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Strengths/Interests/Learning Preferences:
Strengths/Interests/Learning Preferences:
Strengths/Interests/Learning Preferences:
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Pre-Academic / Academic / Functional Skills
Pre-Academic / Academic / Functional Skills
Pre-Academic / Academic / Functional Skills
(Note results of any general State or district-wide assessments):
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Cognitive Abilities:
Cognitive Abilities:
Cognitive Abilities:
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Communication Skills:
Communication Skills:
Communication Skills:
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Motor Skills (Fine/Gross):
Motor Skills (Fine/Gross):
Motor Skills (Fine/Gross):
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Health:
Health:
Health:
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Social/Emotional/Behavioral:
Social/Emotional/Behavioral:
Social/Emotional/Behavioral:
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Self Help/Adaptive:
Self Help/Adaptive:
Self Help/Adaptive:
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Student's Post Secondary Goal(s). Student indicates that education, employment, and/or living are: |
1.
1.
1.
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2.
2.
2.
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3.
3.
3.
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Comments:
Comments:
Comments:
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Other Recommendations:
Other Recommendations:
Other Recommendations:
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