General Information

All students can participate in EL Civics instruction and assessment. However, only ESL students in WIOA II EL Civics education programs can earn payment points for passing COAAP assessments. ABE, ASE, and CTE students can earn CAEP Immigrant Integration Indicator (I3) outcome for CAEP but not payment points for WIOA II. Please see Successful Implementation of COAAPs for CAEP Agencies for a crosswalk for ABE/ASE/CTE student placement into ESL COAAP instructional levels.
Civic Objective#: 28 Program Year: 2025-2026
Civic Objective: Access the health care system and be able to interact with the providers.
TOPSpro Form #: 285C AAP #: 28.5
Assessment Type: Written, Role Play

Level Range

From: Beginning Low To: Advanced

Language and Literacy Objectives

Language and literacy objectives with an asterisk (*) are suitable for beginning low level students.
4 *Describe symptoms of an illness or other physical problem.
5 *Perform actions or respond to a health care provider’s questions/directions/instructions.
6 *Complete a health history form online or in print.
12 *Make medical/dental/vision appointments and transfer appointment information onto a calendar.

Additional Assessment Plan Tasks

Task: 1

Description: Make an Appointment

Content A (8 items, 16 points possible)
Given a calendar listing previously scheduled appointments and activities, student will perform a level-appropriate role-play with the assessor who will take the part of the health care provider. Student will make a medical appointment by telephone and communicate up to 8 appropriate utterances, such as a greeting, a statement of name, a closing and up to 5 interactions (BL-BH=3, IL=4, IH-A=5). BL-BH will be able to accept the first date/time given. IL-A will need to negotiate for another date/time.

Content B (2 items, 2 points possible)
Student will write the appointment date and time on a separate piece of paper and will show it to the assessor after the role-play.

Points Possible:18Level:Beginning Low - Advanced
Scoring Rubric Points
Content A
Utterance is appropriate, clear, and has correct content. There may be errors, but they do not interfere with meaning. 2
Utterance is appropriate and has correct content. There may be errors that interfere with the meaning, but utterance can be understood with inference. 1
Utterance is incorrect, or there is no utterance. 0
Content B
Appointment date and appointment time are written correctly. 2
Only one (date or time) is written correctly, the other is missing or incorrect. 1
Both appointment date and appointment time are missing or written incorrectly. 0

Task: 2

Description: Complete a Health History Form
Given an agency-created patient medical history, student (IL-A) will complete an authentic health history form. Student (BL-BH) will complete an authentic health history form with a reduced number of sections that student needs to complete. This can be accomplished in a variety of ways such as: (1) giving BL-BH the complete form given to IL-A students and highlighting the sections BL-BH students need to fill out (2) giving BL-BH a reduced form which includes only those sections of the authentic application (given to IL-A students) that are assigned to BL-BH students.

These authentic forms are optimally internet based (see internet guidelines on the EL Civics website) but can be a paper based ones.

Points Possible:18Level:Beginning Low - Advanced
Scoring Rubric Points
Content
90% of the items assigned to the Intermediate Low-Advanced level students are correct 16
80% of the items assigned to the Intermediate Low-Advanced level students are correct 14
70% of the items assigned to the Intermediate Low-Advanced level students are correct. 12
80% of the items assigned to the Beginning Low- Beginning High level students are correct 10
70% of the items assigned to the Beginning Low- Beginning High level students are correct 8
Less than 70% of the items assigned to the Beginning Low-Advanced level students are correct 0
Legibility, Neatness, and Spelling
Neat and legible. Spelling errors do not interfere with meaning. 2
Not neat or legible, or spelling errors interfere with meaning. 0

Task: 3

Description: Communicate with a Health Care Provider

Content A (6 items, 12 points possible)
Student will perform a level-appropriate role-play with the assessor who will take the part of a health care provider. During a simulated visit to the health care provider, student will make up to 6 appropriate utterances, such as a greeting, a closing, and up to 4 interactions (BL=2, BH=3, IL-A=4) with the health care provider that include a description of the illness, symptoms, and responses to the health care provider’s questions.

Content B (2 items, 4 points possible)
Student will use level-appropriate clarification techniques as needed in order to comprehend the health care provider’s (assessor’s) diagnosis and instructions (e.g., You have the flu, fill this prescription, take one pill twice a day and get a lot of rest. OR you have a cavity. Make an appointment to come back for a filling and a cleaning.) and take notes on them or remember the information (BL can have support such as a list on which they circle the information.) After the role play the assessor will check the student’s comprehension of the information learned by asking up to 2 level-appropriate comprehension questions (BL=1, BH-A=2) that students will answer orally.

Points Possible:16Level:Beginning Low - Advanced
Scoring Rubric Points
Content A
Utterance is appropriate, clear, and has correct content. There may be errors but they do not interfere with meaning. 2
Utterance is appropriate and has correct content. There may be errors that interfere with meaning, but the utterance can be understood with inference. 1
Utterance is inappropriate, incomprehensible, or incorrect or there is no utterance. 0
Content B
Utterance has correct content. 2
Utterance is incorrect or there is no utterance. 0

Rating Scale/Passing Scores

Total Points Possible: 52
Advanced: 46
Intermediate High: 41
Intermediate Low: 36
Beginning High: 24
Beginning Low: 19
View Civic Obj & AAP List