Present Levels of Academic Achievement and Functional Performance
Page help

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
 
 

 
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        
 
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 ( Pick a date ) Pass Other   Vision Vision ( Pick a date ) Pass Other
 
(For the hearing and vision tests, to have the pass and fail boxes un-checked on the printed form, leave the test date field empty, or enter "N/A" in the Other box.)
 

 
  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