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(Note: This item is obsolete as of 2/2/2009, and does not print on the current Form 2:)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 Pick a date Vision Date Vision Date Pick a date
 

 
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)
 
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