Present Levels of Academic Achievement and Functional Performance
(This form can generate more than one printed page)
Name
IEP Date
Strengths/Preferences/Interests
Concerns of parent relevant to educational progress
Did the school district facilitate parent involvement as a means of improving services and results for your child?
Preacademic/
Academic/
Functional Skills
Reading
Written Expression
Mathematics
Communication Development
Gross/Fine Motor Development
Social/Emotional/Behavioral
Health
(
Hearing
Hearing
Vision
Vision
)
Pre-vocational/Vocational
Adaptive/Daily Living Skills