EFTA01709707

EFTA01709707 EFTA01709708 IZZ=1=E3 Spring 2003 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) READING SUNSHINE STATE STANDARDS PERFORMANCE TASKS Student Report Grade 10 This report provides your results on the FCAT 2003 Reading performance tasks. Each performance task on FCAT requires you to respond with either a short response or a longer, more detailed response. Short-response tasks are scored on a 2-point rubric and extended-response tasks are Sawed on a 4-point rubric. One of the short-response tasks is shown below with a Copy Of your answer. The number of points you earned for your answer is ShOwn in the box to the right. This task required you to read a passage about an American zoologist's attempts to rehabilitate two young gorillas in Africa. Describe how Coco and Pucker change as a result of their experience with Dan Fossey. Use details and informatiOn from the story to explain your answer. FCAT 2033 READING PERFORMANCE TASKS Student Name Student Number School Name School Number District Name District Number This Performance Task Response All Reading Performance Task Responses Points Possible Points Earned eah Cao-racurRns wev wccit-r Saivedsatt 63 Ot. reSUR bF their ressyJi -may nealinr10 -Mei( -Per OP- YlutraYIS ,Don SI*RM(ori ociA kfnit.ucc- -Mod rip mitem-t- -VOW May pexv Pj C is iWYtag viedtakti01- ThiCitXp heir Ondfro WAN TRIC.O M161 4-nlsk. 2 12 Data Run Date: 05/07/2003 0084103 853200565 EFTA01709709 FCAT Ibrz.,(c,?reens if Anwar -T1(.0 Spring 2003 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) MATHEMATICS SUNSHINE STATE STANDARDS PERFORMANCE TASKS Student Report Grade 10 This report provides your results on the FCAT 2003 Mathematics performance tasks. Each performancetask on FCAT requires you to respond with either a short response or a longer, more detailed response. Short-response tasks are scored on a 2-point rubric and extended-response tasks are scored on a 4-point rubric. One of the short-response tasks is shown below with a copy of your answer. The numbe-r of points you earned for your answer is shown in the box to the right. FCAT 2003 MATHEMATICS PERFORMANCE TASKS Student Name Student Number School Name School Number District Name District Number This Performance Task Response All Mathematics Performance Task Responses Points Possible Points Earned 2 16 The students in the senior class al Paradise Island High School have decided to raise money by selling graphing calculators and geometry tool kits. They have set aside 5.3,000 to purchase the items they need to sell. They will spend 575 for each calculator, and 520 for each tool kit. From past experience, they know that twice as many students will buy the calculators as will buy the tool kits The inequality and equation below can be used to determine the number of each nem the senior class should have available to sell, where c is the number of calculators and t is the number of tool kits. 75c t 20t sa 3,000 c = 2t How many tool kits should the senior class put chase' Show your work. c o • 30no Li,oc_6, /‹.0brzsct) Ze-0 -aO&l< 3O0O 0, Number of tool kits 17 20 (Dab Data Run Date: 05/07/2003 0084104 854200209 EFTA01709710 Ft. I N..•n,. STUDENT HEALTH EXAMINATIONS Phone Birthdate School Date Race A. HEALTH EXAMINATION Hecht Weight Blood Pressure (✓) N_ormal•N; Abnormal•A N A 1 Appearance 2. Skin/Nose 3 Head/Scalp Eyes 5. Visual Acuity IR b U 6. Ears, 7 Auditory Acuity (R 8 L) 8. Nose 1 Throat 9. Mouth. Teeth and Gums 10. Chest / Lungs 11 Heart 12. Abdomen 13 Genitals and Anus 14. Musculo-Skeletal 15 Neurological 16 Alertness 17 Emotional / Mental/ Behavior Prot 18 Handicap. physical/ other (Specify) 19. Activity Restrictions (Specify) 20. Abuse. substance/ Physical / emotional 21 Nutntion 22 Other COMMENT: Abnormal Findings, by number B. HEALTH HISTORY (Serious Illnesses Inures explain) (attach narrative it additonal space needed) C. I ARARATARY Ina inelinlaelli e Tuberculin test Sickle Cell type date result NAME: TITLE: ADDRESS: (Please Print) r-rdl- OH 3040. 10116 (lieplooli 14R5-14 Form 3040 which easy be used) Mock Plumbot. 5744400.3040-2) Authorized Signature-- Date EFTA01709711 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code LAST NAME PARENT OR GUARDIAN FIRST NAME MI 4:10B NIO/DAJYR CHILD'S SS# (optional) STATE IMMUNIZATION ID#1 Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-I, A-2, B, or C) on reverse side of form. • If the child is presenting for the 7th grade requirement only and has previously filed a Certificate of Immunization (DH 680, Part A-1) with their current Florida school, fill in boxed areas below and complete Part A-2 on the reverse side of this form. • For additional information: See Immunization Guidelines for School and Child Care Facilities for information and instructions on form completion and immunization requirements. Guidelines are available from the local county health department. VACCINE DOE CODE DTaP/DTP2 A DT3 Td' PoHod HIV MMR (Combined) (Separate G, H, I Hepatitis B9 Varicella1' Varicella Disease L Dose I Dose 2 Dose 3 Dose 4 Dose 5 MO/DA/YR MO/DA/YR MO/DA/YR MO/DA/YR MO/DA/YR 1 The state immunization ID# is an identifier supplied by the state immunization registry (optional). 2 DTP/DTaP 5 doses required. If the 4th primary dose is administered on or after the 4th birthday a 5th dose is not required. 3 DT (pediatric) is acceptable if pertussis vaccine is medically contraindicated. (Complete Part C for pertussis contraindication.) 4 Td (adult) vaccine is recommended for children 7 years of age or older. S Polio 4 doses required. If the 3'd dose in an all OPV or all IPV series is administered on or after the 4th birthday, a 4th dose is not required. Polio vaccine is not required for children 18 years of age or older. 6 Hib is required for child care, family day care and preschool entry and attendance only. 7 First dose valid if given on or after birthday. Second dose (measles) valid if given at least I month after l" dose. A 2"1 dose of measles (preferably MMR) is required for students in grades K-6 and 7'th grade entry and attendance effective with the 1997/1998 school year. In each subsequent year thereafter, the next highest grades arc included. S Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (I). 9 Hepatitis B vaccine series is required for 7th grade entry and attendance effective with the 1997-1998 school year and kindergarten entry and attendance effective with the 1998-1999 school year. In each subsequent year thereafter the next highest grades are included. Hepatitis B vaccine series is required for preschool entry and attendance effective with the 2001/2002 school year. 10 Varicella vaccine is required for entry and attendance in preschool and kindergarten effective with the 2001/2002 school year. In each subsequent year thereafter, the next highest grades arc included. Susceptible children 13 years of age or older should receive 2 doses, given at least 4 weeks apart. Varicella vaccine is not required if child has documentation of history of varicella disease. EFTA01709712 LAST NAME FIRST MI DOB (MO/DANR) Certificate of Immunization for K-12 Excluding 7th Grade Requirements PART A-1 (immunizations are complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code i I have reviewed the records available, and to the best of my knowledge, the above named child has been adequately immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, rubella and hepatitis B (for kindergarten effective with the 1998/99 school year) and varicella, varicella vaccine not indicated if history of disease either physician documented or parental recall or kinde :anen elective with the 2001/2002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Name: (Print or stamp) Address: Physician or Authorized Signature Date: Certificate of Immunization Supplement for 7th Grade Requirement PART A-2 (Immunizations are complete for students who enter or attend the 7th grade after the beginning of the 1997/98 school year. Each subsequent year thereafter. the next highest grade will be included in the requirement.) DOE Code 8 I have reviewed the records available, and to the best of my knowledge, the above named child has received the following immunizations required for entry and attendance in 7th grade effective with the 1997/98 school year: tetanus-diphtheria booster, hepatitis B vaccine series, and second dose of measles vaccine as documented on the reverse side of this form (boxed areas). Physician or Clinic Name: (Print or stamp) Address: Physician or Authorized Signature: Date: 3- Temporary Medical Exemption PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who are incomplete for immunizations in Part A-I or A-2.) Invalid without expiration date. DOE Code 2 1 cerrifi, that the above named child has received the immunizations documented on the reverse side of this form and has commenced a schedule to complete the required immunizations. Additional immunizations are not medically indicated at this time. Physician or Clinic Name: (Print or stamp) Expiration Date: (t5 days after next immunization appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I cent& that the physical condition of this child is such that immunizations) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: DII 450, Pd2000, obsoletes whet canons (Stack Number 5740 MI 01e^ 1) Date: EFTA01709713 THE SCHOOL DISTRICT OF PALM BEACH COUNTY (SDPBC) New and Returning Student Registration NEW STUDENTS: Complete all non-shaded areas on both sides of the form. RETURNING STUDENTS: Review botlisides. If the pre-printed information is incorrect, correct the Information by carefully and lightly crossing out the incorrect information and writing the correct information above it. • 4.7,jaWIMT:t Ica • (haw) (r.1, cos) RoYAtAim 457itel pi .3till (6) MAILING ADDRESS (nouso no. a neat nem.) Opt_ nal (nth Istata) (z* code) . (9)SEX (10) RACEETHNIC ORIGIN (apobna) 0 1-American Indian/Alaskan Native O - on-Hispanic O H-Hispanic O A-Asia Islander Non-Hispanic O M-Mularacial 0 0 DATE OF BIRTH (12) PLACE OF BIRTH (S)/sralotounliy) aSli . (13) RESIDENT STATUS O O. Foreign Exchange Student O 1. Out-of-county Resident O_ ..., 2 Out-of-state Resident OJ 1. In-county Resident (14) USA ENTRY DATE (MMODAYTY) (15) FEDERAL IMPACT SURVEY YES NO O O A. The student resides on federal property. O O B. The student resides in low rent housing. O (7 C. The parent is employed on federal property located in Palm Beach County. • O D. The parent is employed on low rent housing located in Palm Beach County. O O E. The parent is in the uniformed services of the United States. O O If E. is YES, is the parent on active duty? Check service below: . • Air Force O Army O Coast Guard O Marines O National Guard O Navy (16)PFIESCHOCI. ENROLLMENT INFORMATION ' Place an X by each program attended Also. indioste with an asterisk(*) the program your child was in the lonast. 0 N. Non-subsidized Child Care O M. Migrant Pre.l< O D. Pre-K Disabilities . O H. Headstart O I. Pre-K Early Intervention O C. Chapter 1 O S. Subsidized Child Care O O. Other. (1 7) is THE STUDENY A SINGLE P EYES N , (18)CURRENT GRADE LEVEL ef 14 TARN .. .. . -.,,.-. (19) NAME OF SCHOOL TRANSFERRING FROM. (20) CI 1Y OR LOCA1:09 . (21) LAST A N:TANCE DATE (22) LAST GRADE LEVEL (23) LAST PUBLIC SCHOOL ATTENDED IN PALM BEACH COUNTY (T4) CATE Al TENDED IN PDC, C E Etti!„ (25) Students will receive non-invasive health screenings pursuant to Florida Statute § 381.0056(7)(d). Non-invasive • screenings may include vision, hearing, scoliosis, height, and weight. These tests may be given individually or in groups. Parents or guardians, however, have the right to request an exemption in writing. It you DO NOT want your child to receive the.screenings, write the words "Do not screen" here: . 076661, „ . . . , RIC .0/1 (27) LI:geyalaInl oBrVg an 1 d reduced lunch? (This exemption will cover all types of screenings) (26) I give permission for my child to participate in the sodium fiouride program to prevent tooth decasEVIESO N r (Permission is valid through 6 grade) O YES laie15- (Application is ptbvided with this form PAVOIMPOINAZAIAMEACitgq. 0,14 itItit&e,t, A ,y,t (28) HOME LANGUAGE SURVEY YES N±:),,/ O riff s.. Is a language other than English used in the home? If YES, what language? O 8 ..-2. Does the student have a first language other than English? If YES, what language? English ?? O B ' 3. 2. the student most frequently speak a language other than English? If YES, what language? (29) 4. What language is spoken in the home by the parent or guardiap? 5i< (30) 5. What language is the student's first language? Ch./Erb S 4 . (31) What is the date of entry into an ESOL program? (32) STTENT IJVES WITH: kited cone) V2 Mother O Father O Both Parents VOtper ‘ 214t sbPstiCEWKS (33) DISCLOSURES FOR ENTRY INTO PBC SCHOOL DISTRICT YES 14)," O 4 . _A. Has the student ever been expelled from school? O ril i 2. Has the student ever had an arrest resulting in a charge? O NY 3. Has the student ever had any juvenile justice actions? (34)CUSTOOY STATUS OF STUMM' V thedrone) i O Mother O Father Shared Custody O Other • (35) Is there a court order barring either parent from removing or contacting the student during the school day? O YES .NO If YES, provide the school with a copy of the court order. - ' PBSD 0636 (REV. 4/6/2001) page 1 of 2 EFTA01709714 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGISTRATION (36) FATHER OR LEGAL GUARDIAN 031st mkIdle Alia( Ms° (37 ADDRESS (SOW nomboS 7-4" 94 4:1311Tvnlixdpber) IIIIIIIIIIIIIIIIIM CITY STATE ZIP CODE , • . CITY STATE ZIP CODE .4y#6_ pAhn Se:i/g4- a s tym • . ..__. , OCCUPATION • 1 \ GC-CUPKTION ' ' ' Fl/(Er EMPLOYMEN'T IIIIIII HOME TELEPHONE BUSINESS TELEPHONE CELIWAGER NUMBER HOME TELEPHONE BUSINESS TELEPHONE • •.• . . . EMAIL ADDRESS (opfkaa0 EMAIL ADDRESS (axis* Ngigq..kraWatt4. 1W. a ialici rlifiaggean4cVnt it • .. . W4*.Staitl eitt Person(s) other than parent authorized to pick up student (36) PASSWORD pin 10 tbarsderl) NAME Crs( =doe Wig. fast (41) NAME PIA middle Ms,. MR) ADDRESS (street Jxe er, excel. 40401990199:0590 • ADDRESS (shoot number, street oporfmeof number) • STATE ZIP CODE ilfr& Alin A:9mA H 3.50-ac CITY STATE DP CODE • T rzow ile"SHIP (40) AUTHORIZED FOR IMENENCY PICKUP U! .1ES • NO TELEPHONE RELATONSHIP (42) AUTHORIZED FOR EMERGENCY PICKUP 0 YES • NO (43) If school personnel are unable to contact you incase of illness or accident. may we have your permission to call your doctgrkir, . emergency stivices 011) for tranSporloto the hospital? Bla 0 NO (44) MEDICAL INFORMATION five student' anossos, bohanior. health Aso s. artergs, mediations or ortfor physkod NostoCons) I • .... • % (45) FAMILY PHYSICIAN (413) PHYSICIAN PHONE µe7 Does your child currenV have health insurance? BYES 0 NO If YES, indicate: (07) HOSPITAL PREFERENCE . 0 Medicaid airivate 0 Healthy Kids/Kid Cam 0 Interested in receiving information eittiS •i p ER, tpl.PeEtliii,„_, ,,,,,_ cfrk oil _ ,§q. ,pp 73, (49) NAME OF CHILD (fast k( mktile MN) SCHOOL ATTENDING STUDENT NO. (opOona9 GRADE DATE OF BIRTH (50) NAME OF CHILD (toss finds,* irMY80 SCHOOL ATTENDING STUDENT NO. (ackonal) GRADE DATE OF BIRTH (51)NAME OF CHILD (lost Eras mickne Mal) SCHOOL ATTENDING STUDENT NO. (optional) GRADE DATE OF BIRTH (52) NAME OF CHILD (fast Erg mktila Coda.) SCHOOL ATTENDING ( STUDENT NO. (optional) GRADE DATE OF BIRDI PARENT/GUARDIAN SIGNATURE I verify that the information given is true and accurate to the best of my knowledge. ,... ,,.. , . Iiiiitikirg laKSWE P:A? ,&., adyra.%,„,..!, „... ? „„;, v-nk , k•:!: . isinvEr co;pkaniaatrace....swato ,5"titiiiilai 41.a*I.104:.,rrrol Faisaggigh ca e a.S..4S OSk•rS . hts ita Ms r.,.>,.' • daiazgEtiiit it "i: nilLi; .4. ." ; f me -.,. ,it.v .... • • , ' .Vrt " ' Atrn.MF 'I'''. " SIGNATURE OF PARENT/G DATE r'hs *VA PBSD 0636 (REV. 4/6/2001) EFTA01709715 4)- .1OOL Oa's% THE SCHOOL DISTRICT OF PALM BEACH COUNTY (SDPBC) • No New and Returning Student Registration yea/tip (1) STUDENT NUMBER (2) SAC CODE (3) GRADE LEVEL 12 NEW STUDENTS: Complete all areas on both sides of the form except areas specified. RETURNING STUDENTS: Review both sides. II the pre-printed information is incorrect, correct the information by carefully and lightly crossing out the incorrect information and writing the correct information above it. Complete any areas that are blank. DIST TCHR NBR:O47 STDT (4) STuDENT LEGAL NAME Oast first middle) = (5) ALSO KNOWN AS Il= (4) LOCAL ADDRESS (hOUSO PO. S sac name) (apt no) NAY) able) Pro coda) ROYAL PALM BEACH FL 33411 (7) MAILING ADDRESS (house na a sisal name) (apt. no) (ulY) (stale) MP 0,(0!) BO SOCIAL SECURITY NO. Toptrone0 (9) HOME TELEPHONE NO. (10) F 1 (11)RACFJETHMC ORIGIN y • Native 0 B-Black, Non-Hispanic 0 H-Hispanic 0 W-White, Non-Hispanic 0 M-Multiracial I-American Indian/Alaskan • A-Asian/Pacific Islander (12) DATE OF MTH (leAUDDIYYYY) (13) PLACE OF BIRTH WA lily Coco I/ Us (14) RESIDENT STATUS 0 0. Foreign Exchange3Student 0 1. Out-of-county Resident ❑2. Out-of-state Resident 0 0 3. In-county Resident (IS) USA ENTRY GATE (AMODDAWY) (Is) FEDERAL IMPACT SURVEY YES NO El 0 A. The student resides on federal property. 0 0 B. The student resides in low rent housing. 0 0 C. The parent is employed on federal property located in PB County. 0 0 D. The parent is employed on low rent housing located in PB County. 0 0 E. The parent is in the uniformed services of the United States. 0 0 If E. Is YES, is the parent on active duty? Check service below: 0 Air Force 0 Army 0 Coast Guard 0 Marines 0 National Guard 0 Navy indicate wilh an he longest. Prekindergarten Prekindergarten Parent Program Applicable (17) PRESCHOOL ENROLLMENT IsFORIAATION Place an X by each program attended. Also. asterisk (') the program your child was In 0 C. Title I Prekindergarten 0 M. Migrant 0 D. Pre-K Disabilities 0 N. None 0 F. Fee for SeMces 0 P. Private 0 H. Head Start 0 T. Teenage 0 L Readiness Program 0 Z. Not pp Is the student a single parent? N 0 YES 0 NO TRANSFER STUDENT Only students transferring from another school complete this section (19) NAME OF SCHOOL TRANSFERRING FROM (20) CITY /STATE icouNre COUNTRY (21) LAST ATTENDANCE DATE (22) LAST GRADE LEVEL (23) Have you ever been enrolled In a Palm Beach County School? 0 YES 0 NO If yes, what school? _ 200 DATE ATTENDED IN PBC All new and returning students compete the remaining form including page 2 (2s) Students vrill receive non-Invasive health screenings pursuant to Florida vision, hearing, scoliosis, height, and weight. These tests may be glen Individually right to request an exemption in vrriting. If you DO NOT want your child (This exemption wit cover at types Statute § 381.0O56(7)(d). Non-invasive screenings may Include or in groups. Parents or guardians, however, have the to receive the screenings, write the words "Do not screen" here: of screenings) (26) I give permission (or my child to participate in the sodium fluoride program (Permission is valid through grade 6) YES (27) Does your child currently have health Insurance? 0 YES 0 NO P If YES, Indicate: 0 Medicaid 0 Healthy Kids/Kd Care U Private to prevent tooth decay. M YES II NO El Interested in receMng Information (25) HOME LANGUAGE SURVEY (chock ail that an*, 0 A language other than English is used in the home. 0 The student has a first language other than English. 0 The student most frequently speaks a language other than English. What language? What language? What language? (29) DISCLOSURES FOR ENTRY INTO PSC SCHOOL DISTRICT (check aV that apply) 0 The student has been expelled from school. 0 The student has had juvenile justice actions taken against him/her. 0 The student has arrested resulting in a charge. (30) STUDENT LIVES WITH: (check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home (31) CUSTODY STATUS OF STUDENT (aeck tee) 0 Mother 0 Father 0 Shared Custody E Other • Other CRS: SEC:OO1 BLDG:O3 RM:212 O6 11 O4 IMPORTANT INFORMATION - MUST BE COMPLETED ($2) Is there a court order barring either parent from removing or contacting the student during the school day? 0 Yes 0 No If YES, provide the school with a copy of the court order. PBSD 0636 (Rev. 03117/2004) page 1 of 2 EFTA01709716 PARENT/LEGAL GUARDIAN INFORMATION (33) FATHER OR LEGAL GUARDIAN (16's( (Mete MAIM 4430 (34) DATE OF BIRTH (44) MOTHER OR LEGAL GUARDIAN (w. middle Witt, last) (45) DATE OF BIRTH (35) ADDRESS Meet number snot aPartmeal number) (46) ADORESS (Heel number, *et apartment number) (36) CITY STATE VP CODE (47) CITY STATE ZI, CODE ROYAL PALM BEACH FL 33411 (37) OCCUPATION (36) HIGHEST ED. LEVEL (48) OCCUPATION (45) HIGHEST ED. LEVEL DISPLACE OF EMPLOYMENT (507 PLACE OF EMPLOYMENT ocs HOME TELEPHONE (41) BUSINESS TELEPHONE (42) CEWPAGER NUMBER (51) HOME TELEPHONE (52) BUSINESS TELEPHONE (53) CELUPAGER NUMBER (43) EMAIL ADDRESS (cpLcnaO (54) EMAIL ADDRESS Osounner) EMERGENCY HEALTH AND SAFETY INFORMATION Provide name(s) of person(s), other than parent, allowed to pick up student. PASSWORD (limit 10 characters) tss) (56) NAME (Ns& middle indiat last) (82) NAME MIL medle Hem( MO (57) ADDRESS (steel number alma( specimen( number) SAME (83) ACORESS (000 IIMIllbOr, street alaatanant Awake) (58) CITY STATE ZIP CODE (64) CITY STATE ZIP COOS (59) RELATIONSHIP OTHER (60) TELEPHONE (31)CELLSAGER NUMBER (85) RELATIONSHIP (86) TELEPHONE (67) CELUPAGER NUMBER (88) STUDENTS ALLERGIES (cheek e)) that apply and specify) 0 None 0 Animals 0 Birds 0 Reptiles 0 Food 0 Other Specify • Amphibians 0 Plants (69) LIST STUDENTS ILLNESS. BEHAVIOR ISSUES, MEDTCATIONS OR PHYSICAL LIMITATIONS (TO) FAMILY PHYSICIAN (71) PHYSICIAN PHONE NAMES OF PARENT'S/LEGAL GUARDIAN'S OTHER CHILDREN (72)NAME OF CHILD (Ent middle Wrist, Iasi) (73) SCHOOL ATTENDING (74) STUDENT NO. (*Prism° (75) GRADE (76) DATE OF BIRTH (77) NAME OF CHILD (Tnt middle Milig les0 (78) SCHOOL ATTENDING (79) STUDENT NO. (opeona0 (80) GRADE (81) DATE OF BIRTH (82) NAME OF CHILD (en( middle indict( MO (63) SCHOOL ATTENDING (64) STUDENT NO. fopeone0 (85) GRACE (86) DATE OF BIRTH INFORMATION VERIFICATION verify that the Information given is true and accurate to the best of my knowledge. SIGNATURE OF PARENT/LEGALGUARDIAN DATE PARENT/GUARDIAN CONSENT I understand and agree that all educational records of my child may be shared with the Districts health care partners and other governmental and social agencies jointly seeing the child or having a legitimate interest in the records, as needed to provide and evaluate health services and government/social services to students. I also understand and agree that my child's medical records or other medical information that I provide to the school, and treatment records or other medical records created by health care personnel at the school will be shared with school officials who have a legitimate educational purpose for accessing such medical records and information. SIGNATURE OF PARENT/LEGAL GUARDIAN DATE FOR OFFICE USE ONLY COB US CAL 01 SL Entry Code E01 SI. Enby Dale 08/11/04 ESP. Entry Dale PBSD 0636 (REV. 03/17/2004) teacher No Reassign. Code Binh Vedgeolion 1 DCF Documentation Checklist Transportation 0 Immunizations ID Binh Records Verification O Social Security Number 0 Physical Exams 0 Address Verifcatinri 0 PBC Bus 0 Palm Iran 0 Parent/Student Transpalation 0 Walk 0 Bike page 2 of 2 EFTA01709717 TEST RECORD INFORMATION PESO 0280 (REV. 7/15197) FRT EFTA01709718 tar- es'? )01.10.nboar . .at.- .414.11taISW/rIgarela.".•IN ,.....4014v0 :4al r ........4‘...,-41:taiii. eaL • •. - :p.c....a - - - itte-iteNCA.A.C/i nscaswasuAareArb,..110 4. 814.4*.uwatea. FLORIDA :1 ID ral SCHOLARSHIP PROGRAM Verification of Receipt (NOTE: This is not the application for the scholarship.) I verify that I have received and read the initial eligibility requi of the Florida Bri ht Futures Scholarship Program for the year Name (please print) Signature Date 912,1-1/2)01 Please return to your high school guidance counselor AnNIESAI NUMBER EXTENSION Wag EVA EFTA01709719 THE SCHOOL DISTRICT OF PALM BEACH COUNTY DIRECTIONS: Write in the aooroonate code number or letter in the corresoondino boxes. Student Discipline Referral EFTA01709720 Parent/Guardian of ROYAL PALM BEACH, FL 33411 RE: GRADE: 12 Date: El School: Phone: Dear Parent/Guardian: regret to inform you that on your son/daughter was notified that a suspension was being consi ered based on the following incident(s): DISOBED/INSUBORDINAT REP DISOBED/INSUBORD Section 1006.09(1)(b), Florida Statutes, provides that a school principal may suspend a student from school. In accordance with section 1006.09(1)(b),F.S., a meeting was held in my office on 12/07/2004 at which your son/daughter had the opportunity to explain why the suspension should not be imposed, after receiving oral and written notice of the charges and an explanation of the evidence against him or her. On the basis of the evidence available, i am hereby suspending from school attendance for a period of 3 school days effective In accordance with Section 1003.01(5)(a),F.S., your son/daughter is remanded to your custody with specific homework assignments to complete during the suspension. Please contact my office to obtain these assignments. Please be advised that Section 984.13(1)(b),F.S., allows a law enforcement officer to take your son/daughter into custody when the student is suspended and is not in the presence of the parent/guardian. Your son/daughter will be in violation of this suspension if he/she is on any public school premises and/or any other school-sponsored activities without prior permission from the principal or designee. It is most important that you contact the principal/designee prior to your son/daughter returning to school. c fl SCHOOL STUDENT GRD RACE SU N ATE DAYS ESE 504 LEP 12 w 003 N N N PBSD 0262 (REV. 4/04) EFTA01709721 4---p,00,44,,, THE SCHOOL DISTRICT OF PALM BEACH COUNTY tOja Grade andlor Course Change Documentation $11JOS SCHOOL ECTION MASER CHANGE DOCUMENTATION GRADING PERIOD GRADE EXAM CONDUCT 7 Y From To From From To To From From From To To To IZ High School K Middle School 0 Elementary School Change course code From To Reason for change 0 Recalculated Grade Average K Student Completed Work Other (explain below) ,deitutte tc./ebd pm -e2-7.4,0--ez et:1,J devmpard. APPROVAL SIGNATURES (two of three required) /21)1 DATE DATE SIGNATURE Of AREA ADIRN,STRATOR DATE PESO 0797 (REV. 0/14/2004) ORIGINAL Cumulative Folder DATA PROCESSOR CONFIRMATION I confirm that the grade/course change has been implemented. SIGNATUR /A? y DATE PRINT NAME Copy - Office File EFTA01709722 WI LLLLL P.0. Box 3050 Bcca Raton, FL 33431.095..) Attn: Boca Matl Unit AV 01 048 153 993048229 A..€0OT 'ROYAL PALM BtACM, FL 354'1.6103 0 BELLSOUTH Mobility' pn is now X cingular WIRELESS billing statement en lined FIRSTCLASSMAX U.S. POSTAGE PAID OTS EFTA01709723 • " ' wiatilSS P.O. 80x 3050 Sitca Raton, FL 33431.OS5S Attn: Soca mall Unit Ay ni nagisl onlmmon A":ccr ROYAL PALM BEACH. FL 354,I.ilo3 OD BELLSOUTH Mobility' to is now >:< angular WIRELESS billing statomont on losod FIRST{XASSMAR. US. POSTAGE PAID OTS EFTA01709724 SVPWICILSOA OF [LCCTIONS 301 N. OWE AVENUE. ROOM 105 PALMOCACII. 33S0i-4?fl DO SOMETHING - VOTE I 111,...1 CI 0,2"),, US POSTAGL PAII Vt1 Palm u.r.ICIr I F-inal Randal 11 RETURN SERVICE REQUESTED VOTER IDENTIFICATION PALM BEACH COUNTY. FLORIDA ricanuncesmaartet REORIROJIINIOM 45114/41 MIN ROYAL • M BEACH L 3341 1 SUPERCOR a EtICKINS firamAnave.V. t. I YOUR PRECINCT RUNNIER IS. YOUR POLLING lOCAllON IS. s, go • r.... ; ra..-i I a...c c.v. • I UGIBUE TO IR ACH A l CI SOMME 01N ua weInn sisal v wan nag Win n.' . 14 ... 16 8S A :1g PRE St NY THIS CAM AT YOUR PRECINCT WREN YOU VOTE SEE REVERSE VOX FOR CHNIGE.OF.ADORESS *MALICIA), NO11FY M fliC110,4$ aclCE ~MAIM W ANY INFOAMATON ON TICS CAM IS NC OAK a. RLOGIRATION IIIIII1111111II1III 1,11„Aha,611“Jhli lilt The Sunshine State i al r AL PALI !E aD Nan Lan RrA1 esna nom OflATT 064041 00-0040 ORGAN D01404 WE ORM* CIStOTS. OPV• Oi • INS VOI100 Oral/a comer,. sobnety rarNai LI, le . 2301 EFTA01709725 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGISTRATION i (36) FATHER OR LEGAL GUARDIAN (Ng "Able weak sow I 37 TN R r L -1 PDORESS (NNW iwAnt.f. nn,.( NS: CRY STATE ZP COOE STATE Zip COo€ A/MI i rec ic.4 a 339/4 OCCUPATION PLACE OF EMPLOYMENT HOME raiPHONE I BUSINESS TELEPHONE CELUPAGER NUMBER SUSMESS TELEPHONE J WAIL ADDRESS (optoima0 WAIL ADORESS (0060,10) LEMEFIGENCY HEALTH AND SAFETY,-INFORMATION ,. . • -?-c-4 . :.4sug;---;. . ,•;‘,:w *4-14,w, Person(s) other than parent authorized to pick up student dm PASSWORD Arm ro otaiToCte:3) (3S) NAME gat. mdcaeinilia( Imo (At) NAME Oat A400* MO* WO ADDRESS (Moot Ofeet •Partmea numb.) ADDRESS 04Amt ntabee. ante( apartment WY A iitt, 49fin gerth STATE ZIP COOS ty 3.30z4. CiTY STATE ZIP CODE C pcbt o t113 (40)AUTHORIZED FOR EME:VENCY POW D' IES 0 NO RELAY/Cf.:SHIP (M2) AUTHORIZED FOR EMERGENCY PICKUP 0 YES 0,NO (43) If school personnel are unable to contact you Incase of airless or accident, (44) MEDICAL INFO(LMATION 0ist stmloes !esse; basImmor. heath hmeations) may we have your permission to call your doctor or . emergency services (911) for transport to the hospital? Ef<S 0 NO issues. Sews. nx s. ce oftve panted (45) FAMILY PHYSICIAN ill tPiCIAN PHONE (M6) Does your child currently have health insurance? IVES 0 NO If YES, indicate: :47) HOSPITAL PREF ERL NCL 0 Medicaid gilivate 0 Healthy Kids/Kid Care 0 Interested in receiving information RARENTSiGUARDIAN'S OTHER CHILDREN 1N7:1211:11/113aceiTh011#S ta, , 116P4S, sot NAME Of CHILD pm. most rnoole sa,aii SCHOOL ATTENDING STUDENT NO (op0:040 GRACE DATE OF 12M3D4 (50) NAME OF CHILD OAR first. mickla it,) ...flan ATTENDING STUDENT NO. (tipAbre) GRADE DATE OF BIRTH MI NAME OF CHILD (MA gra muse SW) mini ATTENDING STUDENT NO. (002nN) GRADE DATE OF RIM (S2) NAME OF CHILD ant try. nag* at40 SCHOOL ATTENONG STU004T NO. (0priNNO GRADE DATE OF BIRTH I PARENT/GUARDIAN SIGNATURE FOR OFFICE USE ONLY (S3)SCH NO. (5<)STUDE NT NO (55) COO (56) ENTRY CODE I(5T) SAC (SS) GRADE LEy k11:;Aer. gttah4">14 -9 W al° MEM . 62) Mppril 463 Btft WERE A. V " nil No I verify that the information given is true and accurate to the best of my knowledge. (66)DATA /GUARDIA DATE REV:10636 (REV 416,2001) page 2 of 2 EFTA01709726 12t r emae (Form: 23(3 SSN: NA 2004 Ain No 0017 ASVAB RV RESULTS ASVAB Results 12th Credo Standard Scores 12th Grade Standard Score Bands Percentile Scores 12th 12th 12th Gtaile Grad. Grade Females Males Students Career Exploration Scores 'Verbal Skills Math Skills Science and Technical Skills ASVAB Tests General Science (GS) Arithmetic Reasoning (AR) Word Knowledge (WK) Paragraph Comprehension (PC) Mathematics Knowledge (MK) Electronics Informations (ED Auto and Shop Information (AS) Mechanical Comprehension (MC) Military Careers Score 5 Military Entrance Score (AFQT) 85 EXPLANATION OF YOUR ASVAB STANDARD SCORES Your ASVAB results are reported as standard scores in the above graph. Your score on each test is identified by the "X" in the corresponding bar graph. You should view these scores as esti:micro( your true skill level in that area. If you took the test again, you probably would receive a somewhat different score. Many things, such as how you were feeling during testing, contribute to this difference. This difference is shown with gray score bands in the graph of your results. Your standard scores are based on the ASVAB tests and composites based on your grade level. The score bands provide a way to identify some of your strengths. -Overlapping score bands mean your true skill level is similar in both areas, so the real difference between specific scoresmightnot be meaningfullf the score bands do not overlap, you probably are stronger in the area that has the higher score band. YOUR ASVAB PERCENTILE SCORES Your ASVAB results are reported as percentile scores in the three columns to the right of the graph. Percentile scores show how you compare to other students- males and females, and for all students - in your grade. For example, a percentile score of 65 for an 11th grade female would mean she scored the same or better than 65 out of every 100 females in the 11th grade. For purposes of career planning, knowing your relative standing in these comparison groups is important. Being male or female does not limit your career or educational choices. There are noticeable differences in how men and women score in some areas. Viewing your scores in light of your relative standing both to men and women may encourage you to explore areas that you might otherwise overlook. You can use the Career Exploration Scores to evaluate your knowledge and skills in three ggeeen- eral areas (Verbal, Math, and Science and Techni- cal Skills). You can use the ASVAB Test Scores to gather information on specific skill areas. To- gether, these scores provide a snapshot of your current knowledge and skills. This information will help you develop and review your career goals and plans. The ASVAB is an aptitude test. It is neither an absolute measure of_your skills and abilities nor a perfect predictor of your success or failure. A high score does not guarantee success, and a low score does not guarantee failure, in a future edu- cational program or occupation. For example, if you have never worked with shop equipment or cars, you may not be familiar with the terms and concepts assessed by the Auto and Shop Informa- lion test. Taking a course or obtaining a part- timejobin thisareawouldincreaseyour knowl- edge and improve your score if you were to take it again. USING ASVAB RESULTS IN CAREER EXPLORATION Your career and educational plans may change over time as you gain more experience and learn more about your interests. Exploring Ca- reers: The ASVAB Career aplonftion Guide can help you learn more about yourself and the world of work, to identify and explore potential goals, and develop an effective strategy to real- ize your goals. The Guide will help you identify occupations in line with your interests and skills. As you explore potentially satisfying careers,you will develop your career explora- tion and planning skills. Meanwhile, your ASVAB results can help go: in making well-informed choices about hi high school courses. We encourage you to discuss your ASVAB results with a teacher, counselor, parent, family member or other interested adult. These indi- viduals can hap you to view your ASVAB results in light of other important information, such as your interests, school grades, motiva- tion, and personal goals. MILITARY CAREERS AND ENTRANCE SCORES Two more scores can be especially use- ful to you. The Military Careers Score is a composite of the ASVAB verbal, math, mechanical, and electronics tests. The Military Careers Score provides a link to occupations described in Military Careen. You will be able to see how well your skills, abilities, and career interests match those of Service personnel cur- rently working in military occupations. lvlilitaly Careers provides you with a clear image of what workers do in these occupations, as well as other useful in- formation about the occupations. The Military Entrance Score (also called AFQT, which stands for the Armed Forces Qualification Test) is the score used to determine your qualifications for entry into any branch of the United States Armed Forces or the Coast Guard. The Military Entrance Score predicts in a general way how well you might do in training and on the job in military occu- pations. Your score reflects your stand- mg compared to American men and women 18 to 23 years of age. USE OF INFORMATION Personal identity information (name, so- cial security number, street address, and telephone number) and test scores will not be released to any agency outside of the Department of Defense (DoD), the Armed Forces, the Coast Guard, and your school. Your school or local school system can determine any further re- lease of information. The DoD will use your scores for recruiting and research purposes for up to two years. After that the information will be used by the DoD for research purposes only. Visit: www.asvabprogram.com Use Access Code: Access code expires: July 1st SEE YOUR COUNSELOR FOR FURTHER INFORMATION DD FORM 13044 1 JUL 02 - PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE EFTA01709727 4 frortDia. THE SCHOOL DISTRICT OF PALM BEACH COUNTY X Grade andlor Course Change 4 Documentation I (E1 High School 0 Middle School 0 Elementary School - 1111111•111Cal GRADE LEVEL 7 2 Sai YEAR COU7JAKEN 6 CHANGE DOCUMENTATION GRADING PERIOD GRADE EXAM CONDUCT From To From From To To From From From To To To Change course code From To Reason for change K Recalculated Grade Average EI Student Completed Work El Other (explain below) 6 —laegie_ PROVAL SIGNATURES (two of three required & ( SIGNATURE OF AREA ADMINISTRATOR DATE PBSD 0797 (REV. 511412004) ORIGINAL - Cumulative Folder DATA PROCESSOR CONFIRMATION I confirm that the grade/course change has been implemented. SIGa DATE Q -or PRINT NAME Copy • Office File EFTA01709728 STUDENT N STUDENT NAME: 7) 15-71 0 (9 6C 120t) PREVIOUS COURSES COMPLETED c/ SY T COURSE NO# COURSE TITLE SA CREDIT CREDIT CREDIT FINAL FLGS HC PS TAKEN DS 0_6 3 CODE ATTP EARN SCHL ■ COUNSELOR DATE:, ^!7 OP: • DATE: r73-/ -0 y EFTA01709729 iv THE SCHOOL DISTRICT OF PALM BEACH COUNTY %1/4,49, ez Grade / Course Change Documentation ( IL_ —11I'd GENERAL INFORMATION STUDENT NAME 4M CO CciSf CTION NUVBER en GRADE LEVEL /1 RCM YEAR COURSE TAKEN 02003— e) V , CHANGE DOCUMENTATION . r GRADING PERIOD GRADE EXAM CONDUCT A/46, FrOm From To From To To From From From To To To Change course code From To Reason for change: 0 Recalculated Grade Average Student Completed Work 0 Other (explain below) APPROVAL SIGNATURES (two et three required) SIGMA FURS OF TEACHER S SIGNATURE OF AREA ADMINISTRATOR 07 - 0? -.0K DATE DATE DATA PROCESSOR CONFIRMATION . PBS() 0797 (REV. 9/12/2001) SIGNATURE OF DATA PROCESSOR ORIGINAL - Cumulative Folder Copy-Office File DATE EFTA01709730 Spring 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS Grade 10 Student Report The. Florida Department of Education believes that student has the ability to learn and succeed. The purpose of the FCAT is to ensure that Florida's public schools are providing the best uca ion possible, and preparing students to succeed In the competitive 21st Century Job market. Working with teachers, the State has developed a measurementsystem that allows you to track a student's academic achievement from year to year and determine if a year's worth of learning has occurred In a year's time. This system also allows you to compare a student's score to a score that represents 'oracle lever achievement. If a students score Is above the 'grade lever score, then they are performing at a level above their current grade. If it is below, they are in need of Improvement. Using the 'Content Scores,' you are able to Identify any specific academic skills needing Improvement. Below you will find your 2003 FCAT Reading and Mathematics scores" as well as your scores from previous years. The chart on the right side of the page shows your score compared to the score that represents grade level achievement. 2003 Reading Content Sco es Content Areas Points Points Possible Earned Words/Phrases 9 Main Idea/Purpose 14 Comparisons 13 I Reference/Research 16 I Year Grade Tested Achievement Level FCAT Score • 2001 L 2002 2003 2000 ss CO U LL 1000 500 Reading Grades Grads 4 Grades Grades Grader 11+ • Your Sco e K On Grade Level 2003 Mathematics Content Scores Content Areas Points Points Earned Number Sense 11 Measurement 10 Geometry 14 I I Algebraic Thinking 14 I I Data Analysis 11 I Year Grade Tested Achievement Level FCAT Score • 2001 2002 2003 FCAT Score Mathematics Grads 3 Gush. 4 Grades Grade Gras ■ Your Soo e O On Grade Level • These scores show your achievement on the day you were tested. If you had taken this test numerous times, it is likely that all of your scores would have been within a certain range. Your 2003 FCAT Reading scores probably would have been between 2197 and 2381. Your 2003 FCAT Mathematics scores probably would have been between 2106 and 2172. NT = Not Tested NR =Not Reported NA= Data Not Available Data Run Date: 05/09/2003 0165053 EFTA01709731 Florida Comore entire Assessment Test Spring 2003 student Name Florida Comprehensive Assessment Test (FCAT) Stu eat umber NORM-REFERENCED TEST I! e and Number GRADE 10 Student Report This report shows your results from the FCAT National Norm-Referenced Test. The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics Problem Solving describe your performance in relation to the performance of students throughout the nation. Your scores are shown below. SUBJECT SCORES Scale Score Reading Comprehension Mathematics Problem Solving National Percentile Rank Stanine The Scale Score expresses your performance on the test and allows for comparisons from year to year. Reading Comprehension Scale Scores range from 527 to 817. Mathematics Scale Scores range from 568 to 863. The National Percentile Rank and Stanine Indicate your relative standing in comparison to the national reference group. National Percentile Ranks range from 1 to 99. Stanlnes range from 1 to 9. If you took the test again, your National Percentile Rank might be slightly higher or lower than stated here. However, your National Percentile Rank would probably fall within a certain range. For Reading Comprehension, your National Percentile Rank should be between 47 and 78. For Mathematics, your National Percentile Rank should be between 88 and 97. CONTENT SCORES Number of Questions on Test Number of Correct Responses Number of Questions Attempted Reading Comprehension 51 initial Understanding 8 I Interpretation 22 I Critical Analysis 9 I Strategies 12 I Mathematics Problem Solving 48 I Problem Solving 6 I Algebra 6 I Statistics 6 I Probability 5 I Functions 5 I Geometry-Synthetic 7 I Geometry-Algebraic 4 I Trigononetry 3 Discrete Math 3 Precalculus 3 Data Run Date: 04/30/2003 0145471 EFTA01709732 • • A;mow. WIRILI$$ P.O. Box 3050 Boca Raton, FL 33431.0960 Attn: Boca Mail Unit till AV 01 048153 993048229 An5DGT ROYAL PALM BEACH, FL 33411.6103 &BELLSOUTH Mobility is now >a< angular WIRELESS billing statement enclosed FIRST•CIAS Ala US. POSTAGE PAID OTS • • ...• Tr' .....••••••ArWIV.,” • 4. :Is neeIWO.WA nrt 1/4 •4• vv. ••.; EFTA01709733 I rit IWO n •-•• SUPERVISOR Of ELECTIONS 301 N OLIVE AVENUE. ROOM 106 VI PALM REACH. FL 33401-4795 DO SOMETHING - VOTE US POSTAGE PAD lAbsl Palm Rnach, FL Permrl Number 169 FEC•tillt•DO•itaa•Plit RETURN SERVICE REQUESTED VOTER IDENTIFICATION PALM BEACH COUNTY. FLORIDA ousnunos DOS. Rwapa IL St 05/10/01 R 0 8 SENT 11113 CAM AT YOUR PRECINCT WHEN YOU YOU FOR CHANGE ORADORESS INSTRUCHON‘ NOWT TIE ELECTIONS OFFICE IMMEDIATELY W ANY INFORMATION ON 11113 CARD IS INCORRECT, LIIllIluhJI1L1JL1JLll 1111 lilt III1 1 II I The Sunshine State a Oa PEST 00311.0 F SOS 0140-01 OPE° DLPLICAR 0003-00 ORGAN DONOR svi DRARA RUIN Sands "MN* consINAss *Newt TRM Eob,rWr vegan., by APR EFTA01709734 (13) RECENT STATUS 0 0. Foreign Exchange Student 0 I.Out-of-county Resident 0 2, Out-of-state Resident al In-county Resident (16) pRESCHOOt ENROLLMENT INFORMATION Pima an x by each pograen attended Also, indicate with an asterisk (line program yOur did was in the ionsiest. 0 N. Non-subsidized Child Care 0 M. Migrant Pre-K 0 D. Pre-K Disabilities 0 H. I-leadstart 0 I. Pre-K Early Intervention 0 C. Chapter 1 0 S. Subsidized Child Care 0 O. Other (17) LS THE moon A ( 8) CURRENT GRADE LEVE 0 YES 7 SINGLE P O (14) USA ENTRY DATE (44/MDEvrern THE SCHOOL DISTRICT OF PALM BEACH COUNTY (SDPBC) New and Returning Student Registration NEW STUDENTS: Complete all non-shaded areas on both sides of the form. RETURNING STUDENTS: Review both sides. If the pre-printed information is int/affect, Correct the information by carefully and lightly crossing out the incorrect information and writing the correct information above it. () (6) MAILING AD/DRESS (not (7) SOCIAL SECURITY NO. (11) DATE OF BIRTH (t2) PUCE OF BIRTH (004tasimuniro (10) RACEETHNiC ORIGIN (*Mona, 01-American Indian/Alaskan Native 0 B-Black. Non-Hispanic 0 H-Hispanic 0 A-AsiaruPacific Islander g4 -While, Non-Hispanic 0 M-Multiracial (15)FrnFRN IMPACT SURVEY YES NO O 0 A. The student resides on federal property. O 0 B. The student resides in low rent housing. O 0 C. The parrot is employed on federal property located in Palm Beach County. O 0 D. The parent is employed on low rent housing located in Palm Beach County. O 0 E. The parent is in the uniformed services of the United States. O 0 If E. is YES, is the parent on active duty? Check service below: 0 Air force 0 Army 0 Coast Guard 0 Mannes 0 National Guard 0 Navy 9) NAME OF SC1400L TRANSFERRING FROM (22) LAST GRADE LEvEt. (23)LAST PUBLIC SCHOOL ATTENDED W4 PALM BEACH GOWN 1251 Students will receive non-invasive health screenings pursuant to Florida Statute §381.0056(7)(d). Non-invasive screenings may include vision, hearing, scoliosis, height, and weight. These tests may be given individually or in groups. Parents or guardians, however, have the right to request an exemption in writing. If you DO NOT want your child to receive the screenings, write the words *Do not screen.' here: (This exemption will cover all types of screenings) (26) I give permission for my child to participate in the sodium flouride program to prevent tooth decasfV'ESO NO (Permission is valid through 6 grade) ta$1.03k€ UmIGUAGE SURVEY YES NC11, O No Is a language other than English used in the home? If YES. what language? O rit2. Does the student have a first language other than English? if YES. what language? O 847 Does the student most frequently speak a language other than English? II YES, what language? rzai 4. What language is spoken in the home by the parent or guardian? e 1'04 1/ SA (30) 5. What language is the student's first language? Ana 4r//S lj uvEs want (chock one) (31) What is the date of entry into an ESOL program? (33)D1SCLO‘UPFS FOR ENTRY INTO PBC SCHOOL DISTRICT YES O A. Has the student ever been expelled from school? O V. Has the student ever had an arrest resulting in a charge? O 3. Has the student ever had any juvenile justice actions? NO 111 AST ATTFISIOAMCE DATE (24) DATE •A TTENDED IN PBC (27) Have you filled oue t an application for fre and reduced lunch? 0 YES RicC (Application is pawided with this form Mother 0 father 0 Both Parents Vothe, agh-bhtkatirs (34)CUSTOOY STATUS OF STUDENT "Schork one) 0 Mother 0 Father Q'Shared Custody 0 Other (as) Is there a court order baning either parent from removing or contacting the student during the school day? 0 YES If YES, provide the school with a copy of the court order. PBSD 0636 (REV. 4/6/2001) page 1 of 2 EFTA01709735 - nian orat.ti COUNTY - NEW AND RETURNING STUDENT REGISTRATION (35)FATIM-R OR LEGAL GUARCKAN Real mine kiss roo4 (3 MOTI AOOQ AA (stripe( numbo, IVOR aportemiat tuen(s) CITY STATE ZIP CODE STATE ETP CODE / 1 , c.pA-in, Sees fi 3.011 OCCUPATION RACE OF EMPLOYMENT • •:.0.Acir -"` Nat TELEPHONE BUSINESS TEt EPI4ONE j CEUPAGER NUMBER .. • zassza.• BUSINESS TELEPHONE EMAIL ADORES 5:05Imm EMU. ADDRESS (0001100 EMERGENCY HEALTH AND SAFETY INFORMATION T.' ' ' -/ ', . Person(s) other than parent authorized to pick up student (U) PASSWORD pernit 10 charades's) 09) RNA( t.,-, • (4)) NAAR (fat mkkAs mbal. Iasi) ....1.a....mr...-•••••••• ADDRESS Wean nuentxv. street womnat numbed STATE ZIP CODE Afin g€ Pf 3, 472 CM STATE ZIP CODE : op ONSHIP (40) AUTHOR/fe y FOR a: 0 NO RELATIONSHIP (42) AUTHOR2f0 FOR EMERGENCY PICKUP DYE 0 NO (43) pschool personnel are unable to contact you may we have your permission to call your doctor - emergency services (911) for transport to the incase of illness or accident, awn. or hospital? EKS 0 NO (4) MEDICAL INFORIAATION OS MAW, Orospa tsMistAM boat sioroos. modkmicers. or oils "star lindolions) (45)FA/MLY PHYS/CIAN IA IAN PHONE NO Does your child currently have health insurance? L7YES 0 No If YES, indicate: (0)HOSPRAL PREFERENCE 0 Medicaid [5-4 5Etate 0 Healthy Kids/Kid Care U Interested in receiving information w-.'" " St0 itd. AT-5'OTNER (49) NAME OF CHAD Oast MR mid* nem° rt04i nlaIIIMIIII iiEia ALM tAckliptIANTef;„,__ SCHOOL ATTENDING mamma eseue GRADE DATE OF BIRTH (a0) NAME OF CHILD Past ERE Malt PA40 SCHOOL ATTENDING STUDENT NO (0010,69 GRADE DATE OF MTh (51)HALE OF CHILD SR first middistmINO SCHOOL ATTENDING STUDENT NO. (00600•0 GRADE DATE OF BIRTH (UMW OF ow) pat MC meats SCHOOL ATTENDING STUDENT NO- (00600•) GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE Ftheidgnettianitilici. I verify that the information given is true and accurate to the best of my knowledge. t . 0 r-,- • fi ,__ La. •: 4t, ell.' .G.-Pt . - . w•-• - . (66) 0 AV •—•'51 1 • ..- DATE /GU DATE : ;;;ik 'hz. PI3S0 0636 (REV. 4/6/2001) page 2 of 2 EFTA01709736 WV P.O. Box 3C50 Soca Raton, FL 33431.0950 nttn: Boca •Mail Unit loolistillailialmilmilell 41., 01 044,51 993048999 A`•50OT ROYAL PALM BEACH, Ft 33411.6103 @ BELLSOUTH Mobility' is now X cingular WIRELESS billing statement enclosed ARSMASSMML U.S.POSTAGE PAID OTS EFTA01709737 3--//7// Ataige-a. Pet4vIetteA, Q. 331n „iteLe2.“.4t.q g ciaecoll Atikze.) 4 outo age—/--- Th21 17 _ &pm Jan. Bu L • IMP d" Atlantic • Ca. ba. EFTA01709738 ,JA iiiPIERWSOR-OF ELECTIONS 30 t H.OUVE AVENUE. ROOM 105 W PALM BEACH. FL 13401-4795 DO SOMETHING - VOTE US. POSTAGE MID Wen Pam Beach. Permit Runts 164 RETURN SERVICE REQUESTED VOTER IDENTIFICATION PALM BEACH COUNTY. FLORIDA PRIMO' OS/10/01 IIIIIIIIIIIIIIIIIIIIII IIIIIIIII II VIII IlitlitIlululull ORGAN 0000OR N Sass ens sem ems one* it. any soberty sat IOCAPIS6 IS PRESENT 1)•3 CAJW AT YOUR PRECINCT MIEN you of SEE REVERSE SCE FOR Ca•NOE-OF-ADORESSINSTRuavow. NOTIFY THE MACTKIMS MICE RATMOLATILY IF ANY INFORMATION ON 'IRS CARO N INCORRECT. theStam ROT 23411 8,04 .07 Rev eon 06- " r0-01 pawn 00-03-03 wE ORNER EFTA01709739 7frui ett 2 iwat i 4, F ; •; Aettie.a. Ale:J ibe d i sue( Atic * it n•-e- ii3/4 4,-4 / jaVaj 17caw/ Wiry. Benda Tin AU tic Booby; Gew EFTA01709740 :Kay 7, 2001 'lb Whom It %lay Conant letter is to recomme or placement in your drama program. been a student in my drama class or t past two years. She is one of my most takntedstu ents in both performing and creativity in production. c as been an active member of the juniorThespian Society and this year site was As a merger, Biwa: (264 to audition for and participate in the district and state festivals. She has received superior and excel-lint ratings for her monologue pelormances has also hehlmaybr roles in the club's productions. I know thatawoua be an asset to your program. If I can be of any further assistance or antivenin, questions, please feeffree to contact me. Sincerely, EFTA01709741 THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA SCHOOL BOARD Chairperson Vice Chairperson April 23, 2001 To Whom It May Concern: This letter is to inform you that has been in band at the past three years. e is a and is in the 1. 0 ll.11 for this year. has participated in all the band performances this year including She also performe at Sincerely, Transforming Education: One Student At A Time Drotvard County Public Schools Is An Equal Opportunity/Equal Access Employer EFTA01709742 _ 1117 "l it"- $2023 The School Board of Broward County, Florida CREDIT-BY-EXAMINATION 05/29/01 Dear Parent/GUardian: Credit-bY7Examination is one, way that The School Board of Broward County rewards ' advanced middle school students for their hard work and initiative. The completio' of high school coursework, including credit earned, is awarded when students pass specially designed district-developed competency tests. By providing this .opportunity to middle school students, not only does the student benefit by earning :high school credit while in middle school, but he/she also has the opportunity of taking higher level coursework during high school. This spring, your child was assessed on one or more of the Broward County Public ;Schools competency tests. Based on the test results: • , has passed the GEOMETRY Credit-by-Examination and will receive high • school credit for GEOMETRY if he/she also receives a ,Passing grade in the course. This credit does not carry a grade but is recorded .as a "P" for Pass on the high school transcript. Please keep this document as additional verification of your child's achievement even though the Testing and Assessment staff will notify the administrative staff at the designated high school. We congratulate you and your child on his/her success. Please contact the Guidance Counselor at your child's school if you have any questions. :r La, EFTA01709743 The School Board of Broward County, Florida CREDIT-BY-EXAMINATION 05/30/00 r Dear Parent/Guardian: Credit-by-Examination is one way that The School Board of Broward County rewards 7,advanced middle school students for their hard work and initiative. The completion of high school coursework, including credit earned, is awarded when students pass .specially designed district-developed competency tests. By providing this .opportunity to middle school students, not only does the student benefit by earning high school credit while in middle school, but he/she also has the opportunity of taking higher level coursework during high school. • . . -.---__--___ This spring, your child was assessed on one or more of the Broward County Public Schools competency tests. Based on the test results: , has passed the ALGEBRA Credit-by-Examination and will receive high school credit for ALGEBRA if he/she also receives a passing grade in the course. This credit does not carry a grade but is recorded as a "P" for Pass on the high school transcript. Please keep this document as additional verification of your child's achievement even though the Testing and Assessment staff will notify the administrative staff at the designated high school. We congratulate you and your child on his/her success. Please contact the Guidance Counselor at your child's school if you have any questions. 0 u.l' — I-----'7 • L _ EFTA01709744 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001 SUNSHINE STATE STANDARDS Student Report Grade 08 Student Warne u en um r District Name and Number This report shows your results from the FCAT Sunshine State Standards Test. The FCAT Sunshine State Standards Test measures your performance on selected benchmarks in reading and mathematics as defined by the Sunshine State Standards. Scores on this test are one indication of your achievement of the challenging content that Florida students are expected to know. On the FCAT, you can attain one of five possible achievement levels. The table below shows the scale score ranges for each Student Achievement Level. FCAT Student Achievement Levels LEVEL 5: Student Achievement Level Descriptions Performance at this level indicates that the student has success with the most challenging content of the Sunshine State Standards. A Level 5 student answers most of the test questions correctly, Including the most challenging questions. Scale Score Ranges Reading Mathematics LEVEL 4: Performance at this level indicates that the student has success with the challenging content of the Sunshine State Standards. A Level 4 student answers most of the questions correctly but may have only some success with questions that reflect the most challenging content. Level 5: 394,500 371-500 LEVEL 3: Performance at this level indicates that the student has partial success with the challenging content of the Sunshine State Standards, but Level 4: 350-393 347-370 performance is inconsistent. A Level 3 student answers many of the questions correctly but Is generally less successful with questions that are Level 3: 310-349 310-346 most challenging. Level 2: 271.309 280-309 LEVEL 2: Performance at this level Indicates that the student has limited success with the challenging content of the Sunshine State Standards. Level 1: 100-270 100-279 LEVEL 1: Performance at this level indicates that the student has little success with the challenging content of the Sunshine State Standards. Your scores are shown below. SUBJECT SCORES Student Achievement Level Reading Mathematics Scale Score State Comparison: Thirds Lowest Middle Highest If you took the test again, your scores might be slightly higher or lower than the scores on this report. However, your scores would probably fall within a certain range. For reading. your scale score should be between 364 and 432. For mathematics, your scale score should be between 372 and 402. The check marks (  ) show if you scored In the lowest, middle, or highest third of grade 08 Florida students who took this test. Reading Words/Phrases Main Idea/Purpose Comparisons Reference/Research Mathematics Number Sense Measurement Geometry Algebraic Thinking Data Analysis CONTENT SCORES Number of Points Possible Number of Points Earned State Comparison: Thirds Lowest Middle Highest The Content chart shows the number of points possible and the number of points earned for each category. Each question on this portion of the test was worth one point. The results on your performance items will be reported separately. Run Date: 04/26/2001 0388352 EFTA01709745 Florida Comprehensive Assessment Test FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001 NORM-REFERENCED TEST Student Report Grade 08 This report shows your results from the FCAT National Norm-Referenced Test. Student Name u en um er School Name and Number • r N me and Number The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics. Problem Solving describe your performance in relation to the performance of students throughout the nation. Your scores are shown below. SUBJECT SCORES Scale Score Reading Comprehension Mathematics Problem Solving National Percentile Rank Stanine The Scale Score expresses your performance and allows comparisons from year to year. Reading Comprehension Scale Scores range from 510 to 820. Mathematics Problem Solving Scale Scores range from 527 to 836. The National Percentile Rank and Stanine Indicate your relative standing in comparison to the national reference group. National Percentile Ranks range from I to 99. Stanines range from 1 to 9. If you took the test again, your National Percentile Rank might be slightly higher or lower than stated here. However, your National Percentile Rank would probably fall within a certain range. For Reading Comprehension, your National Percentile Rank should be between 81 and 96. For Mathematics Problem Solving, your National Percentile Rank should be between 91 and 98. CONTENT SCORES Number of Points Possible Reading Com•rehension Initial Understanding Interpretation Critical Analysis Strategies Mathematics Problem Solving Measurement Estimation Problem Solving Number Relationships Number Systems Patterns & Functions Algebra Statistics Probability Geometry Number of Points Earned Number of Questions Attempted Each question was worth 1 point. a Run Date: 04/26/2001 0391890 EFTA01709746 4 4 C LOCAL MI AO milt • NATO Keg' let -NAME Ol ne 4 OFFICE of VITAL STATISTICS CERTIFICATE OF LIVE BIRTH FLORIDA 109 - IASI IHUt( V TOWN OR LOCATION OF BARTH OATH OM on Yr I I cutely InalIbe MAW .NOT tonceemng IM CNI t S kut to Int tell of my knowledge and NMI Sa drills el Ok AT SIGNO 'Mo. Clay. YOM) NAME MOO IOU Of ATI (ROAN! AT BIRTH U OTHER nal • • CERTIFIER-NA I a .nrl ST MING ADDRESS (5trtel or RIO Alp. f n Suer bol RICASTRUT 6. 'Spsm i 16 DAT CEIVED BY REGISTRAR IMo. NY Yr I GO %NI'S. 7 -' 7a 1100401-MAMEN lAiOOL LAST AGE TM Mme STATE OF Nilt RAM on/SA ova armor d al mip lb 2/ nn) \1/2... YR.'S.` .II AfsmEia SIAM T ,. • ' I COUNTY CITY. 10601 OR tOCADON k Rf El AN0 NII U OF TIELOLNCE BIS INSIDE OTT LIMITS 'Speed? le"' . . , ‘,4,6-7.,: WINER 6 WANG ADOIESS-itt Wile II SIt enter bp Cade coley? 1/2. ....\\, h. 0 Jr EA1 R—IFARE FIRST MIDDLE LASI H. r' 10. AGE PM bee Or M.3boa) 1C0 30 STATE Of BATH II nor OSA name (Owner N nn TOC Intim, ULM Ow Wailed , onetel en u6s ceche ricerma R. BR tem mknonledge and be SOCIAL CuRitf NU BEA , i tia tWainine el Int la UNKNOWN -- CERTIFIED COPY THIS IS A CERTIFIED TRUE AND CORRECT COPY OF THE OFFICIAL RECORD ON FILE IN THIS OFFICE ANY REPRODUCTION OF NHS DOCUMENT IS PROHIBITED BY LAW DO NOT WARNING. ACCEPT utkESS ON SECURITY PAPER WITH RAISED GREAT SEAL OF INC STATE Or FLORIDA ALTERATION OR ERASURE VOIDS TINS CERTIFICATION EFTA01709747 0 FPL January 3, 2002 Re: Account 4: ROYAL PALM BEA , 411 Dear Customer, Florida Power & Light Company, P.O. Box 025576, Miami, FL 33102 Thank you for your interest in FPL's Free Automatic Funds Transfer (AFT) program. The benefits of using AFT are that you save time, postage cost and you don't have to worry about late or missed payments. ENROLL BY U.S. MAIL - Please complete this application and mail it with your bill payment or a voided check to: FPL, General Mail Facility, Miami, FL 33188. Please allow 5 days to process your mailed application. OR ENROLL ON OUR WEB SITE - Avoid the delays and enroll at www.fpl.com, click on "Pay My Bill", then 'AFT". It is secure and it takes effect within minutes. - You will receive a letter & a bill message to confirm your AFT participation. - Your monthly FPL bill will show the AFT withdrawal date from your bank account. - Some banks charge for AFT, please check before you enroll. Na Ac AUTOMATIC FUNDS TRANSFER (AFT) AUTHORIZATION Name: ervice Address: City: R CH State: FL Zip Code: 33411 Phone Number: Bank Name: A U.S. funds bank account is required. Ciente Teoneil Kli irrshar• • Rnate Ann^. wt. A4,.whnv ••••;4.-O1„salt..,:: EFTA01709748 • © BELLSOUTH° mei FIRST-C u.s. pa TAO 0. 072.04:" 'W r aseen.....~ P.O. Box 43210 Atlanta, GA 303364210 JAII 0 4'0 2 gi ,„,, Pa METER 7'69536 034 z" U.S. POSTAGE. "Eel !.! d0 welcome here's everything you need to know about your new BellSouth° service. RYL PALM BCH FL 33411-4210 ' • • • , • ' • • . , • • :••!..1,„6.c.:iff.:546 • .'• • ,1111.....111,1„1111111 . . • ••• •.. •••• • "• • • •• :I • EFTA01709749 TO - DISTRICT: 0000050 SCHOOL: IM DEMOGRAPHIC INFORMATION FILE: SRTS12IS GRADE LEVEL: 09 PREPARED DATE: 04/29/2002 CURRENT DISTRICT: PAGE 01 FL STUDENT ID: SSN: CURRENT SCHOOL: LEGAL NAME: IIIII MAILING ADDRESS: ROYAL PALM BEACH FL 33411 DISTRICT STUDENT ID: FL STUDENT ID-ALIAS: PARENT/GUARDIAN (NAME/CODE): RACIAL/ETHNIC CATEGORY: W SEX: F PARENT BIRTH DATE: BIRTH VERIFICATION: I BIRTHPLACE: IMMUNIZATION STATUS: PERMANENT IMMUNIZATION CERTIFICATE VACCINE STATUS, DATE- VACCINE CERTIFICATE EXPIRATION DATE: TYPE DOSE DATE DOSE DATE DOSE DATE DOSE DAT DTP POLIO HIB MMR HEPATITIS 8 VAR DISEASE COURSE INFORMATION DISTRICT: YEAR: 2001-2002 GRADE LEVEL: 09 SUBJECT CRSE CREDIT T COURSEN COURSE TITLE AREA FLAG GRD ATT./EARN GPA QTY PTS GPA QTY PTS DISTRICT-TERN: STATE-TERM: 2001-2002 ANNUAL DAYS-PRESENT: ■ ABSENT: SUMMER TERMS DAYS-PRESENT: ABSENT: DOSE DATE sr APR 30 2002 EFTA01709750 TO - DISTRICT: SCHOOL: IM COURSE IN PROGRESS GRADE LEVEL: 09 PREPARED GATE: 04/29/2002 CURRENT DISTRICT: FL STUDENT ID: SSN: CURRENT SCHOOL: LEGAL NAME: I= • COURSE IN PROGRESS, DISTRICT: • SCHOOL: NUMBER OF WEEKS IN EACH GRADING PERIOD: 09 I COURSEN COURSE TITLE 2 2 2 2 2 FILE: SRTS12IS PAGE 02 YEAR: 2001.2002 GRADE LVL: 09 -1ST GRADING BLOCK- -2ND GRADING BLOCK- 15.1 2/40 3RD 1ST 2ND 3RD SUBJECT CRSE CREDIT CRSE COURSE 09 09 09 EXM CUM 09 09 09 EXM CUM WKS WKS GRO GRD AREA F EFTA01709751 TO - DISTRICT: SCHOOL: GRADUATION SUMMARY GRADE LEVEL: 09 PREPARED DATE: 04/29/2002 CURRENT DISTRICT: FL STUDENT ID: SSN: CURRENT SCHOOL: LEGAL NAME: I= FILE: SRTS12IS PAGE 03 ******CUMULAT IVE SUMMARY DISTRICT CLASS RANK• EFFECTIVE DATE: AS OF: 04/29/2002 CLASS RANK, NUMERICAL POSITION: • CLASS RANK, PERCENTILE: • - - CREDITS CLASS RANK, TOTAL NUMBER IN CLASS: SUBJECT TOTAL TOTAL TOTAL * AREA TO DATE NEEDED REMAINING * COMMUNITY SERVICE HOURS: 0 REQUIREMENT MET: N ENGLISH (EN) • MATHEMATICS (MA) SCIENCE (SC) * AMER HISTORY (AH) • • WORLD HISTORY (NH) • ECONOMICS (EC) * AMER GOVERNMENT (AG) • VOCATIONAL/ (V0/ * PERFORM FINE ART PF) * LIFE MGMT SKILLS (LM) • PHYSICAL ED (PE) • • FOREIGN LANGUAGE (FL) • LANGUAGE ARTS (LA) * SOCIAL STUDIES (SS) • ELECTIVE (EL) ESE (EX) • COMPUTER ED (CE) * CREDITS, CUMULATIVE: * * TOTALS INCLUDE VOCATIONAL & PERFORM FINE ARTS* GPA CITY PTS GPA OTY PTS * * DISTRICT: I= STATE: IM ********Or******************* • +4+144 .• 4-14++++++++++++++++++++++1.+++++++1++4 +++++ +CERTIFIED BY: +SIGNATURE: +DATE: EFTA01709752 TO - DISTRICT: SCHOOL: IM COMMENTS GRADE LEVEL: 09 PREPARED DATE: 04/29/2002 CURRENT DISTRICT: FL STUDENT ID: SSN CURRENT SCHOOL: LEGAL NAME: IIIII DEFINITION OF TERM CODES FILE: SRTS12IS PAGE 04 CODE DEFINITION CODE DEFINITION CODE DEFINITION CODE DEFINITION CODE DEFINITION 1 SEMESTER 1 S COMBINED SUMMER B TRIMESTER I E OUINMESTER 1 J SIX WEEKS 1 2 SEMESTER 2 SESSION C TRIMESTER 2 F OUINMESTER 2 K SIX WEEKS 2 3 ANNUAL T INTERSESSION 1* D TRIMESTER 3 G OUINMESTER 3 L SIX WEEKS 3 4 SUMMER SESSION 1 U INTERSESSION 2* 6 OUARTER 1 N QUINMESTER 4 H SIX WEEKS 4 5 SUMMER SESSION 2 V INTERSESSION 3* 7 QUARTER 2 I OUINMESTER 5 N SIX WEEKS 5 R SHORT COURSE** W INTERSESSION 4* 8 QUARTER 3 Y YEAR OF 0 SIX WEEKS 6 X INTERSESSION 5* 9 QUARTER 4 NONENROLLMENT*** * USED (INSTEAD OF SUMMER SCHOOL SESSIONS) WITH YEAR-ROUND SCHOOL RECOROKEEPING ** USED ONLY FOR WORKFORCE DEVELOPMENT EDUCATION (ADULT GENERAL AND POSTSECONDARY VOCATIONAL EDUCATION) *** USED ONLY FOR REPORTING STUDENTS WHO HAVE WITHDRAWN BETWEEN SCHOOL YEARS STATE GRADING SCALE FOR HIGH SCHOOL STUDENTS (REGARDLESS OF ENTRY DATE) EFFECTIVE SCHOOL YEAR 1997-1998 GRADING SCALE, EFFECTIVE 07/01/2001 GRADE QUALITY GRADE QUALITY GRADE QUALITY GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS A = 90 - 100 4.00 8 = 80 - 89 3.00 C = 70 - 79 2.00 D = 60 - 69 1.00 F = 0 - 59 0.00 GRADING SCALE, PRIOR TO 07/01/2001 GRADE QUALITY GRADE QUALITY GRADE QUALITY GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS A = 94 - 100 4.00 8 . 85 - 93 3.00 C = 77 - 84 2.00 D = 70 - 76 1.00 F = 0 - 69 0.00 NOTE: FROM THE 1987-1988 THROUGH THE 1996-1997 SCHOOL YEARS, FOR STUDENTS ENTERING HIGH SCHOOL DURING THESE YEARS, THE GRADE EQUIVALENTS FOR C, 0, AND F WERE: C = 75-84, D = 65-74, AND F = 0-64; QUALITY POINTS AND ALL OTHER GRADES WERE THE SAME AS THOSE SHOWN IN THE CURRENT STATE GRADING SCALE, ABOVE. EFTA01709753 TO - DISTRICT: GRADE LEVEL: 09 PREPARED DATE: 04/29/2002 FL STUDENT ID: SSN: LEGAL NAME: E=ACADEMIC SCHOLAR-ELECTIVE G=GIFTED I•INCLUDE IN GPA P=COURSE IS IN PROGRESS VOCATIONAL SUBSTITUTION COURSES- S=JCURNALISM SUB FOR PRAC ARTS 2=SUB FOR BUS EN I 1001440 5=SUB FOR NA I 1205380/II 1205390 8=SUB FOR PRE ALGEBRA 1200300 K=JROTC NAVY SUB FOR SCIENCE D=SUB FOR BIO TECH 2000430 LEP INSTRUCTION- M=HOHE LANGUAGE INSTRUCTION D=ESOL INSTRUCTION SCHOOL: COMMENTS CURRENT DISTRICT: 50 PALM BEACH CURRENT SCHOOL: STATE DEFINED COURSE FLAGS R=ACADEMIC SCHOLAR-REQUIREMENT H=HONORS X=EXCLUDE FROM GPA S=CREDIT AWARDED BY SLEP EXAM FILE: SRTS12IS PAGE 05 0=JROTC SUB FOR PRACTICAL ARTS 3=SU8 FOR BUS EN I 1001440/II 1001450 6=SUB FOR GEN SCI 2002310 A=JROTC CST GD SUB FOR SCIENCE 0=OROTC ARMY SUB FOR LIFE MGMT B=SUB FOR ENV SCI 2001340 9=NINTH GRADER N=NO CREDIT W=EXCLUOE FROM STATE GPA T=TRANSFERRED COURSE 1=COMP ED SUB FOR PRACTICAL ARTS 4=SUB FOR MA I 1205540 7=SUS FOR ANAT PHYSIO 2000350 B=JROTC AIR FORCE SUB FOR SCIENCE Q=JROTC MARINE SUB FOR LIFE MGMT X=SLIS FOR PHY SCI 2003310 B=HOKE LANGUAGE II/OR ESOL INSTRUCTION (ELEMENTARY SELF-CONTAINED) EFTA01709754 TO - DISTRICT: SCHOOL: CATEGORY B INFORMATION FILE: SRTSI2IS GRADE LEVEL: 09 PREPARED DATE: 04/29/2002 CURRENT DISTRICT: PAGE 06 OF 06 FL STUDENT ID: SSN: CURRENT SCHOOL: LEGAL NAME: WITHDRAWAL-DATE: CCOE: STUDENT NAME, AKA: I M HOKE LANGUAGE SURVEY DATE: 08/14/2001 COUNTRY OF BIRTH: US UNITED STATES NATIVE LANGUAGE: EN ENGLISH PRIMARY ROME LANGUAGE: EN ENGLISH HEALTH EXAMINATION, SCHOOL ENTRY: Y SCHOOL ENTRY HEALTH EXAMINATION CERTIFIED. EFTA01709755 C FPL January 3. 2002 RYL PALM BCH, FL 33411 Re: Account It R YAL PALM BEA H, L 33411 Dear Customer, Rohde Power & Light Company, P.O. Box 025576, Miami, FL 13102 Thank you for your interest in FPL's Free Automatic Funds Transfer (AFT) program. The benefits of using AFT are that you save time, postage cost and you don't have to worry about late or missed payments. ENROLL BY U.S. MAIL - Please complete this application and mail it with your bill payment or a voided check to: FPL, General Mail Facility, Miami, FL 33188. Please allow 5 days to process your mailed application. OR ENROLL ON OUR WEB SITE - Avoid the delays and enroll at www.fplcom, click on Pay My Bill", then "AFT". It is secure and it takes effect within minutes. - You will receive a letter & a bill message to confirm your AFT participation. - Your monthly FPL bill will show the AFT withdrawal date from your bank account. - Some banks charge for AFT, please check before you enroll. FPL Account Number. AUTOMATIC FUNDS TRANSFER (AFT) AUTHORIZATION Name: Service Address: City: ROYAL PALM BEACH State: FL Zip Code: 33411 Phone Number: Bank Name: A U.S. funds bank account is required. kl••••••••••••• I. EFTA01709756 SELLSOUPT P.O. Box 43210 Atlanta, GA 30336-3210 • k Oini etis-ortZe.Th' tyls JAW 0 4'0 2 Si t 0 3 4 • ttcasi et 536 PI:PAGE rra l EP -1,k% welcome herds everything you need to know about your new BellSouth° service. ALM H FL 33411-4210 AR: US. EFTA01709757 HEALTH EXAMINATIONS r / Date Student's Full Name Phone Age I 4/ Race Sex P Address Bat indate Name of Parent or Guarepao School A. HEALTH EXAMINATION Height Weight Blood Pressure (1) NormalcN; Abnormar-A I APpearance 2. Skin/Nose 3 Head/Scalp 4. Eyes 5. Visual Acuity IR & LI 6. Ears 7. Auditory Acuity (R d L) 8. Nose / Throat 9. Mouth. Teeth and Gums 10. Chest / Lungs 11. Heart 12. Abdomen 13. Genitals and Anus 14 Musculo-Skeletal 15 Neurological 16 Alertness 17 Emotional / Mental/ Behavior Prot ) 16. Hargicao. physical/ other ISOeollYI 19. Activity Restrictions ISPectly) 20. Abuse, substance/ physical / emotional 21. Nutrition 22 Other COMMENT: Abnormal Findings, by number B. HEALTH HSTCRY • byUrnt tallach natralide d adoitit,nai soace itteoitiii C. ruberCulin lest type dale results NAME: TYRE: ADDRESS: (Please Print) Authorized Signature Date EFTA01709758 PARENT OR GUARDIAN ii-TEALT FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 64D-3.01I, 65 -22 a Administrative Code T NAME FIRST NAME MI OB MOMMYR CHILD'S SS# (optional) STATE IMMUNIZATION IDdl Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-I, A-2, B, or C) on reverse side of form. • if the child is presenting for the 74 grade requirement only and has previously filed a Certificate of Immunization (DH 680, Part A-I) with their current Florida school, fill in boxed areas below and complete Past A-2 on the reverse side of this form. • For additional information: See Immunization Guidelines for School and Child Care Facilities for information and instructions on form completion and immunization requirements. Guidelines are available from the local county health department. VACCINE DOE CODE DTaP/DTP2 A Td' Polio. Bib` M MR (Combined)' (Separate)8 G. H. I Hepatitis B9 Varicella1. Varicella Disease L Dose 1 Dose 3 Dose 4 Dose 5 MO/DA/YR MO/DA/YR -re- • ... MO/DA/YR MO/DA/YR MO/DA/YR 1 The state immunization ID# is an identifier supplied by the state immunization registry (optional). 2 DTP/DTaP 5 doses required. If the 4th primary dose is administered on or after the 4°' birthday a 5th dose is not required. 3 DT (pediatric) is acceptable if penussis vaccine is medically contraindicated. (Complete Part C for pertussis contraindication.) 4 Td (adult) vaccine is recommended for children 7 years of age or older. 5 Polio 4 doses required. If the 3rd dose in an all OPV or all IPV series is administered on or after the 4th birthday, a 4th dose is not required. Polio vaccine is not required for children IS years of age or older. is required for child fai:ii::. :L.::: and lac...I:dal ante' and attendance only. First dose valid if given on or :rile] bimay. Second dose (measles) valid if given at least 1 month after 1" dose. A 2" dose of measles (preferably MM FO is rcouired tar melons in grades K-6 and 7th grade entry and attendance effective with die 1997/1998 school year. In each subsequent year thereafter, the next highest grades arc included. 8 Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (I). 9 Hepatitis B vaccine series is required for 7th grade entry and attendance effective with the 1997-1998 school year and kindergarten entry and attendance effective with the 1998-1999 school year. In each subsequent year thereafter the next highest grades arc included. Hepatitis B vaccine series is required for preschool entry and attendance effective with the 2001/2002 school year. 10 Varicella vaccine is required for entry and attendance in preschool and kindergarten effective with the 2001/2002 school year. In each subsequent year thereafter, the next highest grades are included. Susceptible children 13 years of age or older should receive 2 doses, given at least 4 weeks apart. Varicella vaccine is not required if child has documentation of history of varicella disease EFTA01709759 - - - - t_;,ii NA it 1 It. MI A/YR) Certificate of Immunization for K-I 2 a -eluding 7th Grade Requirements PART A-I (Immunizations arc complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code I / have reviewed the records available. and to the best of m knowledge, the above named child has been adequately immunised against diphtheria, tetanus, perussis, polio. measles. mumps, rubella and hepatitis B (for kindergarten effective with the 1998/99 school year) and varicella varicella vaccine net intheafed h:chay dINg'.15C either plipiCiOll documented or parental recall thy with the 2001/200,1 school year) fire school intendancy us documented on the reverse side of this form. Physician or Clinic Name: Physician or (pith, or stamp) Authorised Signature: Address: Date: Certificate of Immunization Supplement for 7th Grade Requirement PART 42 (Immunizations are complete for students who enter or attend the 7th grade after the beginning of the 1997/98 school year. Each subsequent year thereafter, the next highest grade will be included in the requirement.) DOE Code 8 I have reviewed the records available, and to the best of my knowledge, the above named child has received the following immunisations required for entry and attendance in 7th grade effective with the 1997/98 school year: tetanus-diphtheria booster, hepatitis B vaccine series, and second dose of measles vaccine as documented on the reverse side of this form (boxed areas). Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: Date: r Temporary Medical Exemption PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who are incomplete for immunizations in Part A-I or A-2.) Invalid without expiration date. DOE Code 2 / certifi, that the above named child has received the immunizations documented on the reverse side of this form and has commenced a schedule to complete the required immunizations. Additional immunizations are not medically indicated at this time. Physician or Clinic Name: (Print or stamp) Address: Expiration Date: (IS days after nest Immunizatien appointment) 'Physician or Authorized Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 ”ash that onnmni7ction(s)as indicated in Part C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: Date: DH 6lat BRn00. dueled' tuba edam& (Stock Martha SiasS6) EFTA01709760 Mc=rs-44* IOLA; iril • CERTIFICATE OF-LIVE BIRTH FLORIOA 109- •Sirm•Ati oLIONR-LLAUN MAUI 7. M Sala -STA!! OFFICE of VITAL STATISTICS car. TOM( OR LOCATION INSO4RS WRING 40MSS--our as Mat trarrnakratr IFAINUI-NALLE LOST 11001E LAST ItrilAy Wilke penonal pal e/Pme40 ► CERTIFIED COPY Ski 7 FEF1ALE DIY IONA OR OCANON Of flifinf Mo Day Yea I POUR (CONTI' Of BIRTH NAut ARO III LE Of ATI [MANI I BIRTH • Olfetil rcfpB 0 Mp. I Sur Wit °SIAM, (Mo 017. J AG( YU wt of On torAl 100 3O SIAN Of BAIN I/ al eu USA turn[ ~tin Ii60( 0 V LIANTSIS9 OESN SIAIL Of BOTH (Oaf 0 USA. Aare carom," A to bad Odd f SOON. SECURITY NuisMA c !S A Ce.RTIFIEn •OkiE AND CORRECT COPY OF THE OFFICIAL RECORD ON FILE IN 1141$ OFFICE ANY rif PRODUCT ION Of THIS DOCUMENT iS PROHIBITED BY LAW. CO NOT WARNING. ACCEPT UNLESS ON SECuat I v PAPER WITH RAISCO GREAT SEAL Of ATE STATE Of f 1.00P0A Al TERA 'NON OR ERASURE v0.0S TI'S CEA TTEICATTON TIC (MOWN 14 - 71 MMI•20 OltAlas APO ••• STATIK MAMMA .?‘ • 4 EFTA01709761 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001 NORM-REFERENCED TEST Student Report Grade 08 This report shows your results from the FCAT National Norm-Referenced Test. ISM SWUM Number School Name and Number In l N m Number The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics Problem Solving describe your performance in relation to the performance of students throughout the nation Your scores are shown below. SUBJECT SCORES Scale Score Reading Comprehension Mathematics Problem Solving National Percentile Rank Stanine The Scale Score expresses your per romance and allows comparisons from year to year. Reading Comprehension Scale Scores range from 510 to 820. Mathematics Problem Solving Scale Scores range from 527 to 836. Tne National Percentile Rank and Stanine indicate your relative standing in comparison to the national reference group. National Percentile Ranks range from 1 to 99. Stanines range from I to 9. II you took the test again, your National Percentile Rank might be slightly higher or lower than stated here. However, your National Percentile Rank would probably fall within a certain range. For Reading Comprehension, your National Percentile Rank should be between 81 and 96. For mathematics Problem Solving, your National Percentile Rank should be between 91 and 98. Run Date: 04/26/2001 CONTENT SCORES Readin. Com•rehension Initial Understanding Interpretation Critical Analysis Strategies Mathematics Problem Solving Measurement Estimation PrOblem Solving Number Relationships Number Systems Patterns & Functions Algebra Statistics Probability Geometry Number of Points Possible Number of Points Earned Number of Questions Attempted Each question was worth 1 point. 0391690 EFTA01709762 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001 SUNSHINE STATE STANDARDS Student Report Grade 08 This report shows your results from the FCAT Sunshine State Standards Test. nt N m Student Number and Number net Name and Number The FCAT Sunshine State Standards Test measures your performance on selected benchmarks in reading and mathematics as defined by the Sunshine State Standards. Scores on this test are one indication of your achievement of the challenging content that Florida students are expected to know On the FCAT, you can attain one of five possible achievement levels. The table below shows the scale score ranges for each Student Achievement Level. Student Achievement Level Descriptions FCAT Student Achievement Levels Scale Score Ranges Reading Mathematics I Level 5: 344-500 371-500 Level 4: 350-393 347.370 Level 3: 310-349 310-346 Level 2: 271.309 280-309 Level 1: 100-270 100.279 Your scores are shown belo... LEVEL 5: Performance at this level indicates that the student has success with the most challenging content of me Sunshine State Stanaaras. A Level student answers most of the test questions correctly, Including tne most challenging questions. LEVEL 4: Performance at this level indicates that the student has success with the challenging content of tne Sunshine State Standards. A Level 4 student answers most of the questions correctly but may have only some success with questions that reflect the most challenging content. LEVEL 3: Performance at this level indicates that the student has partial success with the challenging content of the Sunshine State Standards, but performance is inconsistent. A Level 3 student answers many of the questions correctly but is generally less successful with questions that are most challenging. LEVEL 2: Performance at this level Indicates that the student has limited success with the challenging content of me Sunshine State Standards. LEVEL 1: Performance at this level Indicates that the student has little success with the crialiengirg content of the Sunshine State Standards. SUBJECT SCORES CONTENT SCORES Student Achievement Level Reading Mathematics Scale Score State Comparison: Thirds LOwest I Middle I Highest It you took the test again, your scores might be slightly higher or lower man the scores on this report. However, your scores would probably fall within a certain range. For reading, your scale score should be between 364 and 432. For mathematics, your scale score should be between 372 and 402. The check marks ( J ) snow it you scored in the lowest, middle, or highest third of grade 08 Florida students who took this test. Number of Points Possible Number of Points Earned State Comparison: Thirds Reading Lowest Middle Highest Words/Phrases Main idea/Purpose Comparisons Reterence/Researen Mathematics Number Sense Measurement Geometry Algebraic Thinking Data Analysis The Content cnart shows the number of points possible and tne number of points earned for each category. Each question on this portion of the test was worth one point. The results on your performance items will be reported separately. Run Date: 04/2812001 0388352 EFTA01709763 The School Board of Broward County, Florida CREDIT-BY-EXAMINATION 05/30/00 Dear Parent/Guardian: Credit-by-Examination is one way that The School Board of Broward County rewards advanced middle school students for their hard work and initiative. The completion of high school coursework, including credit earned, is awarded when students pass specially designed district-developed competency tests. By providing this opportunity to middle school students, not only does the student benefit by earning high school credit while in middle school, but he/she also has the opportunity of taking higher level coursework during high school. This spring, your child was assessed on one or more of the Broward County Public Schools competency tests. Based on the test results: , has passed the Credit-by-Examination and will receive high school credit for ALGEBRA if he/she also receives a passing grade in the course. This credit does not carry a grade but is recorded as a "P" for Pass on the high school transcript. Please keep this document as additional verification of your child's achievement even though the Testing and Assessment staff will notify the administrative staff at the designated high school. ALGEBRA We congratulate you and your child on his/her success. Please contact the Guidance Counselor at your child's school if you have any questions. EFTA01709764 The School Board of Broward County, Florida CREDIT-BY-EXAMINATION 05/29/01 Bear Parent/Guardian: Credit-by-Examination is one way that The School Board of Broward County rewards advanced middle school students for their hard work and initiative. The completio. of high school coursework, including credit earned, is awarded when students pass specially designed district-developed competency tests. By providing this opportunity to middle school students, not only does the student benefit by earning high school credit while in middle school, but he/she also has the opportunity of taking higher level coursework during high school. This spring, your child was assessed on one or more of the Broward County Public. Schools competency tests. Based on the test results: has passed the GEOMETRY Credit-by-Examination and will receive high school credit for passing grade in the course. This credit does not carry a grade but is recorded as a "P" for Pass on the high school transcript. Please keep this document as additional verification of your child's achievement even though the Testing and Assessment staff will notify the administrative staff at the designated high school. GEOMETRY if he/she also receives a We congratulate you and your child on his/her success. Please contact the Guidance Counselor at your child's school if you have any questions. EFTA01709765 THE SCHOOL BOARD OF BROWA RD COUNTY, FLORIDA April 23, 2001 To Whom It May Concern: Cheitpenom Vice Chairpetsese SCHOOL BOARD and is in the This letter is to inform you that has been in band ate 111 or the past three years. She is a this year. has participated in all the band performances this year including . She also performed at • Sincerely, Translisrminp Education: One Student At A Time &maul County Public Schools Is An Equal Opportunity/Equal Access Employer EFTA01709766 flay 7, 2001 'lb crlYrom Is flay Concern- ifs fetter is to recommenclal for placement in your drama programnias been a student in my drama class for the past two years. She is one of my most tainted students in both performing and creativity in production. INkhas been an active member of the Junior 'Thespian Society and this year she was president. As a memberMtvas a64 to audition for and participate in the district and state festivals. She has received super:Or andercce&nt ratings for her monologue pelonnancesefias also &fel major roles in the club's productions. I know thaMMIwouLd be an asset to your program. If I can be of annul-flier assistance or answer any questions, please feeffree to contact me. EFTA01709767 a_t 1 4-14-n2. /r' ! liter>, 14-en-A 33/7/ „ILL ikt) zz-Act7 544 ) 188164c 2 s, cif s: lau d . I9.: tti • ...lie ALF.I e Boat nc Co. Lc °fre-aai A-Adkry /4/6,- Afizized, EFTA01709768 Surf RVISOR IX (EEC 11044 :IJI el OLIVE AVEI.1.1E.ITOOM IOS ve I.4I M DEACIE I L I 4)9$ DO SOMETHING - VOTE I Ind ul US. POMACE LAID VArM Palm Rennel %JOANN 164 RETURN SERVICE REQUESTED VOTER IDENTIRCATI0N PAl FA BEACH COUNTY. FLORIDA AIMMItAllOviamER INOTTUSIOROMT OSiI0/01 ROYAL IMACSICI 0 A 14 YOURPRECINCT ImeARER YOUR OOLONG LOCATION IS, PRESENT 1111$ CARO AT YOUR PRECINCT VANN YOU VOTE SEE REVERSE SIDE FOR OLANGEDIADDRESS INSTRUCITOrp- NOW" ON ELECTIONS OFFICE IMMEDIATELY W ANY aontanost ON nes CARDS INCORRECT. ROYAL PA RIMISTRATION NVN lufludhanIA.All Lill IhAhA.ha.li The Sunshine State ROYAL. ax nn °COPS F 6-06 0E-10-01 gill/ wejciM 00-00-00 if-Sit 0 iNft#M111. %Ong OpetetOn el • MOP% WitiOr• COnarseei ciniewl ID Or, te twt, rI ti<ves, wo. EFTA01709769 cm skaz &farm Bandol Tau 4:40 Aki.nut Boalinc 3/ 7// \-14: all 1fl &M -4S4 • 0 Aettieed. fe„,,fraa, Q. 3301/ Afita,z, y eac,-oi, 1, zit,c/ em-LIA-e/ "Li Kle t aided7 W e> r andji j‘: A jtk." pity Oier„_, I mutiny ,ade,<. EFTA01709770 6 6)221- 0<s>, 2 New and Returning Student Registration • cer)e THE SCHOOL DISTRICT OF PALM BEACH COUNTY (SDPBC) NEW STUDENTS. Complete all non-shaded areas on both sides of the form. RETURNING STUDENTS: Review both sides. If the pre-printed information is incurred, correct the information by Carefully and lightly crossing out the incorrect information and writing the correct information above I V ) Wei trio code) o/yei L Alai /J4'// el ,,,yi, !rm....GM:MRCSS (noose mammy/ name, Oa no) (0,4 (axe) ('I code) (I) SOCIAL SECURITY NO. (a) HOME TELEPHONE NO (9) SEX (10)RACEJETHNICOR.GIN (44444.49 01 -American Indian/Alaskan Native 0 6-Btack. Non-Hispanic 0 H-Hispanic 0 A-AsiantPacific Islander White, Non-Hispanic 0 M-Multiracial (lilt:PATE OF MATH (12)PLACE OF BERTH (atyluanioxerry) (3) RESIDENT STATUS (14)USAEN1RY DATE OM a 514 . LI 0. Foreign Exchange Student 0 1. Oul-of-county Resident 0 04449904/YYY) (D) FEDERAL IISACT SURVEY 2. Out-of-state Resident 1:414. In-county Resident YES NO 0 0 A The student resides on federal properly 0 0 B. The student resides in low rent housing. 0 0 C. The parent is employed on federal property located in Palm Beach County. 0 0 D. The parent is employed on low rent housing located in Palm Beach County. 0 0 E. The parent is in the uniformed services of the United States. (16)PRESCHOCX ENROLLMENT INFORM* ION Place an X by each program allenCled Als0. Inchoate with an asterisk r) the program your CND was in the longest O N. Non-subsidized Child Care 0 M. Migrant Pre-K III D. Pre-K Disabilities 0 H. Headstart 0 I. Pre-K Early Intervention 0 C. Chapter 1 0 S. Subsidized Child Care 0 O. Other 0 0 If E. is YES, is the parent on active duty? Check service below: 0 Air Force 0 Anny 0 Coast Guard 0 Marines 0 National Guard 0 Navy (IntS DC STUDENT A SINGLE P 0 YES NO ( 8) CURRENT GRADE LEVEL . ey dfrc, • • / I9 NAME OF SCHOOL TRANSf RRiNG FR M CflY OR LOCATION . (21) LASTA CAM .. e 6 Ada/ (22) LAST GRID( LEVEL I (73) LAST PUBLIC SCHOOL Anna° IN PALM BEACH COUNT' I (24) DATE ATTEHDED IN PBC ' Eta. CREENMONF.ORMATIONW-4v if4REE,9,11 EDUCED t2S) Students will receive non-invasive health screenings pursuant to Florida Statutes 381.0056(7)(d). Non-invasive e.RIGEiti.INCH screenings may include vision, hearing, SCO1i0SiS, height, and weight. These tests may be given individually or in . groups. Parents or guardians. however, have the right to request an exemption in writing. If you DO NOT want (27) iaipapViel free your child to receive the screenings. write the words to not screen here: reduced lunch? (This exemption will cover all types of screenings) cy" „ 0 YES RTC (2t) I give permission for my child to participate in the sodium flounde program to prevent tooth decay_ YESti NO (Application is pThvided (Permission is valid through 6 grade) I with this (on' NEWASEJDESITS)TREAMKDEACH•COUNN,V5SQ1/2MOSMIaatel:k ; "v;4.. 4281440mE LANGUAGE SURVEY YES N!:2--- O 3 j„... Is a language other than English used in the home? K L' S .- 2. Does the student have a first language other than English? • E❑ r3-7-Does the student most frequently speak a language other than English? est t yeal languase is spoken in ilvt home by the parent or guardiaP?--- (3th 5. Wnat lanouace is the student's b:51 language? If YES. what language? If YES. what language? If YES, what language? _60 42/1 A 4 Olt What is the date of entry into an ESOL program? (33) DISCLOSURES FOR ENTRY INTO PBC SCHOOL OrSTRICT YES NO o n.„A. Has the student ever been expelled from school? O I. Has the student ever had an arrest resulting in a charge? K &" 3. Has the student ever had any juvenile justice actions? 32) STUDEVY LIVES !MTH (c one) g /Mother ci Father 0 Both Parents E P Other ozeto,,b_PAi-ei./rs DalCUSTODY STATUS OF STUDENT Meek One) 0 Mother 0 Father Shared Custody K Other (ss) Is there a court order barring either parent from removing or contacting the student during the school day? 0 YES -EFIC If YES, provide the school with a copy of the court order. PBSD 0636 (REV 4/6(2001) Page 1 of 2 EFTA01709771 • .....1/414.1Pi t Y - NEW AND RETURNING STUDENT REGIST /a. tit LLGAL Glplia3W4 (&w, ;ease aria Ent ; MICINSS woe:. eowelmArrearnmee) • I CITY OCCUPATION . . . ILACE or ErAPLOYAUNI • STATE ZIP CODE • OO eqc.4 3 STATE z I P si ICE TELEPHONE 1 BUSINESS TELEPHONE CELUPAGER NUMBER I COSINESS TEL CE EMAIL ADDRESS (ANNAN; (MAL ADDRESS NPINAIN EMERGENCY HEALTH AND SAFETYANFORMAYION •• !, '-t mdrtY,Lt:Irreealt*fi rt'":31:, ' ,Il 14774.4,*.fit Person(s) other than parent authorized to ick up student (38) PASSWORD &nit 10Chiragen) 39 (41)NAME flea sraidie exaa. lay) ADDRESS tume/x/now. stvet Wm? n‘abeol A, 4.4., Atm eere-4 STATE ZIP CODE F/ 3.302<- CRY STATE ZIP CODE RE rl ize4NSINP ENE V' A/CYPIMP WP CES 0 NO TELEPHONE RELATICNSHIP (42)AuTHORIZEO FOR EMERGENCY PICKuP O YES O NO 00 If school personnel are unable to contact you may we have your permission to call your doctor . emergency services (911) for transport to the incase of illness or occident or hospital? EKS O NO (44) TACTICAL INCORIAANON pc McAlear* Manse& behave0t. he i"tves. sikai,es, inedabons, of °`A°" piusacAISANAINAD NS) FAMILY (tees 106 SICIU4 PHONE 1 INN Does your child currently have health insurance? E1'YES O NO II YES, indicate: (4?) I-9)5MM PREFERENCE ....... ID Medicaid Off5rivate O Healthy Kids/Krd Care ID Interested in receiving information .PAREter*qqARDIATS .OTHEIft:Clial&Fliqiii.iPACtifjeialliaciarleili901.9;;;.‘-b - i .W:frit ar (49) NAME OF CHILD mu. fry, m•lcue Near/ SCHOOL ATTENDING STUDENT NO (ocons4 GRADE DATE OF SiRT• (SO) NAME Of CHAO Rau. feu erkfou ....A.I.7 I SCHOOL ATTENDING STUDENT NO (cpeamt) GRADE DATE OF BIRTH WO NAME Of CHID Past feu. mics NAA SCHOOL AMA:TANG ST HT HO lopoona) GRADE DATE OF BIRTH ISZ) NAME OF CHILD (4sI. ANL n•AMM noel VmOr's ATTENDING STUDENT IFO (APINFIN) ceinF DATE OF BIRTH PARENT/GUARDIAN SIGNATURE I verify that the information oiven is true and accurate to the best of my knowledge. DATE FOR OFFICE USE ONLY I r (93) SOF NO. ... (sgSruer.ut no. i (SS)COS I (SS) anny CODE 1 tsnsi•C I (MICK/41c 1-EV I 0 12) CAL- ..I" : ."!'•AA.I. 4:- . ' 4.,".• • •-: :,. , . .74;cLci PESO 0636 (REV. cr612031) page 2 of 2 EFTA01709772 THE SCHOOL DISTRICT OF PALM BEACH COUNTY (SDPBC) New and Returning Student Registration NEW STUDENTS: Complete all non-shaded areas on both sides of the form. RETURNING STUDENTS: Review both sides. If the pre-punted information is incorrect. correct the information by carefully and lightty crossing out the incorrect information and writing the correct information above it. • _41 Al SO KNOWN AS MD coca) 4 At Ahrl Zetti 33911 nom nom. no ( (en code' al Wart sEcumnr NO. (11)DATE OF BIRTH (12) PEACE OF MTh feentemeteatto) (9) SEX (10) RAGE/ETHNIC ORIGIN popearag 01-AMOTIGErn Indian/Alaskan Native 0 Balac. Non-Hispanic 0 H-Hispanic 0 A-Asian/Pacific Islander 1;44-White, Non-Hispanic 0 AA-Multiracial a 514 (15) FEOERAL IMPACT SURVEY YES NO O 0 A. The student resides on federal property. O 0 B. The student resides in low rent housing. O 0 C. The parent is employed on federal property located in Palm Beach County. O 0 D. The parent is employed on low rent housing located in Palm Beach County O 0 E. The parent is in the uniformed services of the United States. O 0 If E. is YES, is the parent on active duty? Check service below. K Air Force 0 Army 0 Coast Guard 0 Marines 0 National Guard 0 Navy (1t) Polarf Or SCHOOL Trewe ERR NG RCM (271 LAST GRADE LEVEL (13) RESIDENT STATUS K O. Foreign Exchange Student 0 1. Oul-of-county Resident 0 2. Out-of-state Resident Di In-county Resident (%4) USA ENTRY DATE (MWDONYYY) (16)PRERrtthol ENROLLMENT as ORmAT)ON pia an by each program amended Also, indicate with at wan* r) the program your thud was in the longest ID N. Non-subsidized Child Care El M. Migrant Pre-K 0 D. Pre-K Disabilities 0 H. Headstart 0 I. Pre-K Early Intervention 0 C. Chapter 1 0 S. Subsidized Child Care 0 O. Other (MIS THE SlIJOENT A SINGLE P 0 YES ( 10CURRENT GRADE LEVEL. OW OR LOCATION 123) LAST Nate SCHOOL ATTENDED IN PAW BEACH COMM as) Students will receive non-invasive health screenings pursuant to Florida Statute §381.0056(7Xd). Non-invasive screenings may include vision, hearing, scoliosis, height, and weight. These tests may be given individually or in groups. Parents or guardians, however, have the right to request an exemption in writing. If you DO NOT want your child to receive the screenings, write the words 'Do not screen* here: (This exemption will cover all types of screenings) (26) I give permission for my child to partiopate in the sodium flounde program to prevent tooth decaW('ES0 NO (Permission is 7. alid through 6 grade) (25) NOME LANGUAGE SURVEY YES NOV K ff 1. Is a language other than English used in the home? O NJ 2 Does the student have a first language other than English? • E!"-IDoes the student most frequently speak a language other than English? ;25) 4 What language is spoken in the home by the parent or guardian/ col 5 What language is the student's first language/ tit ACT anetnANGEna (24)DATE ATTENDED IN PBC (277 Have you filled out an application for free and reduced lunch? 0 YES Rical (Application is prOvided with this loan If YES, what language/ If YES, what language? If YES. what language? (31) What is the date of entry into an ESOL program? (33)DISCLOSURES FOR ENTRY INTO PSG SCHOOL DISTRICT YES NO O _A. Has the student ever been expelled from school? K nI2i )2. Has the student ever had an arrest resutting in a charge? K :.•W 3. Has the student ever had any juvenile justice actions? (32)S7 Ere T DYES taint (mathOne) Mother 0 Father 0 Both Parents VotherAgarhiMitaTS (34) CUSTODY STATUS OF STUDENT f/ Bone) 0 Mother 0 Father Shared Custody 0 Other (3s) Is there a court order barging either parent from removing or contacting the student during the school day? II YES, provide the school with a copy of the court order. 0 YES 421;(0 P8SD 0636 (REV. 416/2001 ) page i of 2 EFTA01709773 04 02/03/1997 STA L 06 UORO NP GAP/MECH NP VOCAS NP LEGAL NAME: TEST INFORMATION: TEST TEST Lem. SUBJECT SCORE SCORE SU3,IECT SCORE SCORE SUDJECT SCORE SCORE 3RD DATE NAME FORM CONTENT TYPE TYPE 04 03/0S/1997 STA L 06 USAGE/FX NP COMPREHE NP LANGUAGE NP 04 03/02/1997 SiA L 06 REA0<lj NP STUDYSKL NP SPELLING NP 04 03/02/1997 STA L Ot CONCEPTS NP LISIEN/T NP COMPUTAT NP 40 04 03/03/1997 STA I. 06 BASICBAT N PROM/SLA N SCIENCE N 04 03/0n/1997 STA L 06 MATH(T) N SOCSCIEN N 04 01/21/1992 WAP E UR EXPOS 5 03 04/22/1996 STA J 05 WORD N CAP/NECK N VOCAL N 03 04/22/1996 STA J 05 usAnut:x COMPREHE N LANGUAGE N 03 04/22/1996 STA J OS READ<T) STUDYSKL N SPELLING N 03 04/22/1996 STA J 05 CONCEPTS N LISTEN/T N COMPUTAT N CONTENT TYPE. TYPE CONTENT TYPE TYPE WORD SS WORD NC CAP/MECH SS CAP/MECH NC VOCAB SS VOCAB NC USAGE/EX SS USAGE/EX NC COMPREHE 5S COMPREHE NC LANGUAGE SS LANGUAGE MC READ<T) SS REAO(T) NC STUDYSKL SS STUDYSKL NC SPELLING SS SPELLING NC CONCEPTS SS CONCEPTS MC LISTEMIT SS LISTEN/T NC COMPUTAT SS COMPUTAT NC BASICBAT n BASICRAT NC PROD/SLV S PROBISIV NC SCIENCE S. SCIENCE NC MATH<T) S MATH<T) NC SOCSCIEN 5; SOCSCIEN NC WORD 5 WORD N • CAP/MECH S CAP/MECH N VOCAD S VOCAB N. USAGE/EX 5- USAGE/EX N COMPREHE 5 COMPREME N LANGUAGE S! LANGUAGE N • READ(T) $ READ(T) N e STUDYSKL S STUDYSKL N SPELLING S SPELLING N CONCEPTS S CONCEPTS N LISTEN/I. S LISTEN/T N e COMPUTAT S COMPUTAT N • EFTA01709774 • • • • U O 0 • • • • • TEST GRO INFORMATION: TEST TEST DAIS NAME LEVEL FORM ~RENT DISTRICT: CURRENT SCHOOL: SUBJECT SCORE SCORE SUBJECT SCORE. SCORE CONTENT 111II: TYPE CONTENT TYPE TYPE SUBJECT SCORE CONTENT TYPE TYPE. SCORE Oh 03/01/1.999 8fA J OS SORG NP WORD SS WORD NC CAP/MICH VOCAB NP NP CAE/MUCH VOCAB SS SS GAPINLCH VOCAO NC NC 06 03/01/5999 STA J OF, USAGE/EX NP USAGUIFX SS USAGE/EX NC COMPREHE LANGUAGE UP NP COMPREHE LANGUAGE SS SS COMPREMC LANGUALIE NC NC 06 03/01/1999 SIA J OS REAO(T) NP REA0(7) SS READ(T) NC STUOYSKL SPELLING NP NP STUOYSKI SPELLING SS S.: STUOYSKL SPELLING NC NC 06 03/01/1999 81A J OU CONCEPTS HP CONCEPTS SS CONCEPTS. NC LISFEN/Y COMPUTAT HP NP LISTEN/T CONPOTAT 3S SS LISTEN/7 COMPUTAT NC NC 06 03/0I/1?99 STA J 08 3ASICBAT HP BASICBAT SS BASTCDAT NC PROD/SIV SCIENCE NP NP PROB/SLV SCICNCE SS 5S PRO0/51V SCIENCE NC NC 06 03/01/1999 STA J 00 MATH(T) N MATH(T) sr HATH(T) NC SOCSCIEN N SOCSCIEN SS SOCSCIEN NC 05 03/02/1990 STA J 07 WORD HF WORD SS WORD NC CAP/MECH VOCAL NE N CAP/MECH VOL/di SS rc CAP/MECH VOCAB NC NC OS 03/02/1990 STA J 07 USASE/EX NF USAGE/EX 5 USAGE/EX NC 05 03/02/1990 STA J 07 comrnnw LANGUAGE READ(T) N Ni NI COMPRTMC LANGUAGE READ(T) SE (I, S. GOMPREHE LANGUAGE READ(I) NC NC NC STUOYSKL SPELLING N HF STUDYSKL SPELLING S SE STUDYSKL SPELLING NC NC 05 02/02/1998 STA J 07 CONCEPTS N CONCEPTS S CONCEPT'S NC LISTEN/T COMPUTAT N N LISTEN/T COMPUTAT S S LISTEN/7 COMPUTAT NC NC 05 03/02/1990 STA J 07 BASICBAT NI BASICBAT S BASICBAT NC PROB/SL.V SCIENCE N N PROB/3LV SCIENCE S PROB/SLV SCIENCE NC NC 05 03/02/1998 STA J 07 MATH(T) N MATH(T) S MATU(T) NC SOCSCIEN N SOCSCIEN S SOCSCIEN NC ToTrIc 0000006 SCHOOL: IIIIIITEST INFORMATION FILE: SRTS12A5 EFTA01709775 110 • TO - DISTRICT, GRADE LEVEL: 0 DATE: FL STUDENT ID: SSN: FOAL NAME: VOCATIONAL SUOST I TUTION COURSES- SPJOURNALISH SUB FOR PRAC ARTS 2PSUB FUR BUS EN I 1001440 5.,,SUB FOR MA I 12053RO/II 1205390 8-SUB FOR PRE ALGEBRA 1200300 :: .JR(IC NAVY SUB FOR SCIENCE LIP INSTRUCTION- M.HOME LANGUAGE. INSTRUCTION OP-ESOL INSTRUCTION SCHOOL: CURRENT DISTRICT: CURRENT SCHOOL: STATE OETINED COURSE FLAGS - OPJROTC SUD II)R PRACTICAL ARTS 3=SUD FOR BUS EN X 1001440/II 1001450 6=SUB FOR 6E0 SET 2002310 A'JROTC CST GO SUB FOR SCIENCE ()JROTC ARMY SUD FOR LIFE MGMT OLHOME LANGUAGE h/Ok FILE; PAGE 04 TROMP ED SOD FOR PRACTICAL ARTS 4 --SITU FOR HA I 1205540 7,-SOD FOR ANAT PHYSIO 2000350 OP.:ROTC ATR FORCE SUB FOR SCIENCE 0:-JROTC MARINE SUB FOR LIFE MONT SUL INSTRUCTION (ELEMENTARY SELF-CONTAINED) GENERAL. COMMENTS DISTRICT FLAGS: U == AUDIT, V P HONORS COURSE - ADDITIONAL 1.0 QUALITY POINT PER SEMESTER L ADVANCED PLACEMENT OR I/D COURSE - ADDITIONAL 2.0 QUALITY POINT PER SEM. ACCREDITED DY THE SOUTHERN ASSOCIATTON OE COLLEGES AND SCHOOLS (SACS). ONE CREOIT A MINIMUM OF 150/135 HOURS OF. DITNAFIDE INSTRUCTION. A MINIMUM 2.0 STATE OPA IS REQUIRED TO GRADUATE. SSAT (HSCT) - STATE STUDENT ASSESSMENT TESTS REQUIRED FOR GRADUATION CLASS RANK IS COMPUTED ON ALL. DISTRICT ATTEMPTS. FINAL CLASS RANK IS DETERMINED ON COMPLETION OF THE SECOND SEMESTER OF THEIR SENIOR YEAR. CATEGORY O INFORMATION UITHORAUAL-DATE: 06/15/2001 CODE: UO2 HOME LANGUAGE SURVEY DATE: 08/31/1992 COUNTRY OF HIRT:: US UNITED STATES NATIVE LANGUAGE: EN ENGLISH PRIMARY HOME LANGUAGE: EN ENGLISH HFALTII EXAMINATION, SCHOOL ENTRY: Y SCHOOL ENTRY HEALTH EXAMINATION CERTIFIED. DROPOUT PREVENTION PROGRAM INFORMATION DROPOUT PREVENTION PROGRAM PLACEMENT REASONS OUTCOMES DISCIPLINARY PROGRAMS DISCIPLINARY REFERRAL(S) NO DECREASE IN DISCIPLINARY ACTION TEST INFORMATION TEST INFORMATION: TEST TEST LEVEL SUBJECT SCORE SCORE SOPJECT SCORE SCORE SUBJECT SCORE . SCORE IRD DATE NAME FORM CONTENT TYPE TYPE CONTENT TYPE TYPE CONTENT TYPE TYPE 08 02/21/2001 IJAP C NR EXPOS SS EFTA01709776 TO DISTRICT: GRADE LEVEL: OR PREPARED DATE: fl. STUDENT 1D: SSW: LEGAL NAME: DISTRICT: SCHOOL: YEAR: GRACC. LEVEL: 07 ~.. SCHOOL: CANPSF INFORMATION FILE: SRTS12AS CURRENT DIS1 s, : CURRENT SCHOOL: Cv CUM , STATE-1EkO: CUM: :999-2000 ANNUAL DAYS-PREGCNT: SUMMER TERMS DAYS PRESENT: ACADEMICALLY PROMOTED DISTRICT: IMMISCHOOL: YEAR: 75p0-2001 GRADE LEVEL: 08 ASSENT: ABSENT: DISTRICT-TERM: STATE-TERM: GPA SPA ■ CUM: CUM: 2000-2001 ANNUAL DAYS-CRCS:ENT: SUMMER TERMS DAYS-PRESENT: ACADEMICALLY PROMOTED ABSENT: ABSENT: PAGE 03 FLAGS: U 4 AUDIT; P . COURSE IN 2ROGRESS T-TERM: 1 ' SEMESTER 1, 2 SEMESTER 2, 3 . ANNUAL, 4 SUMMER SESSION 1, 5 m- SUMMER SESSION 2, S s SUMMER SESSION I AND 2 6 u QUARTER 1, 7 R QUARTER S. 8 " QUARTER 3, 9 = QUARTER 4, A ,, ANNUAL, R n TRIMESTER 1, C TRIMESTER 2, D TRIMESTER 3 a 'd 4 EFTA01709777 ripIPP' ,"" TO - DISTRICT: SCHOOL: GRADE LEVEL: OS PREPARE DATE: CURRENT DISTRICT: FL STUDENT ID: SSN CURRENT SCHOOL: i MATZOH LEGAL NAME: (954) 680-1100 • • • 4 DISTRICT: SCHOOL: YEAR: 1994-1995 URAOE LEVEL: 02 SUBJECT CRSE T COURSEt COURSE TITLE AREA FLAG 3 5100000 SECOND GRAPE NC CREDIT, TERM: In DISTRICT-TERM: STATE TERN: CREDIT ORO ATT./EARN MI CUM: CUM: 1994-1995 ANNUAL. MAYS-PRESENT: ■ ABSENT: SUMMER TERMS DAYS. PRESENT: ABSENT: ACADEMICALLY PROMOTED DISTRICT:. SCHOOL: NO COURSES TAKEN YEAR: 1995-1996 GRADE. LEVEL: NA DISTRICT-TERM: STATE-TERM: SPA CUM: CUM: 1995-1996 ANNUAL. DAYS -PRESENT: ALLSENT: • SUMMER TERMS DAYS-PRESENT: ABSENT: ACADEMICALLY PROMOTED (40 • T COURSEI COURSE TITLE 3 5100100 FOURTH GRADE • • 4 LI (41 • DISTRICT: III SCHOOL: YEAR: 1996.1997 SUBJECT CRSE CREDIT AREA FLAG (33RD ATT./ NC CREDIT, TERM: 0 1 1 DISTRICT-TERM: STATE-TEAM: 1996-1997 ANNUAL DAYS--PRESENT: SUMMER TERMS DAYS-PRESENT: ACADEMICALLY PROMOTED EPA CUM: CUM: ABSENT: ABSENT: FILE: SRTS12AS PAGE 02 DISTRICT:IIII SCHOOL: YEAR: 1997-1998 GRADE: LEVEL: 05 SUBJECT CRSE CREDIT T COURSES COURSE TITLE AREA FLAG CRD ATT./ 3 5100110 FIFTH GRADE NC P I CREDIT, TERM: DISTRICT-TERM: STATE--TERM: (997-1998 ANNUAL. DAYS-PRESENT: SUMMER TERMS DAYS-PRESENT: ACADEMICALLY PROMOTED CUM: CUM: DISTRIC1:11ISCHOOL: 1 YEAR: 98-1999 &RAUL LEVEL: 06 ABSENT: ABSENT: • DISTRICT-TERM: STATE-TERM: (998-4999 ANNUAL DAYS-PRESENT: summr.R. TERMS DAYS-PRESENT: ACADEMICALLY PROMOTED CON: CUM: ABSENT: III ABSENT: ASSISTANT REGISTRAR *** *************A.*** .4* * *******A .4*/.A.,****A*.O.A*fl,AAA**,*****A*****AAAAA**A*34.44LAA*.*AAAA;A***** ***** 4#11.11******,%******4#0,*AA****A*4 FLAGS: U = AUDIT; P COURSE IN PROGRESS T-TERM: 1 SEMESTER 1, 2 = SEMESTER 2, 3 = ANNUAL, 4 = SUMMER SESSION 1, 5 = SUMMER SESSION 2, S = SUMMER SESSION 1 ANL! 2 6 = QUARTER 1, 7 = QUARTER 2, 8 = QUARTER 3, 9 = QUARTER A, A A ANIMAL, B = TRIMESTER 1, C = TRIMESTER 2, 0 = TRIMESTER 3 IP • • • • • • • • • (' c Ak _ EFTA01709778 • • • • • • • • • • • • • • • • • • • • • TO - DISTRICT: GRADE LEVEL: OR ' .° ' DATE: 00/01/2001 FL STIIDEN1 1U: SSA: LEOAL NAME: MAILINS flOORESS: .1STRICT STUDENT ID: '1(NT/EUARDIAN (NAME -ODE): PARENT SCHOOL: CURRENT DISTRICT: CURRENT SCHOOL.: FL STUDENT ID-ALIAS: ZATION STATUS: PERMANENT CERT/FICATE STATUS, SAFE- TYPE HOSE 0411 DuSI DAM DTP TO POLIO HIB MAR HEPATITIS B DEBOORAPEITC INFORMATION RACIAL/EIHN BIRTH DATE: BIRTHPLACE: DOCUMENTING MIDDLE SCHOOL & SEN. IMMUNIZATION REQUIREMENTS VACCINE CERTIFICATE EXPIRATION OATE: FILE: SRISJ2AS PAGE 01 .-------- moon', r FORMATION DISTRICT: IM SCHOOL: YEAR: 1792-1793 0RADE LEVEL: KG SUBJECT CRSE T COURSE* COURSE TIME AREA FLAG O 3 5100060 KINDERGARTEN NC CREDIT, TERM: rPA DISTRICT -TERM, STATE-TERM: CUM: CUM: CREDIT orn 1992-1993 ANNUAL. DAYS-PRESENT: IIII ABSENT: SUMMER TERMS DAYS-PRESENT: ABSENT: ACADEMICALLY PROMOTED DIRTRICT:MIISCHOOL: YEAR: 1993-1994 GRADE LEVEL: 02 SUBJECT CRSE CREDIT T COURSES COURSE TITLE AREA FLAG GRO S 5100080 SECOND GRADE. NC U SEX: F BIRTH VERIFICATION: 1 nArc nincir nA-lp DISTRICT: TEAR: -------------------.----- II SCHOOL: 1993-1794 GRADE LEVEL: 01 SUBJECT CRSE T COURSES COURSE TITLE AREA FLAG 3 5100070 FIRST GRADE NC CREDIT, TERM: GPA DISTRICT-TERM: STATE-TERM: 1993-1994 ANNUAL DAYS PRESENT: SUMMER TERMS DAYS-PRESENT: ACADEMICALLY PROMOTED CUM: CUM: (3RD ASSENT ASSENT: DISTRICT:IIIIScAOOE: YEAR: /994-1995 GRADE LEVEL: 03 SUBJECT CRSE T commit COURSE TITLE. AREA FLAG S 5100090 THIRD GRADE NC CREDIT ATT./EARN P CREDIT GR • OFFICIAL TRANSCRIPT • MUST BE DELIVERED IN SE:" ED ENVC CPE WON THIS STAMP! '0. ** ***F4**** * * *****ANA**** 0.**********************k*kk*kkie#k ifek** ******k*****A*4k******4*****kle********h*kkkkh*A-4**k*k*Mik*M4********* FLAGS: U AUDIT: r = COURSE IN PROGRESS T-TERM: 1 = SEMESTER 1, 2 = SEMESTER 2, :3 ANNUAL, 4 , SUMMER SESSION 1, 5 = SUMMER SESSION 2, S • SUMMER SESSION 1 AND 2 6 = QUARTER 5, 7 QUARTER 2, n QUARTER 3, 9 = QUARTER 4, A = ANNUAL, R = TRIMESTER 1, C ' TRIMESTER 2, n m TRIMESTER 3 • • • • • • • • • • • • • • • EFTA01709779