Present Levels of Academic Achievement and Functional Performance
Name
IEP Date
CST
ELA
Math
Science
History
Writing
CMA
ELA
Math
Science
History
Writing
(Note: This item is obsolete as of 2/2/2009, and does not print on the current Form 2:)
CAT-6
English/Language Arts
Mathematics
CAPA
English/Language Arts
Mathematics
CELDT
Listening
Listening
Speaking
Speaking
Reading
Reading
Writing
Writing
Hearing Date
Hearing Date
Pass
Fail
Pass
Fail
Vision Date
Vision Date
Pass
Fail
Pass
Fail
Other Assessment Data (e.g., WJ, WIAT)
Other Assessment Data (e.g., WJ, WIAT)
Preacademic/Academic/Functional Skills
Preacademic/Academic/Functional Skills
Communication Development
Communication Development
Gross Motor Development
Gross Motor Development
Fine Motor Development
Fine Motor Development
Social-Emotional/Behavioral
Social-Emotional/Behavioral
Health
Health
Health Care Plan (attached)
Yes
No
Yes
No
Pre-vocational/Vocational
Pre-vocational/Vocational
Self-Help
Self-Help
Areas of need to be addresed in goals for student to receive educational benefit
Areas of need to be addresed in goals for student to receive educational benefit