Present Levels of Academic Achievement and Functional Performance
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Name   IEP Date

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

 
  NOTE: The blue items located below are obsolete with the 12/2007 revision of Form 2. The rose items below are new with the revised form. If any of the blue items are completed, AND none of the rose items are completed, then the previous Form 2 (4/07) will be printed. Otherwise, the newer form will be printed.  
 

CA Standards Tests English/Language Arts English/Language Arts
  Math Math
 
 
  Hist./Soc. Sciences Hist./Soc. Sciences
  Science Science
 

CMA English/Language Arts English/Language Arts
  Math Math
  Science Science
 

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)
 
Hearing Hearing ( ) Pass Other   Vision Vision () Pass Other
 
(For neither pass nor fail to be checked on the revised printed form for the hearing and/or vision tests, mark "N/A" in the respective Other box.)
 
N/A Pass  
 

 
  Preacademic/Academic/Functional Skills Preacademic/Academic/Functional Skills  (including classroom performance in all academic areas)
 
 
  Communication Development Communication Development
 
 
  Gross/Fine Motor Development Gross/Fine Motor Development
 
 
  Social/Emotional/Behavioral Social/Emotional/Behavioral
 
 
  Vocational Vocational
 
 
  Cognitive/Adaptive/Daily Living Skills Adaptive/Daily Living Skills
 
 
  Health Health