Summary Of The Student’s Academic
Achievement And Functional Performance (A)
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(This form can generate more than one printed page) |
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Name |
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Date of Birth |
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Date of most recent IEP |
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Primary Disability
Primary Disability
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Primary language
Primary language
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Reason for Exit (check the ONE that applies):
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SUMMARY OF THE STUDENT'S ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE |
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Strengths/Interests/Learning Preference: |
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Pre-Academic / Academic / Functional Skills (Note results of any general State or district-wide assessments): |
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Cognitive Abilities: |
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Communications Skills: |
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Motor Skills Fine/Gross: |
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Health: |
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Social/Emotional/Behavioral: |
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Self Help/Adaptive: |
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Pre-Vocational/Vocational: |
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Other Recommendations: |
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