4th Grade EFL - ESL - ELD Worksheets (by price, high to low)

Color By Number features cute and adorable coloring pages. These fun coloring pages will help children master their numbers and improve their manual dexterity through coloring. Little ones will enjoy learning the numbers and coloring the pictures. It also helps in developing fine motor skills, counting, number recognition, eye-hand coordination and improves pen controls.

WHAT YOU WILL RECEIVE

• ( PDF + PNG )

• square 11'' x ''8.5 designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys, girls, and teens

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

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Printable Mother's Day activities are perfect for keeping kids engaged and entertained during the Mother's Day . These activities include a variety of fun and educational options that can be easily printed and completed at home or on the go.

this bundle contains coloring pages, word search, mazes, sudoku, cut and paste And Much more ...

WHAT YOU WILL RECEIVE

• pages ( PDF + PNG)

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

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Printable Summer activities are perfect for keeping kids engaged and entertained during Summer season . These activities include a variety of fun and educational options that can be easily printed and completed at home or on the go.

this bundle contains coloring pages, Number search, mazes, sudoku, Color by number And Much more ...

WHAT YOU WILL RECEIVE

• pages ( PDF + PNG)

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

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Printable Grandparents Day activities are perfect for keeping kids engaged and entertained during Grandparents Day . These activities include a variety of fun and educational options that can be easily printed and completed at home or on the go.

this bundle contains, Coloring Pages, mazes, Sudoku , mandala coloring sheets .

WHAT YOU WILL RECEIVE

• ( PDF + PNG)

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

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This Ultimate WHEN Question Bundle walks you through how to teach every type of WHEN question. Target Wh-Question language comprehension Goals by answering When Questions in the following ways: Time of the Day, Time on a Clock, Seasons, Holidays, Months, Days of the Week, Dates, Year, Cause & Effect, and more. Teaching scripts are included for the concepts that are tricky to explain. Teaching visuals can be paired with engaging task cards that were designed to elicit natural production of answers to all different WHEN questions.

The bundle includes Task Cards, No Prep Worksheets, Visuals, & Sentence Strips for the types of WHEN Question answers:

• Time of the Day - Morning, Afternoon, Night
• Time on a Clock
• Seasons
• Holidays
• Months
• Days of the Week
• Date
• Year
• Cause & Effect (using "when" in the answer)
• Before, After, While, During
• Past, Present, & Future Concepts
• Mixed Sentences

This resource was designed as a start-to-finish guide to teach all WHEN questions. Amazing resource for mixed groups and speech therapy/speech pathology observation. Wonderful ESL/ENL product to teach ELLs English Language Learners. Perfect for mixed speech therapy groups.

Printable Back to school activities are a fun and easy way to keep kids entertained during the warm months. These activities typically involve printable worksheets that can be easily downloaded and printed out from the internet. They are a great way to engage kids in a variety of fun and educational activities while also encouraging them to use their creativity and imagination.

What You will Get

• PDF + PNG Format
• HIGH QUALITY
• 8.5x11

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

JUST DOWNLOAD, PRINT AND GET STARTED

Elevate Summer Quotes with our diverse bundle of therapeutic activities. Explore soothing Quotes Coloring Pages and intricate Quotes Mandala Coloring Pages, Reading Comprehension. Engage your mind with Jigsaw Puzzles, Quotes Cut and Paste, Mazes , Number Search , Sudoku, Crossword . Foster connection with Games. This collection offers relaxation, mindfulness, and empowerment for all ages.

WHAT YOU WILL RECEIVE

• ( PDF + PNG )

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

Fun Spring Bees Coloring Pages For Toddler, Preschool, Kindergarten, Girls, Boys Kids. This paint dauber coloring Pages is perfect for younger to practice pre-writing skills and have fun at the same time. Makes a fun gift!

Feel free to let us know how we're doing in the Ratings & Comments section.

WHAT YOU WILL RECEIVE

• ( PDF + PNG )

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

ESL Thanksgiving Games and Speaking Activities Bundle

Bundle of taboo games to use in your ESL classroom when you want to have fun speaking and learning loads of new vocabulary about Thanksgiving. This bundle is 20% off the regular price.

Don't need everything in the bundle? Would you like to add non-related resources to your purchase? That's ok, you can still get 20% off your purchase of $20 or more with my Build Your Own English Bundle option! No sale items or other already discounted bundles can be included.

LICENSING TERMS: This purchase includes a license for one teacher only for personal use in their classroom. Licenses are non-transferable, meaning they can not be passed from one teacher to another. No part of this resource is to be shared with colleagues or used by an entire grade level, school, or district without purchasing the proper number of licenses.

COPYRIGHT TERMS: This resource may not be uploaded to the internet in any form, including classroom/personal websites or network drives, unless the site is password protected and can only be accessed by students.

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Want to get TeachShare credit to use on future purchases? Go to "My Purchases" and log in. Next to purchases there is a link to provide feedback. Click this link and you will be taken to a page where you can give a rating and leave a comment for the product. When you give feedback TPT gives you credits that you can use toward future purchases.

Fun Grandparents day Mandala Coloring Pages For Toddler, Preschool, Kindergarten, Girls, Boys Kids. This paint dauber coloring Pages is perfect for younger to practice pre-writing skills and have fun at the same time. Makes a fun gift!

Feel free to let us know how we're doing in the Ratings & Comments section.

WHAT YOU WILL RECEIVE

• ( PDF + PNG )

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

Color By Number features cute and adorable coloring page of Summer . These fun coloring pages will help children master their numbers and improve their manual dexterity through coloring. Little ones will enjoy learning the numbers and coloring the pictures. It also helps in developing fine motor skills, counting, number recognition, eye-hand coordination and improves pen controls.

WHAT YOU WILL RECEIVE

• ( PDF + PNG )

• square 11'' x ''8.5 designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys, girls, and teens

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

Follow me from Here .

Word search puzzles are incredibly helpful for learning new words. They're like fun games where you find words hidden in a grid of letters. When you do this, you remember the words better and also get better at spelling. It's like a puzzle adventure that helps you learn and remember words in a really enjoyable way!

What's included:

General topics:

• Summer Vocabulary
• Beach vocabulary
• Air transport Vocabulary
• Alphabet Vocabulary
• Autumn Vocabulary
• Body Parts Names
• Books Vocabulary
• Colors
• Community Vocabulary
• Family
• Fruits
• Vegetables
• Jobs & Professions
• Kitchen Objects
• Classroom Objects
• Clothing Vocabulary

Seasonal:

• 4th of July Vocabulary
• Columbus Day Vocabulary
• Halloween Vocabulary
• Moon Landing Day Vocabulary
• Veterans Day Vocabulary

Astronomy:

• Moon Phases

Days & Months:

• Days of the week
• Months of The Year
• French Days of the Week
• Italian Days of The Week
• Spanish Days of The Week

Animals:

• Animals Names
• Farm Vocabulary
• Birds Names
• Domesticated Animals
• Herbivores Animals Names
• Omnivores Animals Names
• Carnivorous Animals Names
• Water & Land Animals Names
• Wild Animals Names
• Jungle Animals Names
• Mammals Animals Names

Transform Your ESL Classroom with Bilingual English-Nepali Flashcards!

Looking for an engaging way to make your ESL classroom stand out? These bilingual vocabulary flashcards in English and Nepali are perfect for teachers and learners! They combine bold visuals with essential vocabulary to create an exciting, interactive learning environment.

✨ Why Choose These Flashcards?

• Clear and Readable Design: Each card is thoughtfully designed to be visible, taking up 1/15 of a page—big enough to be easily read, yet not overwhelming.
• Bilingual Advantage: Features key vocabulary in both English and Nepali, helping students build confidence in both languages.
• Visual Learning: Every card includes a picture to reinforce understanding and aid memory retention.

What’s Included in the Bundle?

This comprehensive set of flashcards covers a wide range of essential topics:

1. Math Symbols Flashcards (English/Nepali)
2. Classroom Objects Flashcards (English/Nepali)
3. Action Verbs Vocabulary Cards (English-Nepali)
4. 95 Dolch Nouns Flashcards (English/Nepali)
5. Numbers Flashcards (English-Nepali Bilingual)
6. Sports Vocabulary Flashcards (English/Nepali)

Perfect For:

• Teachers: Enrich your lessons with dynamic and engaging visual aids.
• ESL Students: Build language proficiency with vocabulary essentials.
• Parents: Make language learning fun and effective at home.

Key Benefits:

• Foster bilingual learning with an easy-to-understand format.
• Create interactive and attractive classroom displays.
• Use for flashcards, matching games, or even wall decorations!

Why Wait?

Explore more printables in my store to complement these flashcards. Your students will love the vibrant, engaging resources!

Important Note:

This product is for personal use only and cannot be shared, resold, or used commercially.

Make your classroom vibrant, interactive, and inclusive with these bilingual English-Nepali flashcards! Get yours today and transform the way your students learn!

Teach speech language therapy students or English language learners how to follow 2-step directions containing Before and After! These visual aids and teaching scripts provide a simple way to teach following 2-step directions with these temporal concepts, improving comprehension of multi-step directions.

The Before Beaver teaches students that any direction following the word "before" will come second. We teach this by showing students that anything in the Beaver's tail comes second, because the tail is the second part of its body.

The After Alligator teaches students that any direction following with word "after" will come first. We teach this by showing students that anything in the Alligator's mouth will come first, because the mouth is the first part of its body.

These fun visual strips will keep students engaged while learning to follow these 2-step directions. Smaller visual cards are included to provide even more visual support within the Beaver and Alligator visuals, by placing the cards in the tail or mouth while attempting to follow directions.

NO PREP Worksheets included with opportunities to practice isolated skills, which we know that our students often need! 4 pages of Before practice, 4 pages of After practice, and 4 pages of mixed Before and After practice.

Included in this resource:

Teaching Visuals

• Introduction Scripts
• Before Beaver Teaching Visual and Script
• After Alligator Teaching Visual and Scripts
• Before Beaver Visual to Laminate - With and Without numbers for fading of cues - Small and Large
• After Alligator Visual to Laminate - With and Without numbers for fading of cues - Small and Large
• Full page Before, After, and Before + After for Following Directions with Visual Strip practice

Following Directions Task Cards

• 4 Simple Common Object Strips for Following Directions
• 2 Complex Common Object Strips for Following Directions
• 4 Simple Food Strips for Following Directions
• 2 Complex Food Strips for Following Directions
• 4 Simple Animal Strips for Following Directions
• 2 Complex Animal Strips for Following Directions
• 3 Simple Transportation Strips for Following Directions
• 1 Complex Transportation Strip for Following Directions
• 2 Simple Color Strips for Following Directions
• 1 Complex Color Strip for Following Directions
• 1 Simple Commands to create 2-step directions

No Prep Worksheets

• 1 Before Common Objects Following 2-Step Directions
• 1 After Common Objects Following 2-Step Directions
• 1 Before + After Common Objects Following 2-Step Directions
• 1 Before Food Following 2-Step Directions
• 1 After Food Following 2-Step Directions
• 1 Before + After Food Following 2-Step Directions
• 1 Before Animal Following 2-Step Directions
• 1 After Animal Following 2-Step Directions
• 1 Before + After Animal Following 2-Step Directions
• 1 Before Transportation Following 2-Step Directions
• 1 After Transportation Following 2-Step Directions
• 1 Before + After Transportation Following 2-Step Directions

Consider using this Before & After resource for producing complex sentences!

Try this Before & After Decimals resource for classroom carryover.

Don't forget to follow my store for more awesome products and rate this product for your TeachShare credits :)

Excellent Resource for Mixed Groups

Vocabulary: Practice labeling common objects, category, function, location, + parts

Wh- questions: Ask who, what, where, when, why questions about common objects

Sequencing: Sequencing directions

Sentence production: Elicit compound and complex sentences

** Perfect resource for Teacher Observation or Speech Therapy Observation**

Fun National Book Lover day Coloring Pages For Toddler, Preschool, Kindergarten, Girls, Boys Kids. This paint dauber coloring Pages is perfect for younger to practice pre-writing skills and have fun at the same time. Makes a fun gift!

Feel free to let us know how we're doing in the Ratings & Comments section.

WHAT YOU WILL RECEIVE

• ( PDF + PNG )

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

Target language comprehension & sentence production of temporal and spatial concepts using your speech therapy students' math curriculum! These teaching scripts, Task Cards, & NO PREP Worksheets will help our students understand decimals by targeting language in the context of math. This resource contains math task cards and worksheets to ensure that what we do in our therapy room will generalize in the classroom for our students with speech and language deficits.

All SLPs knows how much language is embedded in our students’ math lessons. It is often taught in the classroom through following directions (“Look before the decimal”) or questioning (“Where is the 2?”), but we know that our students are often unable to follow the directions or answer those questions.

This resource solves that problem! Help students to understand the spatial and temporal concepts needed to learn decimals, while emphasizing expressive language development in order to participate in classroom discussions. Teaching these concepts while using numbers allows for quicker generalization into the classroom.

Included in this resource:

• Teaching Scripts for Before/After and Place Value

• Task Cards/Flash Cards can be used to drill concepts to improve retention. They can be paired with motivating board games. These task cards include:

  • 12 Before/After Following Directions in Decimals Task Cards
  • 12 Left/Right Following Directions in Decimals Task Cards
  • 12 Sentence Production (Use for Before/After, Left/Right, & Place Value) Task Cards
  • 12 Place Value Task Cards with Place Value Visual (ones, tens, hundreds, thousands, ten thousands, hundred thousands, millions, tenths, hundredths, thousandths, ten thousands, hundred thousands)
  • 13 Articulation task cards for final "s" and final "ths" to distinguish place value in sentence production

• Visual Aids - 23 different visual aids with options for every learner and teaching style

• NO PREP Worksheets to extend learning, engage students, and improve generalization of concepts

  • 1 Decimal Place Value Sorting by ending sound Articulation
  • 1 Simple Circling Before/After number location - Sentence Production
  • 1 Maze Before/After number location - Sentence Production
  • 1 Simple Circling Left/Right number location - Sentence Production
  • 1 Maze Left/Right number location - Sentence Production
  • 1 Following Directions Before/After Puzzle
  • 1 Following Directions Left/Right Puzzle

Consider using this Before & After resource for students who need more help!

Don't forget to follow my store for more awesome products and rate this product for your TeachShare credits :)

Excellent Resource for Mixed Groups

Grammar & Syntax: Elicit complex sentence production

Articulation: final /s/ and "th"

Following directions: Follow directions containing sequential and temporal concepts before, after, while, during, last, next

** Perfect resource for Teacher Observation or Speech Therapy Observation**

Puzzles are the best activities for brain teasing labyrinths, these exercises support learning through play by developing concentration and problem solving skills.

Feel free to let us know how we're doing in the Ratings & Comments section.

WHAT YOU WILL RECEIVE

• ( PDF + PNG Files )

• Large 8.5'' x 11'' designs that can easily be printed on regular sized paper

• High-resolution images

• Unlimited prints

• Great for kids, boys and girls

JUST DOWNLOAD, PRINT AND GET STARTED

• This item comes as a high-resolution PDF + PNG files that you can download straight after purchasing.

• You can print as many copies as you want.

NOTE

• This is a digital item.

• No physical product or printed material will be shipped.

• No refunds as this is a digital product.

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Happy Halloween Games and Activities BUNDLE - English - ESL

This is a bundle of games and activities for the month of October when you want to have some fun with Halloween. This bundle is 30% off.

Don't need everything in the bundle? Would you like to add non-related resources to your purchase? That's ok, you can still get 20% off your purchase of $20 or more with my Build Your Own English Bundle option! No sale items or other already discounted bundles can be included.

LICENSING TERMS: This purchase includes a license for one teacher only for personal use in their classroom. Licenses are non-transferable, meaning they can not be passed from one teacher to another. No part of this resource is to be shared with colleagues or used by an entire grade level, school, or district without purchasing the proper number of licenses.

COPYRIGHT TERMS: This resource may not be uploaded to the internet in any form, including classroom/personal websites or network drives, unless the site is password protected and can only be accessed by students.

➤ Just click here to follow my store!

➤ Sign up for LLL's ESL newsletter

➤ Join LLL ESL on Facebook

➤ Follow me on Pinterest

Want to get TeachShare credit to use on future purchases? Go to "My Purchases" and log in. Next to purchases there is a link to provide feedback. Click this link and you will be taken to a page where you can give a rating and leave a comment for the product. When you give feedback TPT gives you credits that you can use toward future purchases.

This resource serves as a start-to-finish way to teach speech language therapy students or English language learners the correct form of present tense verbs. The use of community helpers naturally elicits present tense verbs, while also providing opportunity for vocabulary development. Start by producing short sentences with community helper flashcards, then advance skills by using fill-in-the-blank sentence worksheets, sentence writing worksheets, and reading comprehension worksheets.

Included in this resource:

Task Cards/Flash Cards can be used to drill correct use of present tense verbs in sentences. They can also be used as memory games or paired with motivating board games. Singular and plural subjects are pictured in both color and black-and-white. Task cards include both picture-only and picture-and-word formats to adapt to your lesson. Community helpers include:

• Baker
• Astronaut
• Farmer
• Dentist
• Detective
• Construction Worker
• Firefighter
• Gardener
• Custodian
• Librarian
• Lifeguard
• Mail Carrier
• Painter
• Plumber
• Police
• Teacher
• Sanitation Worker
• Veterinarian
• Coach

Sentence Frames for all sentence structures including present tense verbs.

NO PREP Reading comprehension passages are written to naturally elicit use of present tense verbs in answers. Words-only and icon-supported reading passages are included for a variety of reading levels.

NO PREP Fill-in-the-blank writing worksheets provide writing opportunities for singular, plural, and mixed subjects with support of a word bank.

NO PREP Independent writing worksheets promote correct use of present tense verbs when writing complete sentences.

Teaching Materials:

• 1-page teachable explanation of use of present tense verbs and their conjugations when speaking
• 1-page teachable explanation of use of present tense verbs and their conjugations when writing
• 1-page list of verbs for each community helper
• 1-page list of commonly-used present tense verbs

Excellent Resource for Mixed Groups

Grammar: Naturally elicit present tense sentences for singular and plural subjects through flashcards, fill-in-the-blank sentence worksheets, sentence writing worksheets, and reading comprehension worksheets. Present progressive, Past, Future, and all other tenses can be prompted as well.

Vocabulary: Practice labeling community helpers/occupations and their actions. Sort pictured community helpers by location, attributes, tools, actions, etc. Compare and contrast community helpers. Produce synonyms and antonyms of verbs.

Wh- questions: Ask who, what, where, when, why questions about community helpers. Use reading comprehension passage to answer wh- and inferential questions.

This resource serves as a great way to teach speech language therapy students or English language learners different ways to answer WHEN questions. The explicit instruction of using Before and After, and Past, Present, and Future concepts is essential for children to be able to answer certain WHEN questions, while also providing opportunity for vocabulary development, sequencing, categorization, and complex sentence production. These visual aids, task cards, and sorting worksheets will walk you through the instruction of WHEN questions step-by-step.

Included in this resource:

Task Cards/Flash Cards can be used to drill WHEN questions that elicit before & after, and past, present, & future concepts being used in the answer. 18 Chores & Activities flashcards to elicit natural conversation of actions that happen before & after one another. They can be paired with motivating board games. Color and Black & White. These task cards include:

6 Household Chores Flash Cards

• mopping
• laundry
• cleaning windows
• watering flowers
• vacuuming
• mowing lawn

12 Activities Flash Cards

• baseball
• soccer
• tennis
• painting
• gymnastics
• hockey
• ballet
• fishing
• karate
• swimming
• movie theater
• party

Teaching Visuals

• Before & After - Before, During, & After - Before, While, & After
• Past, Present & Future Concepts
  • Past: Yesterday, Last week, Last month, Last year, Last time, A while ago, Last weekend, Recently
  • Present: Right now, every day, every morning, every afternoon, every night, every time, sometimes
  • Future: Tomorrow, Next week, next month, next year, next time, Next weekend, Soon, Later

Colored Materials to Laminate & Velcro

• Before & After Sorting Page
• Before, After, During Sorting Page
• 2 Before & After Timeline with Key to guide sentence production

No Prep Worksheets

• 1 Before & After School Sorting Page
• 1 Before, After, During School Sorting Page
• 1 Before & After checklist about School
• 1 Before & After checklist about Cleaning Room
• 2 Before & After Timeline with Key to guide sentence production
• 1 Before & After reading comprehension story about Cooking
• 1 Before & After reading comprehension story about Training a Dog

Teaching Materials:

• 1-page teachable explanation of different ways to answer when questions.
• 1-page teaching script to explain how to answer when questions by using "when" in the answer

Excellent Resource for Mixed Groups

Grammar: Naturally elicit past, present, and future tense verbs

Vocabulary: Practice labeling common objects and actions. Produce synonyms and antonyms of verbs

Wh- questions: Ask who, what, where, when, why questions common objects and events

Sequencing: Sequencing events

Sentence production: Elicit compound and complex sentences with details using task cards and sentence visuals.

Categorization: Categorize objects and events

Following directions: Follow directions containing sequential and temporal concepts before, after, while, during, last, next

** Perfect resource for Teacher Observation or Speech Therapy Observation**