Present Levels of Academic Achievement and Functional Performance
Name   IEP Date

Strengths/Preferences/Interests Strengths/Preferences/Interests
 
Concerns of parent relevant to educational progress Concerns of parent relevant to educational progress

CA Standards Tests English/Language Arts English/Language Arts
  Mathematics Mathematics
CAT-6 English Language Arts English Language Arts Mathematics Mathematics Hist/SocSci Hist/SocSci Science Science
CAPA English Language Arts English Language Arts Mathematics Mathematics Science Science Other Other
CELDT Listening Listening Speaking Speaking Reading Reading Writing Writing
Other Assessment Data Other Assessment Data (e.g., curriculum assessment, other district assessment)

Preacademic/Academic/Functional Skills Preacademic/Academic/Functional Skills
Communication Development Communication Development
 
Gross/Fine Motor Development Gross/Fine Motor Development
 
Social/Emotional/Behavioral Social/Emotional/Behavioral
Health Health
( Hearing Hearing   Vision Vision )
 
Vocational Vocational
 
Adaptive/Daily Living Skills Adaptive/Daily Living Skills