EFTA01709855

••• --._.. .P.tyar•.b= fietv: EFTA01709855 EFTA01709856 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402305, 402.313, Florida Statutes; s 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code Fl T NAME MI CHILD'S SS# (optional) STATE IMMUNIZATION ID#' M0MMYR Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-1, A-2, EI;..9 g 09:on7reveis:07sidtoffsm. • If the child is presenting for the 7"' grade uite. melmnnlj..and)tas previousIVfiled_ Certificate of Immunization (DH 680, Part A-I) with their current Florida school, fill inpgxe5at as below imckesimblete.grifeS0n0teisyerse side of this form. • For additional information: See Intra4bzattIokquicletineSlqi4eNAfatiZr.:Chil04Fa.CJIdiesfor information and instructions on form completion and immunization requilements. .ifielitegiare,aykarthieffrolithetest adniity herlitiz department. ; r:• .- VACCINE DTaP/DTH Td' Polio* Rib' MMR (Combined)' (Separate)* Hepatitis Iit• Varicella10 Varicella Disease 1 The state immunization IV; is an identifier py.s4 by theita erfinmatitTatien registry (optional). 2 DTP/DTaP 5 doses required. If the 4th primary doss istildriiintstere&okor 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. 5 Polio 4 doses required. If the 3i4 dose in an all OPV or all IPV series is administered on or after the 4th birthday, a 4 ih 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 l" birthday. Second dose (measles) valid if given at least I month after I" dose. A 2' dose of measles (preferably MMR) is required for students in grades K-6 and 7° grade entry and attendance effective with the 1997/1998 school year. In each subsequent year thereafter,.the next highest grades are included. 8 Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (1). • 9 Hepatitis 13 vaccine series is required for 711 grade entry and attendance effective with the 1997/1998 school year and kindergar- ten 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 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. EFTA01709857 FCAT florid: Comp flesh.< /moment Test Spring 2003 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) MATHEMATICS SUNSHINE STATE STANDARDS PERFORMANCE TASKS Student Report Grade 10 Trim report provides your results on Ine FCAT 2003 Matnematics performance tasks. Each performance task on FCAT requires you to respond with ether a snort 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 you, answer. The number of paint5 you earned for your answer is shown in the box to the rignt. FCAT 2CO3 MATHEMATICS PERFORMANCE TASKS Student Name Student Number School Name School Number District Name District Number ROYAL PALM BEACH 511011 2331 PALM BEACH 50 This Performance Task Response Alt Mathematics hedormance Task Responses Points Possible 2 16 Points Earned 1 2 The students in the senior class at Paradise island High School hac,e decided to raise money by selling graphing calculators and geometry tool kits. They have set aside 53,000 to purchase the items they need to sell. They will spend S75 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 c9,) -is( C\It The inequality and equation below can be used to determine the number of each item the sensor class should have available to sell, where c is the number of calculators and t is the number of tool tuts 75c 20(s 3,000 c = How many tool kits should the senior class purchase? Show your work -75 • q6 rsbcp "75036:Q256 22s-0 20, r5 = so G .,~--4-- (S&L : ascSC - T4C'te,i5 kwict is u15-5a- ps- Mac Cezutater5 wourctra ,unt, of roc, kits }.eat tub- Data Run Date: 05/07/2003 PJc»:46 EFTA01709858 FCAT 1i0142 (ompre6nuive Am”nni fnl 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 performancetasks. 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-polnt rubric. One of the short-response tasks is shown below with 8 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 Dian Fossey. Use details and information from the story to explain your answer. FCAT 2003 READING PERFORMANCE TASKS Student Name Student Number School Name ROYAL PALM BEACH HIGH School Number 2331 District Name PALM BEACH District Number 60 This Performance Task Response All Reading Performance Task Reaponags Points PossiDle 2 12 Points Earned 2 10 n6 ke3w0A chaniri-eck .ketka-i WriCte,) +MA eccesku. dap tn atcinXecta, and Kkektett beat at 41) ecnO (3,05 .‘errio\m itain onct (IMO ra- ax.rn V1tO aCeirkefecta erait ker trf), Ott_irrion nfr efOrspatil qdick rscannot until 4-rtisfr h2r Oats Run Data 05/07/2003 U;.".4:4.5 8)„,23(il .33 EFTA01709859 WEST MIFFLIN AREA SCHOOL DISTRICT WEST MIFFLIN AREA MIDDLE SCHOOL 15-JUN-01 NAPA GRADE LEVEL REPORT SCHOOL YEAR ROOM a 2000-20 01 DAYS ABSENT 1ST6. 2ND 5.! 3RD 8. TIMES TARDY I O• 0 0.0 STUDENT NO ans TEACHER GR 1ST COMM CL ABS GR 2ND COMM CL ABS OR 3RD COMM a ADS OR 4Th COMM et ABS "1 no t GRAM! r COURSE LAND ARTS 8 Si A 04 B 04 A 0 A AM HISTORY 8 ,c, 'Y D 3 8 14 C 3 C 3 IC PRE ALO 8 C 3 0 3 D 35 D 34 D SCIENCE 8 D 35 C 3 C 3 C 3 C EXP FR LAND C 1 a B 1 B ART/MUS LAB 0 A 0 8 1 8 HOME EC 8 8 1 8 1 B PHY ED 8 A 3 Al B 1 A 0 A HEALTH 8 8 1 Al B 1 B 1 B 4TH 9WKS G P.A. IS 2.65714 SEE REVERSE SIDE FOR KEY TO GRADES AND COMMENTS STUDENT'S COPY EFTA01709860 TEST RECORD INFORMATION FLORIDA COMPREHENSIVE ASSESSMENT TEST (FLAT) SPRING 2004 SUNSHINE STATE STANDARDS STUDENT: lippliMp DISTRICT: SCHOOL: READING SS: NOT TESTED READING DSS: GRADE: 11 SID: HIG DOS: MATH SS: 312 PASSED MATH DSS: 1938 P980 0280 (REV. 7115/97) FRT EFTA01709861 IRST MI DOB (mO WYR) 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 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 vaccines not indicated if history of disease either physician documented or parental recall (for kindergarten effective with the 1001/1002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: 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 1997/98school ;ran 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: Temporary Medical Exemption PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who arc incomplete for immunizations in Part A-I or A-2.) Invalid without expiration date. DOE Code 2 I certify that that the above named child has received the immunizations documented on complete the requi Physician or Clinic (Print or Stamp) Add ACES, FLORIDA 33401 days after next Immunization appointment) Physician or Authorized Slgnat ed a schedule to I t o Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 certift that the physical condition of this child is such that immunizations) as indicated in Part C above is medically contraindicated Physician or Clinic Name: (Print or stamp) Address: Physician Signature: DM 630,&1000, ObtailltS tither ctlitiont (Stock Number, St40-000.0680-6) Date: EFTA01709862 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 I ACT NAMF kilt\ NAMF PARENT OR GUARDIAI•y) \ Air DOB MO/DA/YR CHILD'S SS# (optional) STATE IMMUNIZATION ID#' Di rectio • Enter all appropriate des 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 71' grade requirement pnly 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 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 DTaP/DTP: DT' Tel' Polio` Hib• MMR (Combined)' (Separate)" Hepatitis B' Varicella'• VaS 1 The state immunization ID# is an identifier supplied by the state immunization registry (optional). 2 DTP/DTaP 5 doses required. If the 4' primary dose is administered on or after the 4* birthday a 5° 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. 5 Polio 4 doses required. If the 3° dose in an all OPV or all lPV series is administered on or after the 4* birthday, a 4' 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 I• birthday. Second dose (measles) valid if given at least I month after I° dose. A 2e0 dose of measles (preferably MMR) is required for students in grades K-6 and 7° grade entry and attendance effective with the 1997/1998 school year. In each subsequent year thereafter, the next highest grades are included. 8 Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (I). 9 Hepatitis B vaccine series is required for 7° grade entry and attendance effective with the 1997/1998 school year and kindergar- ten 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 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. EFTA01709863 LAST NAME FIRST MI DOB (MO/DA/YR) Certificate of Immunization.lcir 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 1 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 vaccines not indicated if history of disease either physician documented or parental recall (for kindergarten effective with the 2001/2002 school year) for everse side of this form. Physician or Clinic Name: (Print or stamp) Address: 11 Physician or thorized Signature: Date: Certificate of Immunization Supplement for 7th Grade Requirement Part A-2 (Immunitations 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 1997/98school year: tetanus-diphtheria booster; hepatitis B vaccine series, and second dose of measla vaccine as documented on the reverse side of this form (boxed areas). Physician or Clinic Name: Physician or (Print or stamp) uthorized Signature: Add Date: Temporary Medica xemp on PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who are incomplete for immunizations in Part A-1 or A-2.) Invalid without expiration date. DOE Code 2 cent( 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. Expiration Date: Physician or Clinic Name: (15 days after next immunization (Print or Stamp) appointment) hysician or Address:• mixed 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 certify that the physical condition of this child is such that immunization(s) as indicated in Part C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) slelan Signature: Address: DII 680,8/2000, obsoletes earlier e Date: EFTA01709864 12th Gr Female (Form: 23G) SSN: NA Test Date: Nov 22, 2004 Royal Palm Beach Hs Royal Palm B FL Prht N4 0326 ASVAB sum ARMED SERVICES VOCATIONAL APTITUDE BATTERY. ARV RESULTS • ASVAB Results 12th SteGtrillaerd Scores 12th Grade Standard Score Bands Percentile 12th Grade Fimalos Scores 1201 Grade Maks 12111 Grade 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 (El) Auto and Shop Information (AS) Mechanical Comprehension NCI Military Careers Score 3 Military Entrance Score (AFQT) 40 54 45 60 52 44 48 60 46 53 46 45 1 10 ----- — 10 20 ----- . 20 30 --- 30 40 ----- 40 SO 130 70 --••• 70 80 80 90 DO 99 - 89 66 34 65 _ _ 69 30 48 87 35 85 60 37 60 25 34 63 30 50 50 22 37 83 28 49 24 22 59 26 42 85 32 67 42 29 SO ---- GO EXPLANATION OF YOUR ASVAB STANDARD SCORES Your ASVAB results arereported asstandard scores in the above graph. Your score on each test is identified by the "c in the corresponding bar graph.You should view these scores as estimatesof your true skill level in that area. If you took the test a gaAn, you probably would receive a somewhat different score. Many things, such as how you were feeling during testing, conblbute to this difference. This difference is shown with gray score bands in the graph of your results. Your standard scores are based on thels$VAB tests andtornposites 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 scores might not be meaningful. If the score bands do not overlap, you probab4r 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 orbetter than 65 out °revery 100 females in the 11th grade. For purposes of career planning, knowing your relafive 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 gen- 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, mese 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 ofyour 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 cats, you may not be familiar with the tams and concepts assessed by the Auto and Shop Informa- lion test. Taking a count or obtaining a part- time job in this area would increase your 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 Exploration Guide can help you learn more aboutyounelf and the world of work, to identify and explore potential goals, and develop an effective strategy to real- izeyourgoab. The Guldewill 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 you in making well-informed choices about future 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 help 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 Careen Score provides a link to occupations described in Military Careers: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. Afilithry Csreers provides you with a dear 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 wellyou might do in training and on the job in military occu- pations. Your score reflects your stand- ing compared to American men and women 1$ to 23 years of age. USE OF INFORMATION Personal identity information (name, so- cial security number, street addr e- s, and telephone number) and test scores will not be released to any agency outside of kt ienF:dpartment of Defense (DoD), the Forces, the Coast Guard, and your school. Your school or local school system can determine any further re- lease of information. The Doti 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: 2813N Access code expires: July 1st SEE YOUR COUNSELOR FOR FURTHER INFORMATION EFTA01709865 ASVAB SCORE AND TEST DESCRIPTIONS Verbal Skills is a general measure of language and reading skills which combines the Word Knowledge and Paragraph Comprehension tests. People with high scores tend to do well in tasks that require good language or reading skills, while people with low scores have more difficulty with such tasks. Math Skills is a general measure of mathematics skills which combines the Mathematics Knowledge and Arithmetic Reasoning tests. People with high scores tend to do well in tasks that require a knowledge of mathematics, while people with low scores have more difficulty with these kinds of tasks. Science and Technical Skills is a general measure of science and technical skills which combines the General Science, Electronics Information, and Mechanical Comprehension tests. People with high scores tend to do well in tasks that require scientific thinking or technical , while people with low scores have more difficulty with such tasks. General Science tests the ability to answer question on a variety of science topics drawn from bourses taught inmost ' schools. The life science items cover botany, zoology, anatomy and physiology, and ecology. The earth and space science items are based on astronomy, geology, meteorology, and oceanography. The physical science items measure force and motion me- chanics, energy, fluids, atomic structure, and chemistry. Arithmetic Reasoning tests the ability to solve basic arithmetic problems one encounters in everyday life. One-step and multi-step word problems require addition, subtraction, multiplication, and division, and choosing the correct order of operations when more than one step is necessary. The items include operations with whole numbers, operations with rational numbers, ratio and proportion, interest and percentage, and measurement. Arithmetic reasoning is one factor that helps characterize mathematics comprehension and it also assesses logical thinking. Word Knowledge tests the ability to understand the meaning of words through synonynis - words having the same or nearly the same meaning as other words. The test is a measure of one component of reading comprehen- sion since vocabulary is one of many factors that characterize reading comprehension. Paragraph Comprehension tests the ability to obtain information from written material. Students read different types of passages of varying lengths and respond to questions based on information presented in each passage. Concepts include identifying stated and reworded facts, determining a sequence of events, drawing conclusions, identifying main ideas, determin- ing the author's purpose and tone, and identifying style and technique. Mathematics Knowledge tests the ability to solve problems by applying knowledge of mathematical concepts and applications. The problems focus on concepts and algorithms and involve number theory, numeration, alge- braic operations and equations, geometry and measurement, and probabil- ity. Mathematics knowledge is one factor that characterizes mathematics comprehension; it also assesses logical thinking. Electronics Information tests understanding of electrical current, circuits, devices, and systems. Electronics information topics include electrical cir- cuits, electrical and electronic systems, electrical currents, electrical tools, symbols, devices, and materials. Auto and Shop Information tests aptitude for automotive maintenance and repair and wood and metal shop practices. The test covers several areas commonly included in most high school auto and shop courses such as automotive components, automotive systems, automotive tools, trouble- shooting and repair, shop tools, building materials, and building and con- struction procedures. Mechanical Comprehension tests understanding of the principles of me- chanical devices, structural support, and properties of materials. Mechanical comprehension topics include simple machines, compound machines, me- chanical motion, and fluid dynamics. Military Careers Score is a composite of the verbal, math, Mechanical Comprehension, and Electronics Information tests. It compares your slciRsfrn these areas to the skills of military personnel currently employed in a number of occupations. The score is used with the publication MilltaryCareerswhich highlights and describes a number of military occupations. Military Entrance Score (AFQT) is the score used if an individual decides to enter any of the armed services. See your local recruiter for details. * U.S. GOVERNMENT PRINTING OFFICE: 2002-752-083 EFTA01709866 FIAT Flo tido Cornprelunt site Assets tent Test Spring 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: ID: SCHOOL: DISTRICT: 50-PALM BEACH This report shows your results from the Grade 10 FCAT Retake test(s). Passing both the Grade 10 Reading and Mathematics Tests Is a requirement for a standard Florida high school diploma. Students must earn an FCAT Score of 1926 or better in Rearing and 1889 or better in Mathematics to meet the graduation requirement. The FCAT measures your performanceon selected benchmarks in reading and mathematics as defined by the Sunshine State Standanis. Scores on this test are one indication of your achievement of the challenging content that Florida students are expected to know. Your Reading Results We were unable to find a Reading score that matched your student Identification number. If you took the test this year, be sure to Contact your school about locating your FCAT test scores. Your Reading Content Content Areas Petals Earned POSIt$ PossM1e Percent Words/Phrases ..,, Main Idea/Purpose Comparisons % Reference/Research Reading Content - Content scores give more specific information about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases -uses skits to determine word meaning, including word parts and relationships between words. • Main Idea/Purpose -determines a stated or impied essential message, details, authors purpose, Or plot. • Comparisons -knows similar and different, cause and effect, and contrast. • Reference/Research -uses information from a variety of sources to reach conclusions. Your Reading FCAT Score FCAT Sco re' Achievement Level Passed NT NT 3000 2'00 18CD 1203 600 0 Student Score Puce° score Your Mathematics Results You have passed the Grade 10 FCAT Mathematics test. Your Mathematics Content Content Areas Points Earned Pmts Footle Percent Number Sense 3 10 30 v. Measurement 5 10 50 Geometry 5 14 36 % Algebraic Thinking 6 14 43 % Data Analysis 4 10 40 % Mathematics Content- Content scores give more specific 'ntormation about the skills on the FCAT. Grade level expectations for students include: • Number Sense-uses number concepts and computation skills. • • Measurement -solves problems involving measurements, e.g., time, length, area. • Geometry - analyzes and combines shapes to solve problems. • Algebraic Thinking -analyzes patterns and uses equations and Inequalities. • Data Analysis and Probability -uses data analysis tools to display information, make predictions and make Inferences. Your Mathematics FCAT Score FCAT Scores Achievement Level Passed 1938 2 YES 3000 2400 1800 1200 600 0 'This score you were lest again score would ■ ■ swan Scorn • Passing Sore shows your achievement on the day tested. If you were to take the same it is lee>, that your 2004 mathematics be between 1901 and 1975. NT=Not Tested NR=Nol Reported Data Run Date: 04/14/2004 0012245 EFTA01709867 FEAT Florida Comp re be rive Au; nrrett itIl October 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS Grade 11 Student Report 50-PALM BEACH The Florida Department of Education believes thatpWN student has the ability to learn and succeed. The purposeof the FCAT Is to ensure that Florida's public schools are providing the best education possible, and preparing students to succeed in the competitive 21st Century Job market. Working with teachers, the State has developed a measurement system that allows you to track a student's academic achievement from year to year and determine It a year's worth of learning has occurred In a years time. This system also allows you to compare a student's score to a score that represents -grade level' achievement If a student's score Is above thfl.rade level' score, then they are performing at a level above their current grade. If it Is below, they are in need of Improvement. Using the 'caveat Scores,' you are able to identity 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 tne score that represents °grade level achievement. We were unable to find a Reading score that matched your student identification number. If you took the test this year, be sure to contact your school about locating your FCAT test scores. 2003 Reading Content Scores Content Areas Points Points Possible Earned Worcis/Phrases Main Idea/Purpose Comparisons Reference/Research Year 2001 2002 2003 Grade Tested 10 Achievement Level NT FCAT Score • NT FCAT Score 3000 Reading 2500- 2000- 1500- 1000- S00- Grade 9 Grade et Grade Grade I GM* Gracie a Grade Grad 10' 11+ • Your Score O On Grade Level You did not score well enough to pass the Grade 10 FCAT Mathematics lest. Your Mathematics score needs Improvement. Talk to you teacher or guidance counselor about classes you can lake that will help you improve your score. 2003 Mathematics Content Scores Content Areas Points Points Earned Number Sense 10 5 Measurement 11 3 Geometry 15 9 Algebraic Thinking 12 2 Data Analysis 1D 5 Year 2001 2002 2003 Grade Tested NA NA 10 Achievement Level 2 FCAT Score • 1848 FCAT Score 2000 1500 Mathematics Grades Grade 4 Grades Grade 6 Grade 7 Grate a Grade 9 Grade 10 11+ • Your Score O On Grade Level • These scores show your achievement on the day you were tested. It 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 Mathematics Metes probably would have been between 1807 and 1889. NT-Not Tested NR=Not Reported NA= Data Not Available Data Run Date: 11/10/2003 0040495 EFTA01709868 "?sp-sivemi cingular " P.O. Box 3050 fe Boca Raton, FL 33431-0950 Attn: Boca Nail Unit cingular WIRELESS P.O. 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PLEASE Oo NOT SEW CORRESPONDENCE !ITN PAYMENT C cingular WIRELESS PO BOX 70811 Charlotte, NC 28272.0811 For Customer Use iiii= ficiag :z 4:igtitiettgc:zifr 4:15,3;14Tege , - • kstii_77,Efigi it.... .,47 -.A.—ni;4m;‘r4i, TERMS: The pact due amount is due ionediately. ate payment charges of 1.S % may be applied to any npaid balance as of your next billing date. eturned checks or other negotiable instrtments may 'cult in the taxies* processing charge aliened by at and nay be reSubaatted electronically. Notations made On Cheeks or accoopanying material will not secure your rights. ATTENTION INTERACTIVE MESSAGING CUSTOMERS: Your Interactive Messaging email address has changed! Please have your friends and associates update their address book's for your new email, which now ends with mobile.mycingular.com. For example, for phone number 313.555.1010, the email address is [email protected]. Your former email address continues to work. Email sent to the old address will forward to the new address & appear on your phone as normal. If you reply, the recipient will see the new mobile.mycingular.com email address. For additional information on Cingular and its full array of products and services, please visit us at www.cingular.com CR24414900 (3/01) I pk f fi EFTA01709869 A.IMCLIW ASC.!. " R i k 7 4 1 ; i W i I Insurance \gent Name: \gent Address: \gent Phone #: South Beach Ins Agency P 0 Box 39-8119 Miami Beach FL 33239 AGENCY CODE:411647 famed Insured: Railing Address: ee, FL 33470 )olicy Number: insuring Company: American Strategic Insurance Corp 1325 Snell Isle Blvd Saint Petersburg, FL 33704 Customer Inquiry Line: 866-ASI-HOME SOUTH BEACH INSURANCE PO BOX 398119 MIAMI BEACH FL 33239-8119 07/24/01 HOMEOWNERS INSURANCE RENEWAL "" SEND PAYMENT TO: AMERICAN STRATEGIC INSURANCE PO BOX 7790 KALISPELL, MT 55904 "'MAKE CHECK PAYABLE TO: AMERICAN STRATEGIC INSURANCE THE ATTACHED INSURANCE POLICY WILL EXPIRE SHORTLY AND THE POLICY IS BEING RENEWED BY THE INSURANCE COMPANY WITH THE SAME LIMITS AND TERMS. IF THE REPLACEMENT. . COST CONDO CONTENTS IS MORTkiAlINI yVHA S O ti OU - - • ili r CHOOSE4TO In = to = ')ii: )t IF) eriW ,r ...... .'11.Ptrr ieF) F:1 •7 iti - _.,,:.C_iu '?VA 6' -ti-d ter-) ./- - - ,-1:-.. l:-: ,\ii- :t /r•Ii.rTzr‘,-i-i.c.. i r iN•:- ;.-izit l t iiyi-er 'VII A 7-1: Vprst r i : : ‘, ! i. \ r ‘...-..0. I I,`,1;,:q4.\ !Pi: I frir e• SOUTH BEACH 1NSURA P:S -.1E-MORTG.AGEraiMPAVTS YOUR,',,I IOME, EFTA01709870 ,•L ec, /^ r,' 1 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH %. VITAL RECORDS caeftifiration of 3Birtb.N) WM NNW ALE W. MO DAV. VW* 07-14-87 0.0 on. •(a. comwm ALLEGHENY 411 11/24/87 Mm SUBJECT FEMALE FATHERS NAME MOTHERS MAIDEN:NAME-, mmamwsnot STAT(OCCISTRAP WP.RNINC. T iS ILLEOAl TO Dur.,ICAlL COP' OT PHOTOSTAT OR PHOTOL•b:.' • • • • • • • • • • • EFTA01709871 Stanford Harcourt Brace STUDENT : =TESTPAK* TEACHER : SCHOOL DISTRICT : FILENAME : INDIVIDUAL TEST RECORD Stanford Achievement Test: 8th Ed, 1991 Norms Achieverent Tests: 8th Edition. Copyright 01969, 1990 by Jovanovich, Inc. Reproduced by pensission. All rights reserved. STUDENT I SCHOOLS LEN FLIN AREA SCHOX DISTRICT DOB FORM : IM PAGE LEVEL: II 1 GRADE: 4 SPR TEST DATE 04/14/97 RUN DATE 05/20/97 SUBTEST READING VOCABULARY READING COMPREHENSION TOTAL READING CONCEPTS OF NUMBER MATH COMPUTATION MATH APPLICATIONS TOTAL MATIEMATICS LANGUAGE MECHANICS LANGUAGE EXPRESSIONS TOTAL LANGUAGE SPELLING STUDY SKILLS LISTENING BASIC BATTERY TOTAL SCIENCE SOCIAL SCIENCE COMPLETE BATTERY TOTAL USING INFORMATION(COMPLETE) THINKING SKILLS(COMPLETE) READING ma, : Regular Instruction LANGUAGE ARTS GROUP : Regular Instruction MATHEMATICS GROW : Applications COMIMICATIONS GROUP: Average RS GE NCE PR 1 2 5 10 NATIONAL PERCENTILE 20 30 40 50 60 70 80 90 95 98 99 26 5.0 52.1 54 39 5.5 57.0 63 65 5.3 55.3 60 16 4.3 39.6 31 27 4.7 48.4 47 12 2.8 28.2 15 26 55 4.1 8.5 38.3 66.3 29 78 23 6.5 55.3 60 49 22 7.1 4.2 60.4 43.6 69 38 23 6.0 57.5 64 27 4.6 47.4 45 241 4.6 47.9 46 29 5.0 50.5 51 37 307 6.9 4.8 61.0 49.5 70 49 MEI 49 5.3 53.2 56 60 4.8 50.0 50 1 ' 2 1 3 I 4 6 1 7 18 1 9 I 5 I NATIONAL STMINE VI READ VOC ADD wHOL SYNO NYMS 14/ 24 AV SUB wHOL CON TEXT 6/ 8 AV MOLT I.MOL MOLT MEAN 6/ 8 AV KILT FACT READ COMP MJLT <10 RECR EATN 15/ 18 AV MJLT 2/30 TEXTUAL 12/ 1B AV DIVI IMOL FDIC TAIL 12/ 18 AV DIVI FACT LIT ERAL 14/ 21 AV DIVI 1/20 STAT DETL 8/ 13 AV •/- DEO4 PLOT ACTH 6/ 8 AV ADD DECK INFR ENTL 20/ 26 AV SUB DEEM MAIN IDEA 3/ 4 HI 'II- FRAC DRAW CCMC 5/ 7 AV MATH APPL CADS EFCT 6/ 7 AV PROS SOLV INFR *AM 6/ 8 AV SOU' SENT GRIT ICAL 5/ 7 NI SOLV PRIM AUTH MEAN 3/ 4 NI KISS DATA MIT STYL 2/ 3 AV CRPH CHRT CONC NUM TALI CHRT M10L NUMB 13/ 16 AV 18M GRPM RECD NUB 2/ 4 AV GECM )EAS PLAC VAL 6/ 7 AV PEON ETRY COMP ERDR 5/ 5 HI ASR KENT FRAC TION 2/ 4 AV LANG NECK DECI MALS 1/ 3 LO CPTL ZATN OPER PROP 0/ 11 LO PNCT UATN OPER ATMS 0/ 4 LO COM MS PROP ERTY 0/ 7 LO OTHR PNCT MA APLY TH OW GRAM .0./- WW0E 9/ 12 AV VERB TENS RS • Raw Score NI • Above Average I/I correct / 0 of items ---- CONTENT CLUSTER SCORES ---- Olt I/O N/S 4/ 6 AV VERB ACRE 4/ 4 HI 810 SCIE 9/ 20 HI 5/ 6 AV OTHR PART 4/ 5 AV ERTN SPAC 11/ 14 AV 8/ 12 AV LANG EKPR SCIE PROC 20/ 31 HI 1/ 3 LO SENT CORR 15/ 20 AV IhIOR SKIL 17/ 25 HI 5/ 6 AV FRAG NEWT 7/ 10 AV DIM LEDG 4/ 9 AV 2/ 3 AV RIM ONS 8/ 10 AV UDR STUD 11/ 16 HI 8/ 10 HI SENT EFCT 8/ 10 AV SOLI SCIE 3/ 3 AV SPEL GEOG RPHT 11/ 13 HI 5/ 7 NI IOC P101 5/ 8 AV HIS TORY 6/ 8 AV 2/ 6 AV PHON PRIN 8/ 16 AV POL SCI 5/ 10 l0 0/ 3 LO CONS SUDS 5/ 8 AV ECON EMIC 10/ 10 AV 2/ 3 AV VOA. SNDS 3/ 8 LO PSYC SOC 5/ 9 LO 0/ 4 LO STRC PRIM 9/ 16 AV DIOR SKIL 7/ 9 LO MEL END 5/ 8 AV KNOW LEDG 10/ 10 AV 10/ 22 AV AFF IXES 4/ 8 AV UDR STND 12/ 18 NI 1/ 3 AV PRE FIXS 2/ 4 AV USNG INFO 6/ 16 AV SUE FIXS 2/ 4 AV USNG INFO 49/ 70 AV 3/ 3 HI VIDY SKIL MA USNG 2/ 6 LO 2/ 6 LO LIB REF 14/ 17 AV SS USNG 23/ 30 AV 2/ 3 AV DICT SKIL 12/ 14 NI SCI USNG 17/ 25 AV 0/ 3 LO GEM REF 2/ 3 AV SOC USNG 7/ 9 AV 0/ 12 LO INFO SKIL 9/ 13 AV THNK SKIL 0/ 6 LO LOC INFO 6/ 10 AV THNK SKIL 60/101 AV 0/ 6 LO ORGN INFO 3/ 3 AV RC THNK 13/ 17 HI LIST CSC/ THNK 3/ 6 AV 4/ 7 LO VOC 11/ 15 HI NA PINK 5/ 15 AV 11/ 11 HI LIST COMP 16/ 30 HI SS THNK 8/ 9 HI 5/ 5 HI RETN TICK 8/ 15 AV LIST THNK 2/ 7 LO 6/ 6 NI ORGN ZATN 8/ 15 LO SCIE THNK 13/ 24 AV 11/ 12 AV SCIE SOC MOM 16/ 23 AV 3/ 3 AV PHYS SCIE 9/ 16 LO GE • Grade Equivalent AV = Average NCE = Normal Curve Equivalent PR • National PercentiLe LO = Below Average EFTA01709872 INDIVIDUAL TEST RECORD Stanford Achievement Test: 8th Ed, 1991 wont Stanford Achievecent Tests: 8th Edition. Copyright 21989, 1990 by Harcourt Brace Jovanovich, Inc. Reproduced by permission. All rights reserved. STLENT STUD DB •TESOTPAK•: IIIIIIFFLIIIIPIAA ENT N: O SCHOOLS FORM :I IAGE TEACHER : SCHOOL : IN IFF. ELEM ' DISTRICT : VEST MIFFLIN AREA SCHOOL DISTRICT FILENAME : LEVEL: P38 1 GRADE: 3 SPR TEST DATE 04/15/96 RUN DATE 05/23/96 SUBTEST RS GE NCE PR 1 2 5 10 20NATIO NA 30 40L 50 60 PERCENTILE 70 BO 90 95 98 90 WORD STUDY SKILLS 40 4.9 58.1 65 READING VOCABULARY 30 5.0 58.7 66 READING COMPREHENSION 45 7.3 70.1 83 TOTAL READING 115 5.5 64.9 76 IMMO CONCEPTS OF NUMBER 21 3.6 47.4 45 MATH COMPUTATION 37 5.4 67.7 80 MATH APPLICATIONS 29 4.8 59.9 68 TOTAL MATHEMATICS 87 4.6 59.9 68 81 LANGUAGE MECHANICS 25 5.7 64.9 76 LANDJAGE EXPRESSIONS 23 4.7 55.9 61 TOTAL LANGUAGE 48 5.0 60.4 69 SPELLING 23 3.8 50.0 50 STUDY SKILLS 26 7.5 72.8 86 LISTENING 39 8.5 84.6 95 BASIC BATTERY TOTAL 338 5.2 64.9 76 SCIENCE SOCIAL SCIENCE 40 38 6.5 5.2 70.9 64.2 84 75 COMPLETE BATTERY TOTAL 416 5.2 67.0 79 USING INFORMATION(COMPLETE) 57 5.6 68.5 81 THINKING SKILLS(CCMPLETE) 60 5.3 62.3 72 1 1 2 1 3 1 4 1 5 1 6 7 1 8 1 9 READING GROUP Regular Instruction LANGUAGE ARTS GROUP : Regular Instruction NATIONAL STANINE MATHEMATICS GROUP : Regular Instruction CCMMUNICATICNS GROUP: Average ---- CONTENT CLUSTER SCORES ---- N/A N/0 1/0 ff/N WORD STDY PLAC VAL 3/ 7 AV CCM RAS 2/ 5 LO 810 SCIE 17/ 20 HI STRC ANAL 9/ 12 LO MOP ORDR 6/ 7 AV OTMN PNCT 6/ 6 HI ERTH SPAC 12/ 14 HI COMP WORD 4/ 4 AV FRAC TION 2/ 3 AV APLT GRAM 11/ 12 HI PROC SKIL 23/ 28 HI AFF IXES 4/ 4 AV OPER PROP 8/ 13 AV VERB TENS 4/ 4 NI INOR SKIL 20/ 25 HI SYLL RULE 1/ 4 LO OPER ATNS 2/ 6 AV VERB ACRE 1/ 4 AV KNOW LEDG 7/ 10 AV PICO( CONS 16/ 18 AV PROD ERTY 6/ 7 HI OTHR PART 4/ 4 HI UNDR STIP 16/ 18 HI SNGL CONS 6/ 6 MI MATH COMP LANG EXPR SOCL SCIE CONS CLST 5/ 6 AV ADD WHOL 12/ 12 HI SENT CORR 17/ 20 AV GEOG RIMY 9/ 14 AV CONS DIGR 5/ 6 AV ADD NCRE 4/ 4 AV FRAC TENT 9/ 10 AV HIS TORY 8/ 8 N DHOTIVOA 15/ 18 HI ADD RENA 8/ 8 HI RUN CMS 8/ 10 AV POI SCI 3/ A I 9 V SHRT YOWL 5/ 6 AV SUB WHOL 5/ 12 AV SENT EFCT 6/ 10 AV ECON OMIC 9/ 10 HI LONG YOWL 4/ 6 AV SUB NCRE 4/ 4 HI SPEL PSYC SOC 9/ 9 HI OfiiR VOWL 6/ 6 HI SUB RENA 1/ 8 LO SGHT NORD 7/ 8 HI !NOR SKIL 6/ 9 AV READ V'JC MOLT WHOL 12/ 12 HI PHOE PRIM 8/ 16 AV KNOW LEDG 13/ 16 HI SYNO NYMS 20/ 28 AV MILT FACT 6/ 6 HI CONS SNDS 6/ 8 AV UNDR SIM) 11/ 15 AV CON TEXT 5/ 6 HI MULT <10 6/ 6 HI VDdL SNDS 2/ 8 LO USNG INFO MILT MEAN 5/ 6 AV OIVI WHOL 8/ 8 HI STRC PRIN 8/ 12 AV USNG INFO 57/ 70 HI READ CORP DIVI FACT 5/ 5 HI INFL END 6/ 8 AV MA USNG 5/ 6 Av RECR EATN 16/ 18 HI DIVI <10 3/ 3 HI AFF IXES 2/ 4 AV SS USNG 26/ 10 HI TEXT UAL 17/ 18 HI MATH APPL STDY SKIL SCI USNG 20/ 25 Av FUNC TNAL 12/ 18 AV PRO() SOLV 15/ 20 AV LIB REF 15/ 19 AV SOC USNG 6/ 6 Av LIT ERAL 23/ 26 HI SOLO SENT 5/ 5 HI DICT SKIL 12/ 16 AV THNK SKIL STAT OETL 13/ 15 MI SOLV PROS 8/ 12 AV GEN REF 3/ 3 HI THNK SKIL 60/ 86 AV PLOT ACTN 10/ 11 HI MISS DATA 2/ 3 AV INFO SKIL 11/ 11 HI RC THNK 9/ 'S <I INFR ENTL 20/ 25 HI GRPN CHRT 5/ 6 AV LCC INFO 8/ 8 HI CNCU 1104K 1/ s .0 MAIN IDEA 3/ 3 HI TALY CHRT 3/ 3 HI ORGN INFO 3/ 3 AV MA THNK 9/ 'Z Ay DRAW CONE 7/ 10 HI 1BAR GRPH 2/ 3 AV LIST SS THNK 7/ ! AV CADS EFCT 2/ 3 AV GECM PEAS 9/ 12 AV VOC 13/ 15 HI LIST THNK 3/ 6 Av INFR MEAN 8/ 9 HI GECM ETRY 4/ 5 AV LIST COMP 26/ 30 HI SCIE THNK 17/ 72 •I CRIT ICAL 2/ 3 AV MSR RENT 5/ 7 AV RETN TICN 15/ 15 HI SOC THNK 1:/ CCNC NUMB LANG MECH ORGN LAIN 11/ 15 AV WHOL NUMB 11/ 18 AV CPTL ZATN 6/ 7 AV SCIE RECG NUM8 2/ 4 LO PNCT LAIN 8/ 11 HI PHYS SCIE 11/ 16 AV RS 4 Raw Score MI 4 Above Average s/A A a correct / it of items GE • Grade Equivalent NCE • Normal Curve Equivalent PR = National Percent AV • Average LO • Below Average EFTA01709873 INDIVIDUAL TEST RECORD Stanford Achievement Test: 8th Ed, 1991 Worms Stanford Achievement Tests: 8th Edition. Copyright 81989, 1990 by Harcourt Brace Jovanovich, Inc. Reproduced by permission. All rights reserved. ST1JDENT •TESTPAK• TEACHER : /Et SCHOOL • DISTRICT : fl FILENAME ST PIA SCHOOLS STUDENT I: LEM in Area School District 009 FORM : ~PAGE LEVEL: P2 1 GRADE: 2 SPR TEST DATE 04/28/95 RUI PATE 05/26/95 SUBTEST RS GE NCE PR 1 2 5 10 20 300GÓ 50PERCENTILE 60 70 80 90 95 98 99 LARD STUDY SKILLS 35 2.8 50.5 51 READING VOCABULARY 28 3.0 53.2 56 READING 03 PREHENSION 27 3.0 53.7 57 TOTAL READING 90 3.0 53.7 57 CONCEPTS OF MISER 26 3.2 57.0 63 MAIN CON:VIATICA, 24 3.1 52.1 54 MAIN APPLICATIONS 15 1.8 23.0 10 TOTAL MATHEMATICS 65 2.6 44.1 39 SPELLING 16 2.4 41.3 34 LANGUAGE 37 3.5 58.1 65 DIVIRCMMENT 27 2.6 48.9 48 LISTENING 28 2.3 40.7 33 BASIC BATTERY TOTAL 236 2.8 48.9 48 COMPLETE BATTERY TOTAL 263 2.7 48.4 47 READING GRCUP : Regular Instruction LANGUAGE ARTS GROUP : Regular Instruction MATHEMATICS GROB> : Applications 0244.MICATIONS GROUP: Average 1 1 2 1 3 1 4 1 5 1 6 1ne i 9 RATIONAL STANINE CONTENT CLUSTER SCORES I/I B/9 WORD STUDY SKILLS COMPARE wuNaERS 6/ 6 H I I GEONETRY 0/ 5 LO STRUCTURAL ANALYSIS 10/ 12 LO FRACTIONS 3/ 3 H MEASUREMENT 4/ 8 10 OCOMOUN) LORDS 4/ 4 NI OPERATIONS AND PRCPERTIES 7/ 11 AV SPELLING INFLECTIONAL ENDINGS 4/ 4 AV OPERATIONS 3/ 5 AV SIGHT LORDS 4/ 6 AV CONTRACTIONS 2/ 4 LO PROPERTIES 4/ 6 AV PHONETIC PRINCIPLES 7/ 16 LO PHONETIC ANALYSIS-CONSONANTS 15/ 18 AV MATH COMPUTATION COMSCWANT SCALDS 3/ 8 LO SINGLE CONSONANTS 4/ 6 AV ADOITION/1NOLE KAISERS 10/ 15 AV VCAEL WADS 4/ 8 AV CONSONANT CLUSTERS 5/ 6 AY ADDITION FACTS 3/ 5 LO STRUCTURAL PRINCIPLES 5/ 8 AV CONSONANT DIGRAPHS 6/ 6 NI ADDITION/NO RENAMING 5/ 6 HI LANGUAGE PHONETIC ANALYSIS-VOWELS 10/ 18 AY ADDITION/RENAMING 2/ 4 AV LANGUAGE NEC1UBICS 19/ 24 AV SNORT VOWEL SOUNDS 4/ 6 AV SUBTRACTION/WHOLE ~ERRS 9/ 12 AV CAPITALIZATICN 8/ 8 NI LONG VOWEL SCUDS 3/ 6 AV SUBTRACTION FACTS 2/ 3 AV PUNCTUATION 5/ 8 LO OTHER YOWL =AIDS 3/ 6 AV SUBTRACTION/NO RENAMING 5/ 6 AV APPLIED GRAMMIt 6/ 8 AV READING VOCABULARY SUBTRACTION/RENAMING 2/ 3 N I I LANGUAGE EXPRESSION 15/ 16 NI SYNONYMS 23/ 32 AV MULTIPLICATION/UNCLE NUMBERS 4/ 6 M STUN SKILLS/ABC ORDER 3/ 4 AV CONTEXT 3/ 4 AV NJLTIPLICATION FACTS 4/ 6 HI ENVIRONMENT MULTIPLE MEANINGS 2/ 4 AV 01VISION/SOLE WAGERS 1/ 3 AV SOCIAL ENVIRCNKENT 13/ 20 AV READING COMPREHENSION DIVISION FACTS 1/ 3 AV NATURAL ENVIRONMENT 14/ 20 AY RECREATIONAL 11/ 15 AV MATH APPLICATIONS LISTENING TEXTUAL 9/ 12 AV PROBLEM SOLVING 9/ 16 AV VOCABULARY 9/ 15 AV FUNCTIONAL 7/ 13 AV SOLUTION SENTENCES 4/ 5 HI LISTENING CCKPREMENSICM 19/ 30 AV CONCEPTS OF NJIMER SOLVE PROBLEMS 5/ 11 AV RETENTION 12/ 15 AY WHOLE NUMBERS 16/ 20 AY GRAPHS 2/ 6 LO ORGANIZATION 7/ 15 LO RECOGNIZE NAMES FOR »BRIERS 1/ 4 LO PICTOGRAPHS 1/ 3 LO COATING 3/ 3 NI SINGLE BAR GRAPHS 1/ 3 AV PLACE VALUE 6/ 7 AV GEOPETRY/MEASUREMENT 4/ 13 LO RS • Rs Score GE • Grade Equivalent NI • Above Averega AV • Average 0/0 • B correct / B of item NCE • Norval Curve Equivalent LO • Below Average PR • national Percentile EFTA01709874 INDIVIDUAL TEST RECORD Stanford Achievement Test (1991) Stanford Achievement Tests: 8th Edition. Copyright Harcourt Brace Jovanovich, Inc. ReprocUced by permission. Al LI SCHOOL DISTRIC STUDENT 0:11 1 STUDENT : TESTPAK* TEACHER : MRS SCHOOL : IOC (LEM 81989, 1990 by l rights reserved. DOB FORK :IM PAGE LEVEL: P1 GRADE: 1 SPR DISTRICT : Iiiillifflin Area School District FILENAME TEST DATE 04/28/94 RUN DATE 05/26/94 NATIONAL PERCENTILE SUSTEST RS GE NCE PR 1 2 5 10 20 30 40 50 60 70 80 90 95 98 99 WORD STUDY SKILLS 27 1.9 52.1 54 WORD READING 15 1.4 0 14 READING COMPREHENSION 14 1.4 27.2 TOTAL READING 56 1.5 34.4 23 CONCEPTS OF NUMBER 22 1.7 45.2 41 MATH CCMPUTATICN 23 3.2 71.8 85 MATH APPLICATIONS 20 1.7 46.8 44 TOTAL MATHEMATICS 65 2.1 54.8 59 LANGUAGE 33 2.2 56.4 62 SPELLING 19 1.7 45.2 41 ENVIRONMENT 27 1.9 52.1 54 LISTENING 30 1.9 53.2 56 BASIC BATTERY TOTAL 203 1.7 46.8 44 COWLETE BATTERY TOTAL 230 1.8 45.2 41 1 12 13 1 4 1 5 1 6 1 7 1 8 1 9 READING GROUP : Word Reading LANGUAGE ARTS GROUP : Regular Instruction MATHEMATICS GAWP : Regular Instruction COMMUNICATIONS GROUP: Average NATIONAL STANINE CONTENT CLUSTER SCORES ---- 0/0 0/0 t/II WORD STUDY SKILLS CCUNTING 3/ 5 AV LANGUAGE STRUCTURAL ANALYSIS 11/ 12 AV PLACE VALUE 3/ 6 AV LANGUAGE MECSUIICS 19/ 24 AV CONDOM) WORDS 4/ 4 HI COMPARE NUMBERS 5/ 7AV CAPITALIZATION 5/ 8 AV INFLECTIONAL ENDINGS 4/ 4 AV FRACTIONS 3/ 3 NI PUNCTUATION 8/ 8 HI CONTRACTIONS 3/ 4 LO OPERATIONS AND PROPERTIES 4/ 7 10 APPLIED OLUOUA 6/ 8 AV PHONETIC ANALYSIS-CONSONANTS 11/ 12 AV OPERATIONS 2/ 4 LO LANGUAGE EXPRESSION 12/ 16 AV SINGLE CONSONANTS 3/ 4 AV PROPERTIES 2/ 3 AV STUDY SKILLS/ABC ORDER 2/ 4 AV CONSONANT CLUSTERS 4/ 4 AV MATH COMPUTATION SPELLING CONSONANT DIGRAPHS 4/ 4 AV ADDITION/UNCLE NUMBERS 12/ 14 NI SIGHT CORDS 3/ 5 AV PHONETIC ANALYSIS-VOWELS 5/ 12 AV ADDITION FACTS 7/ 7 NI PHONETIC PRINCIPLES 13/ 18 AV SHORT VOWEL SOUNDS 1/ 4 LO ADDITION/NO RENAMING 5/ 7 AV CONSONANT SOUNDS 4/ 8 LO LONG VWEL SOUNDS 3/ 4 HI SUBTRACTION/WNOLE NUMBERS 11/ 12 MI VOWEL SOUNDS 9/ 10 HI OTHER VOWEL SOUNDS 1/ 4 LO SUBTRACTION FACTS 6/ 6 HI STRUCTURAL PRINCIPLES 3/ 7 AV LORD READING SUBTRACTION/NO RENAMING 5/ 6 AV ENVIROMENT MATCH 3 PRINTED 40S W/PICTUR 15/ 30 LO MATH APPLICATIONS SOCIAL ENVIRONMENT 14/ 20 AV READING COMPREHENSION PROBLEM SOLVING 9/ 12 AV 'Llama ENVIRONMENT 13/ 20 AV TIC-SENTENCE STORIES 4/ 4 AV SOLVE PROBLEMS 7/ 8 NI LISTENING SHORT READING PASSAGES 6/ 16 LO SOLUTION SENTENCES 2/ 4 LO 9/ 15 AV SHORT READING PASSAGES W/OUE 4/ 20 LO GRAPHS 1/ 3 LO LISTENI VOCABULAR NGY CCMPREHENSION 21/ 30 AV CONCEPTS OF NUMBER GEOMETRY/MEASUREMENT 10/ 15 AV RETENTION 10/ 15 AV WHOLE NURSERS 15/ 24 AV GEOMETRY 4/ 6 AV ORGANIZATION 11/ 15 AV RECOGNIZE NAMES FOR NU3ERS 4/ 6 AV MEASUREMENT 6/ 9 AV RS • Raw Score NI • ABOVE AVERAGE 0/0 = I correct / H of items GE = Grade Equivalent NCE • Normal Curve Equivalent AV = AVERAGE LO • BELOW AVERAGE PR • National Percentile EFTA01709875 INDIVIDUAL TEST RECORD Stanford Early School Achievement Test (1991) Stanford Achievement Tests: 8th Edition. Copyright 01989, 1990 by Harcourt Brace Jovanovich, Inc. Reproduced by permission. All rights reserved. STUDENT : A STUDENT #: 209709096 *TESTPAK* iffli a School District TEACHER : MRS flip SCHOOL : NOMEITTZE ELEM DISTRICT : YET MIFFLIN AREA SCHOOL DISTRICT FILENAME : DOB FORM : J M ILE LEVEL: SE1 1 GRADE: K SPR TEST DATE 04/14/93 RUN DATE 05/28/93 NATIONAL PERCENTILE SUBTEST RS GE NCE PR 1 2 5 10 20 30 40 50 60 70 80 90 95 98 99 SOUNDS 8 LETTERS 42 .9 54.8 59 WORD READING 27 1.4 71.8 85 TOTAL READING 69 1.2 67.7 80 MATHEMATICS 37 1.3 65.6 77 ENVIRONMENT 36 3.1 84.6 95 LISTENING 43 4.1 93.3 98 BASIC BATTERY TOTAL 149 1.4 78.2 91 COMPLETE BATTERY TOTAL 185 1.5 81.1 93 ' 1 1 213 1 4 15 1 6 1 7 81 9 NATIONAL STANINE --- OBJECTIVE HASTERT SCORES --- SOUNDS 8 LETTERS, DECODING 6/ 6 HI NATURAL ENVIRONMENT 19/ 20 HI AUDITORY DISCRIMINATION 4/ 8 LO ENCODING 6/ 6 AV LISTENING LIKE SOUNDS 2/ 3 LO LORD READING VOCABULARY 14/ 15 HI UNLIKE SOUNDS 2/ 5 LO HATCH PRINTED WD W/SP0KEN 13/ 15 AV LISTENING COMPREHENSION 29/ 30 HI AUDITORY PERCEPTION 15/ 16 AV MATCH PRINTED 1.0 V/PICTURE • 14/ 15 HI RETENTION 15/ 15 HI BEGINNING SOUNDS 8/ 8 HI MATHEMATICS PURPOSE GIVEN IN ADVANCE 5/ 5 HI ENDING SOUNDS 7/ 8 AV NUMERATION 17/ 21 AV PURPOSE NOT GIVEN IN ADVANCE 10/ 10 HI VISUAL DISCRIMINATION 6/ 6 Av PROBLEM SOLVING 6/ 6 HI ORGANIZATION 14/ 15 NI LETTERS 2/ 2 AV GEOMETRY 6/ 6 AV PURPOSE GIVEN IN ADVANCE 5/ 5 NI WCRDS 4/ 4 AV MEASUREMENT 8/ 9 HI PURPOSE NOT GIVEN IN ADVANCE 9/ 10 AV SYMBOL PERCEPTION 17/ 18 AV ENVIRONMENT LETTER RECOGNITION 5/ 6 AV SOCIAL ENVIRONMENT 17/ 20 NI RS = RAW SCORE M = MASTERY 0/N = # correct / # of items GE = GRADE EQUIVALENT HI = ABOVE AVERAGE NCE = NORMAL CURVE EQUIVALENT PR AV = AVERAGE LO = PERCENTILE = BELOW AVERAGE EFTA01709876 ACHIEVEMENT TEST SERIES, NINTH EDITION TEACHER MRS GRADE: 07 SCHOOL' WES/MM alTDDLE TEST DATE: 10/04/99 DISTRICT West Mifflin 2000 RUN DATE: 11/19/99 STUDENT REPORT. . S Mat National Grade Percentile Bands SUBTESTS AND No. of Raw Grade National National TOTALS items score P.q.tv NCR PRS Totillteading 84 64 7.7 53:7 57i5 MEM Reading Vocabulary 3 7.1 46.8 44-5 ;ReadingConiptelainsich :t49• 42 8.3 55:9' 4114 Total Mathematics 78 • Math:Problem•Solving '48 43 30 '72 37.7 463 w00. Math: Procedures 30 13 5.2 30.7 10-3 language 48 33 82 54:8 59-5 Language Mechanics 24 Is 6.7 44.7 40-5 Language Expression 24 lill 10.3 62.9 73-6 Spelling 30 19 6.0 41.3 34-4 Study Skills 30 18 5.7 43:0 37-4 SSW 3fikno 40 30 10.1 64.9 76-6 NIEMEN Social Science .40 26 .5S.9 6164 Listening 31 9.2 59.8 6r Using Infant:16mi •69, 48 83 55:9 4is Thinking Skills 229 161 83 62-6 Basic Banety 310 208 7.2 47.3 45-5 Complete Battery 390 264 7.7 49.9 50-5 MMOMMI CONTENT CLUSTERS RS/ NP/ NA Avenge Avenge Menai CONTENT CLUSTERS RS/ NA Below Minn Amen Above Anew lileading•Voeabitlary 22/ 301 30 Spelling .19/ 30/ 30- X 831119112Ms 12/ 16/ I6 Homophones 5/ 5/ X :Coates& 3/ 71 X lilloMeticiPsinciples i/ 10/ 10: X Multiple Meanings • 7/ 7/ 7 WC, Souctwal Principles No:Mistake p 1/ la 5/ 10 X X Reading Comprehension 42/ 54/ 54 X Recreational . 12/ IV •18 K Study Skills. 18/ 30/ 30 Thactual Funetional 16/ 14/ 18/ 18/ 18 ts. JC X Library/Reference Skills Wont:anon Skills 10/ 8/ 17/ 13/ 17 13' x i.O41UnficniancgaZ litifiteratioit critical Analysis ProteasStratigiti- fa 1t7/ 8/ ' 471 tp 24/ 12 iC X Siiente Earth Bc §rico Science PhysicalSeiettee. j0/ 9/ 5/ 40/. kw •• 141 12 . • • x laitilb:ProbleniSialvinf • 301 48/' 47 . • • Life Science .3tienceProcessts IF 231 IV, 30/ • ; M44$111calent Estimation 4/ 3/ 6/ 4/ 6 4 X )C Social Science 26! 40! 40 • x • Problem-Solving Strategies 4/ 5/ 5 X History 6/ 10/ 10 Number &No. Relationships 3/ 6/ 6 Geography 5/ 9! Number Systems & No. Theory 3/ 51 5 X Civics & Government 6/ 8/ 8 -Patterns &•Functions 1/ 3/ 3. Economics 7/ Pi 8 X. Algebra v y 3 Culture V .X Statiitics. 5/ 6/ 8, X Probability Geometry • v .4/ p 71 6. X Listening Vocabulary 31/ 8/ 40/ 10/ 40 10' X Comprehension 23/ 30/ 30 MatIm.Procedures 13/ 30/ 30 x Recreational 9/ 10/ 10 X • Computation/Symbolic Notation 2/ 10/ 10 Informational 4/ 10/ 10 X Computation in Context 9/ 16/ 16 X Functional 10/ 10/ 10 X • Rounding 2/ 4/ 4 Initial Understanding 9/ 10/ ID Interpretation 8/ 14/ 14 Language 33/ 46/ 47, )C Critical Analysis/Strategics 6/ 6/ 6 X Capitalization 3/ .8/ ft Punctuation 6/ 8/ 8 X Using Information 48/ 69/ 66 X Usage 4/ 11/ 'X • Sentence Structure 8/ 12/ 12 7C Thinking Skills 161/ 229/ 227 X Content and Organization IQ/ 12/ 4,1, SAT9 LEVEL/FORM: INTERMEDIATE 3 /S NORMS: Fall 1995 National Norms Scotts bond ea wreathsdm copyrightO1996 by Hsrenn Bract & Company. AB nein rennet Ryon maraud by TESTPAInar Venn 6.1.44 for W n Mimi, Ana 56 cot Monti EFTA01709877 ACILEVEMENT TEST SERIES, NIA7H EDITION TEACHER. SCHOOL DISTRICT: West Mifflin 2001 GRADE: OS TEST DATE: I0/18f00 RUN DATE: 10/26f00 SHITES7S AND TOTALS No. of creme Raw Seam Grade "jerk National Net National PRA Tolaileading Reading Vocabulary iRele144Citiprebefiskin 'sit 30 154 • '101 .26 44 • . . • 12'6 'ALS, PHS 11-3 ". . O.S • ;vax Nig :, . 744 —724 • • , . Total Mathematics 80 . 35 6,8 3&3 294 Meth: Prablern'Solving. SO . 24 '.e '7:3 • . "Altr .114 - I x Math: Procedures 30 11 64 33.7 22-3 Language • 48. 31' .! ' ts. :56.0; SO4 " Language Mechanics 24 16 8.9 . 51.6 53-5 LanguagetxpresSion 24 15 422 49:5; 494 Spelling 30 19 7.4 44.7 33-4 Study Skills 30 22 '9:4 • • I3i7' 37-5 Science 40 • 26 5,5 54.3 58-5 . tociat Science -40 .2.3 9.2 5453 • 383 . Listening 40 30 9.7 56.4 62-6 . Using.Infannation 73 51 As • sts 444 • . Thinking Skills 239 149 1.4 48.9 484 . BasitBattery 312 207 . tSr11 80A . 514 Complete Battery 392 256 9.3 51.2 52-5 • 5 . . . . -4- • • . ... .. National Grade Percentile Bands 30 CO 70 90 EPS *IS 9. COA7E1Y7'CLUSTERS RS/ NPI Saw mania avenge Ms* array CONTENTCZUSTERS RR/ NP/ Nipt Solow Ann, Mina ;ReedinrocabWary 26/ 30/ 30: x. spiabig•* 191 401 x. Synonyms 'Oatitext 14/ 41 16/ 9/ 16 I, X HompArMs monsiomindoes. 2/ IF 51 5 JO/ Ili Multiple Meanings 6/ 7/ 7 Struchrial Principle 6/ IW 10. NoNlittake 3/ 5/ 5: Reading Comprehension 44/ 54/ 54 X ;Retreational • II/ 38/ StUdy.312lb 227 30! x. Textual ;Functional Ill 16/ IS/ 111/ 18. it J.tbrary/Itefcic1ce.Skills 81 PI p• 441 1.4.• • Initial Understanding 8/ 10/ la x Interpretation 22/ 247 24' Selena - 261 401 40: x . Critical Analysis 8/ i4/ 10 Barth & Spaee Science 9/ 171 12. x Process Strategies 6/ 10/ 40' PhysicalScience 9/ 14t i4: ax • Life. Science 8/ 14! 14. X Matha.hroblem Solving 24/ 30/ 38: X: SeieneeProoess 20/ 10' Measurement 2/ 51 4 * 'Estiination 0/ .4/ •6 • ic SodiliSeleine 23/ 401. Aa X Problem-Solving Strategies Number &No.Relatiohships 0/ 3F 5/ 4/ 0, 4 x 131$.10.7 Od08410112: 01 • 3/ KY 10 '91; :9: X. • X Number Systems & No. Theory Patterns &Functions 3/ 31 4/ a 4. 4: X: Civics & Government tatiornics V Al X IC Algebra 2/ 4/ 4 Culture 3/ 5/ X Statistics 37 51 '5 . ; Probability 2/ 3/ 3 Listening 30/ 40/ 40 X Geometry 6/ 9/ '9 x •Vocabailary 48/ IW 10' X Comprehension 22/ 30/ 30 X Math: Procedures II/ 30! .242 • x Recreational 8/ 10/ 10 X' Computetion/Symbolic Notation 4/ 8/ 8 Informational 0/ 1W 10 X Computation in Context 5/ I8/ IS Functional 8/ 40/' 10 X Rounding 2/ 4! 4 Initial Understanding 8/ 10/ 10 X Interpretation :9/ 114/ BC Language 31/ 48! 48 Critical. Analysis/Strategies 5/ 6/ 6. X Capitalization 5/ It/ it Punctuation 3/ 8! 8 X Using Information 51/ 73/ 73 X Usage 8/ 8/ 8• Sentence Structure 4/ 12/ 12 X Tbinidng Skills 149/ 239/ 225 X Content and Organization 11/ 12/ '12 L k SAD LEVEL/FORM: ADVANCED 11 S NORMS: Fall 1995 National Norms Above Mae Bean gowns by TESTPAION WS. 6.1.4.1 to Wen tatIli•Arso Sting Marla Store; hued ea cereal Live dna copyright 0 19964 Norman Beam h Company. All right. reserved. EFTA01709878 'I'll A STUDENT II: BIRTHDATE: GRADE : 4 TEST: S8J9 J 11 TESTDATE : 04/14/97 TEACHER : MRS SCHOOL: HOMEVILLE ELEM IREATIREADITOTLICONCIMATHIMATHITOTLILANGILANGITOTLIS LISTISASEISCIEIS0CLICCSPIUSEGITHNK IllOC ICOKPIREADINUNITICOmPIAPPLIMATHIMECHIEXPRILANGI GE 15.01 5.51 5.31 PR 1 541 631 601 S9 1 51 61 61 4.31 4.71 2.81 4.11 8.51 6.51 7.11 311 471 151 291 781 601 691 41 51 3i 4I 71 61 61 11.11 12 'Total' Readl 1 ReadIVocabl GE I 8.21 7.11 PR 1 781 661 S9 1 71 61 ISKILI IBATTI 4.21 6.01 4.61 4.61 381 641 451 461 41 61 51 51 ISCIEISATTIIIIFOISKIL 5.01 6.91 4.81 5.31 4.8 511 701 491 561 50 51 61 51 51 5 ABILITIES TEST: 0156 1 E IVRBLIN0B 11071 I I9RBLI PRO I 211 351 27 S9G I 31 41 4 SAL I 941 981 95 STUDENT #: TESTOME : BIRMATE: TEACHER GRACE : tird`d€5 SCH3al I lifflel ReadlTotall Pith' Katlil Lang' Lan91 Lan91SpelliStu4Y1 sc1-1 SocIlist-lUsingiThnktilBasiclCcepl Carol HatbiSolvel Part 1 Mazhl Expl 1 $k151 unto] Scieleolnial Info! Skisi Batt' Batt 8.91 5.51 5.21 6.01 6.41 5.11 7.61 5.21 8.31 7.61 PliS1 6.71 7.81 7.71 6.61 6.9 11 1 381 631 8 42 551 431 641 401 671 651 931 591 681 711 581 63 71 SI 4I SI .5I 51 61 SI 61 61 81 SI 61 .61 51 6 CHIEVEMENT MST SNUBS, NINTH EDITION with OTIS-LENNON SCHOOL ABILITY ION: Grade: 06 Teat Date 4/23/99 School: 2 er r , rrfir Seere Tits Total R Cleorlerjemsle Read ynesh Read flop LevrOTSIR= Total Math Prob Solve N,rtne- Math Prot 9 1 ling ili ill Spell reacher/ROM\ Study Rick Sci- enre Soc Sri., List- egiqg ,__ Using Infa GE 1V/PA-S; . • 7, ,444. .... 8,8 . .na. '7.4 P4. 518 384 5:3 *4 6:5 . .44:4 " in terb6. .92 73:6 /24 .57.-5_. • 44 524 . 8.7 .694 . .11“ _85:7 ti . 69-6. 8:5, 63-6 8.8 .74-6 ACHIEVEMENT 7-2.57' SUMS, NINTII EDITION I~1 Grade: 07 Test Date: 10/4 99 School: WEST~FFWN MIDDLE • Level/Fortn: F/3 Score alr Total 1?.341. Read %/net)! e Read r.-B1V Total Math Prob W Scil Math PT°5 I-mg Lang Lang r•tp P..li Snitir0ffir ici° enep Soe giMit Liu- ...,f,,g Using ink!, 71Inkg sus.. Bade lAnt. Cbagal 1."1/. GE: '*. .7 4T.t .-'8.3 5.9 72 Si. 82. .1virch - 62 - 10.3 60 5.7 .10.1 118 92 8,3. 81 7.2 7.7 t4MR-S 57-5 44-5 (15-6„ 284 43-5 II3-3 594, „.49:5 ....7.34 .. »4 374_ . 76:6 614. 68-6 fu-6 . 624 454 . , • .59:5 ,. , :". ' - • " • r . r...'"n" in' . . • TES7'SERIE IDa IT/ON with 077S-LENNON SCHOOL ABILITY MST, Grade: 08 Test Date: 10/18/00 School: 15:1:: ?g,t 3 504 EDITION MIDDLE Lavel/Font: F/3 WS .. =M:11Irrn=fla reJ=ZICtS=Oantrtot33 . tfl 4." EFTA01709879 Group Testing Labels K • I • 8. GE .9 1.4 1.2 1.3 3.1 4.1 1.4 1.5 PR 59 85 80 77 95 98 91 93 S9 5 7 7 7 8 9 8 8 IIIII I STUDENT #: IRTHOATE: III- TEST: S8J9 J SE1 TESTDATE : : MRS SND %JORD TOIL MATH ENVR LIST BASE COMP LETR READ READ MENT BATT BATT GE 1.91 1.41 1.41 1.51 1.71 3.21 1.71 2.11 PR 1 541 211 141 231 411 851 441 591 S9 I 51 31 31 41 51 71 51 51 STUDENT #: BIRTHDATE: TESTt S8J9 J P1 TESTDATE : TEACHER UORDIUORDIREADITOTLICONCIHATHIHATIOTOTLILANGISPELIE STDYIREADICOMPIREADINUMBICONPIAPPLIMATHI I INERT! 2.21'1.71 1.91 621 411 541 61 51 51 GRADE : K SCHOOL: °CHENILLE ELEM GRADE : 1 SCHOOL: HOMEVILLE ELEM T1BASEICOMP 1BATTIRATT 1.91 1.71 1.8 561 441 41 51 51 5 IIIII STUDENT ft: Fill BIRTHDATE: GRADE : 2 TEST: S8J9 J P2 TESTDATE : / / TEACHER : SCHOOL: TIONEVILLE ELEM LORDIREADIREADITOTLICONCIMATHIMATHITOTLISPELILANGIENVR LIST BASEICCHP ISTDYIVOC ICOMPIREADINUMBICOMPIAPPL1MATHI 1 INERT' IBATTIDATT GE 1 2.81 3.01 3.01 3.01 3.21 3.11 1.81 2.61 PR I 511 561 571 571 631 541 10 391 S9 1 51 5/ 51 51 61 51 21 41 1/11101561III/C VRBL NON TOTL V981 55 59 58 5 5 5 SAY I 106 108i 107 GPR GSS 2.41 3.51 2.61 2.31 2.81 2.7 141 651 481 331 481 47 41 61 51 41 51 5 STUDENT pp BIRTHDATE: TEACHER : TESTDATE : IIIII I STUDENT #: B1RTHDATE: TEST: S8J9 J P38 TESTDATE : / / TEACHER : IUDROIREADIREADITOTLICONCIMATHIHATHITOTLILANGILANGITOTL 15TDT190C ICOMPIREADINUMBICOMPIAPPLIMATNINECHIEXPRILANG1 GE 1 4.91 5.01 7.31 5.51 3.61 5.41 4.81 4.61 5.71 4.71 5.01 PR 1 651 661 831 761 451 imp 681 eel 761 611 691 59 I ol of 7I of 51 71 of ol 61 61 IIIII A PRBIANON TOIL YRBI. GPR 92 61 46 GS9 i 5 SAX 91 III '15 GRADE : 2 SCHOOL: HONENIttE RIX GRADE : 3 SCHOOL: NOMEVILLE ELEM STDYILISTIBASEISCIEISOCLITOTLIUSNGITUNK ISKILI 'BATT' ISCIEIBATT1INFOISKIL 3.81 7.51.8.51 501 861 951 5I 71 81 5.21 6.51 5.21 5.21 5.61 5.3 761 841 751 791 811 72 61 71 61 71 71 6 EFTA01709880 Grades K - 8 Grade Enrolled K 1 2 Reading Spelling Writing a A Mathematics English 13 Social Studies -5 -5 Science S Art 4 Vocal Music Phys. Ed. Health S Library Instr. Music A.C.E. Computer CRS NAME GRD EARN ATT READING B 1,00 1.00 SPELLING C 1.00 1.00 HANDWRITING B 1.00 1.00 MATH C 1.00 1.00 C 1.00 1.00 SOCIAL STUDI B 1.00 1.00 SCIENCE B 1.00 1.00 ART A 1.00 1.00 MUSIC A 1.00 1.00 PHYS ED A 1.00 1.00 HEALTH B 1.00 1.00 LIBRARY B 1.00 1.00 TOTAL CPA 3.000 ABS 12,0012.00 14.0 TDY Days Absent Times Tardy Teacher's Name /0 / 9 OR. vow newt. ono CHIAN fil l ur LIBRARY P 1.00 0.00 Niel, 3.000 READING 6 B 1.00 1.00 3.000 2.000 LANG ARTS R 1.00 1.00 3.000 3.000 SOC STDY 66 B 1.00 1.00 3.000 2.000 ARITHMETIC 6 C 1,00 1,00 2.000 2.000 SCIENCE 6 C 1.00 1.00 2.000 3,000 KEYBOARDING- C 1.00 1.00 2.000 3.000 UNI ARTS-6 B 1.00 1.00 3.000 4.000 PHY ED 6 A 0.60 0.60 2,400 4.000 HEALTH i B 0.40 0.40 1.200 4.000 3.000 TOTAL 9,00 8.00 21,6000 3.000 OPA 2,700 ABS 12.0 OY 5 36.000 0 Mr 4 READING 7 B 1.00 LANG ARTS 7 B SOC STDY 7 B CONT MATH 7A D SCIENCE 7 C KEYBOARDING C UNI ARTS-7 A PHY ED T7-7 B HEALTH 7 TOTAL OPA 2.625 ABS g~ ir , CR ARN ORD EARN ATT OP READING B SPELLING A HANDWRITING B MATH B ENGLISH B SOCIAL STUDI A SCIENCE B ART B MUSIC A PHY A HEALS THED B LIBRARY A TOTAL OPA 3.417 ABS 1.00 1.00 3,000 1.00 1.00 4.000 1.00 1,00 3.000 1.00 1.00 3.000 1.00 1.00 3.000 1.00 1.00 4.000 1.00 1,00 3,000 1.00 1.00 3.000 1.00 1.00 4.000 1.00 1.00 4:000 1,00 1.00 3.000 1.00 1,00 4.000 12.0012.00 41.0000 2 READING SPELLING HANDWRITING MATH ENGLISH SOCIAL STUDI SCI ENCE MUSIC PHYS ED HEALTH 'LIBRARY COMPUTER CLA PORTFOLIO MA TOTAL OPA 3.333 ABS r • 21.5 TOY 1.00 1.00 3.000 1.00 1,00 3.000 1.00 1.00 3.000 1.00 1.00 3,000 1.00 1.00 3.000 1.00 1.00 3.000 1.00 1.00 3.000 1.00 1.00 4,000 1.00 1.00 4,000 1.00 1,00 3.000 1.00 1.00 4.000 1,00 1,00 4.000 0.00 0.00 N/A 0,00 0.00 N/A 12.0012.TDY 0 00 0. 4 0000 13.0 n AL 1.00 1.00 1.00 1.00 1.00 1,00 0.60 0.40 ATT OP 1.00 1.00 1,00 1.00 1.00 1.00 1.00 0.60 0.40 3.000 3.000 3,000 1.000 2.000 2.000 4,000 1.800 1,200 8.00 8.00 21.0000 15.0 TOY 1 rade 8 EFTA01709881 2000-2001 MAINTAIN STUDENT DATA BASE DAIL Y ATTENDANCE PAGE Version 4.1.8 Sch-24 Grd-8 Hrm-5216 Last let-00/00/00 Active (Enter a 'T' to display Tardy Times) 09/15/00-E 09/26/00-E 09/27/00-E 10/09/00-E 10/10/00-E 10/11/00-E 11/09/00-ESP 11/20/00-E 11/21/00-E 11/22/00-E 12/11/00-E5A 12/18/00-E5P 01/08/01-E 01/22/01-ER 01/29/01-E 01/31/01-E5A 02/05/01-E5A 02/26/01-I 03/06/01-E 03/07/01-E 03/13/01-E 03/14/01-E 03/16/01-E5A 03/23/01-E 04/23/01-TE 05/01/01-E 05/04/01-E5P 05/31/01-TE YTD ATTENDANCE TOTALS ARE AS FOLLOWS: EXCUSED ABS (E ): 20.5 MEDICAL ABS (M ): 0.0 EXCUSED TDY (TE ): 2 UNEXCUSED ABS (U ): 0.0 OUT OF SCHOOL (OSS): 0.0 UNEXCUSED TDY (TU ): 0 ILLEGAL ABS (I ): 1.0 OTHER ABS TOTAL ABSENCES: 21.5 (0 0.0 TOTAL TARDIES: 2 Enter: Bus, Class, Discip., Enroll., General, Special, User De, X-Guid, Z-Sched P-Print, or <ENTER-To Exit> ? EFTA01709882 2000-2001 CRS-SEC 0358-001 0501-006 0208-002 0408-012 0849-001 0701-007 0148-008 0918-005 0908-005 0000-040 0000-080 MAINTAIN STUDENT DATA BASE SCHEDULE and GRADES SCH-24 GRD-8 COURSE NAME SEM PD DAYS PRE ALG 8 3 01 ALL EXP FR LANG 3 02 ALL AM HISTORY 8 3 SCIENCE 8 3 HOME EC 8 1 ART/MUS LAB 8 2 LANG ARTS 8 3 HEALTH 8 3 PHYSED 8 3 STUDY HALL 1 STUDY HALL 2 03 ALL 04 ALL 05 ALL 05 ALL 06 ALL 07 MT 07 MTF 08 ALL 08 ALL ROOM TEACHER S204 5205 S212 S105 S211 S206 5201 LG10 SGYM LG10 LG10 Version 4.1.8 PHONE 1ST 2ND 3RD 4TH FIN C D D C B D B C D C C B B A B A B B A B A A B Enter: Attend., Bus, Class, Discip., Enroll., General, Special, User De, X-Guid P-Print, or <ENTER-To Exit> ? EFTA01709883 Baker Chiropractic & Rehabilitation West Mifflin, PA 15122 Phone April 30, 2001 RE: To Whom It May Concern: recommended that is is currently under our care for injuries she sustained to her R At this stage it stay off of her hip as much as possible. is also advised to not run or train at t time because of the serious nature of her injury. Please contact our office if any further information is needed regarding this case. EFTA01709884 Name • • Address Birthdate Parent or Guardia Telepho Please Circle Present Grade: K s) 4.0 o ip v (9 ne 7. (8) 9 10 11 12 Sp. Ed. %tiCir- Th n t,.."1,a: EtalStir Mak .,.; 11 ' ralg-,:',,,Z ' ad.4.6n3.4,517-3-et,isrtarnereaVW., The Minimum Required Doses for the School Immunization Law are Shaded in Green (see exception for Polio) • VACCINE ENTER MONTH, DAY. AND YEAR EACH IMMUNIZATION WAS GIVEN I I or Measles Serology: Date Titer Diphtheria and Tetanus* Polio • • Measles (Hard, Red) Rubella (Gelman Measles) or Rubella Serology: Date Titer Mump or Mumps disease diagnosed by a physician: Date Other: Other: . I I Other: / / • Tet • u . i I - eria e u ually received in combined vaccines such as DTP DT, or Td • • Polio — 3 doses of Oral or 4 doses of Inactivated (Salk) vaccine are required To the b . ' has received the minimum required immunizations. Source: erCN ritten El Verbal 0 Both Signed Date 4C5la•—• 320 )1502 EALTH OFFICIAL. SCHOOL NURSE, OR THEIR OESIGNEEI . EFTA01709885 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OP HEALTH DENTAL HEALTH SCHOOL (DENTAL HEALTH RECORD • SCHOOL DISTRICT -.....---1 --- .-------.-••-•— 6A0 I iCs:: :,..3J-I : — COUNTY DATE OF BIRTH NAME OF STUDENT t4,. Ago. 1 1 t ._ "LAST ti.wee, !PIUS)! .. 040 i -.....4•0 414.1.11 1 HAW : • i FIRST 41431,Dµ. MIDDLE 0/44,442, -a. GRADE SEX 1.4 O RACE W Nona . HOME ADDRESS __ . ig I x TELEPHONE NO. in THE ABOVE INFORMATION SHOULD BE FILLED IN BEFORE THE EXAMINATION OR EVALUATION Record on Grua! Plitt d (docayitd).. Crodicated fpr extreeppd), end I WINO for deciduous Mai and 0 (Decayed). IA IlAtuingl,•nd F (Fined) i LEFT RIGHT - UPPER 1 2 3 4 A 5 B 8 C 7 O " 8 E 9 F 10 O H il 12 I 13 J 14 13 16 UPC*, LOWER 32 31 30 29 T 28 S 27 N O P 28 25 24 O N 1A L 23 22 21 20 K 19 18 17 Loaf vi OPP*? FAH Exam. k idex.96 / 4Y1 )hoer Lower — Lava. .• Second Exam. f 76 -0 upper Ast47., ts r Air e....ket-r..N, . U0Oer Lower V r k eta 1.- Lore Thin, Exam. UUpper Upper LLower . I -, Lower Fourth Earn. - - Uooef ,— 1.66:41 , Lowey - Fifth Exam. ware It Lower Lower STUDENT REFERRAL GATE (-3/)-910 EXAMINED OR EVALUATED By REFERRED TO REMARKS EFTA01709886 Name nUlAl AIL n N,WILIA1 EAST SUBURBAN MEDICAL ASSOCIATES - PEDIATRICS • 1. Please excuse from SchooVWork/Spods participation due to medical necessity. Ask trt )471r Monik, Fe-,6r(442/11 Indicated Dates:H. has ato p i e.4 se- a p ey,) 12A-1 al AtAdal (I° 2. Please administer the following medication(s): 76a cited? _. _ Drug: la/ Dose: —....... Time: 1540 6.9E Date _ EAST SUBURBAN MEDICAL ASSOCIATES, INC. PEDIATRICS 3520 LAKETON ROAD PITTSEURGR PA 15235 (414 3714414 This is to certify that M.D 40 UNCOLN WAY NCRTH HUNTINGDON, PA 15642 (412) 864-7712 CERTIFICATE OF HEALTH Jan ecaolli 42061 Is free of any contagious or infectious disease and has my permission to attend school. EFTA01709887 fts tee_p t≥ticros - H v •Acw-,,tairi issreer titS2-: Lit\., b in Abe; recur eti" ruSi\--- 1+L). IS Lit Ikr att. Care_ 0-r A^ - , t , D hAimaJDC cx land .3- TPttzmus c • nei C?_;rot.haf., Q eta A 1r rence_i r tear. ELF_ c1 re'Fp5 011 halt\ — tiq' -Ark2A 1/2 vviikci IA r0 0.t1r UlsAars E\AL 'i E4S Pktet-if.4- k-u-Lpt. her Ne., (mod _)th..)06.beJ her CA.n4 !pout . • "6 1 _th...: 1)r-c.:4 . r said_ F4u-i mil •44-1-E n a ' sch Ott) . I -b l_r,. \\A . te &ntk ClueSI•ti-IS light CCLEL) ALE) . ‘ t - ' .• ‘1(c‘C_-_. U_ A11. s. -.•••••••,..•••••••••• I 4; EFTA01709888 Significant 1.4•cllcal Condltorte Allergies m Asthma Cardiac Chemical Dependency .. ... . Drugs 0 Alcohol Diabetes Mellitus Gastrointestimid Disorder Heanng Disorder 0 Hypertension Neuromuscular Disorder 0 Orthopedic Condition 0 Respiratory Illness 0 Seizure Disorder 0 Skin Disorder 0 Vision Disorder K Other (Specify) 0 Report of Physical Examlrurtion (el Erse Normal Abnormal If Abnormal. Explain ' 3-' . • Height (inches)  • Weight (pounds) • Pulse ( ) • eloac: P: ess..,‘ • V • HairiScalp V - Skin • Eyes — Visual Acuity R_J__L__/_ • Eyes — Color Vision V er • Ears — Hearing da R L V •Nose and Throat -Teeth and Gingiva ....- -Lymph Glands .7 •Heart — Murmur. etc. 2 i •Lung — Advenboua Findings sr/ •Abdomen ../ •Genitalia tei •Neuromuscular System t./ •Extremities 1./ -Spine (Presence of Scollosie) I./ 11AP.S EFTA01709889 11:15re.:44"l e d i r A.let "I Litt •:S°41 • it - 'I •"" • Significant Medical Conditions (.-) Yea if Allergies Asthma Cardiac a . . Chemical Dependency Drugs Alcohol ..t, 0 0 0 0 0 0 Diabetes Mellitus 0 Gastrointestinal Disorder 0 Hearing Disorder tv 0 Hypertension 0 Neuromuscular Disorder 0 Orthopedic Condition 0 Respiratory Illness 0 it Seizure Disorder 0_ Skin Disorder 0 Vl Vision Disorder 0 III Other (Specify) 0 Sof Report of Physical Examination Normal Abnormal If Abnormal, Explain • Height (inches) V • • Weight (pounds) V • Pulse ( ) I.Vr • Blood Pressure l/ • Hair/Scalp ve- • Skin t.--- • Eyes — Visual Acuity R__/_L__/__ ... • Eyes — Color Vision i •Ears — Hearing dB R L . • _A .k./46 _..... •Nose and Throat •---- .:- -;"!..13P, J .Teeth and Gingiva e...-- --.......,.. .- *Lymph Glands (....--- .: •*;O.) •Heart — Murmur, etc. (....- •Lung — Adventious Findings ..._ •Abdomen L.-- •Genitalia c...-- *Neuromuscular System V •Extremities i/ •Spine (Presence of Scoliosis) w. facatO Date of Examination Tp: reS3 EFTA01709890 • 1 have read, or hat had explainedb ant Information about the dbmeitsand I. trefoil Mtn! bellow, I beam t undersita . >instils and risks of the vaccine dead, and ask that the rectlnett) etled berm be given to me or to the parson mimed bats., shoot I am authorized to matte mini moist* Patient or Parent/Guardian Signature -- rapane Os Geer. -, lama ' asocahr li 1... P)" aware ille.fispeter ratan Lot Nvents ilsodn• aVormarhah Wean. Put& Dais Irdesir Prow alIettAIII OT DTP I . DT DTP 2 OT DTP 3 • • DT DTP OUP 4 . DI DTP DTaP 5 DTP•Bro 1 . . DTP+1B 2 . DTP-Kb 3 . OTP-1-012 4 Hib 1 . Hib 2 . HIO 3 . Hub 4 rd, • —,-- 10 2 OPV WV I OP\ ivy 2 — OPV IPV 3 ... - OPV iPv 4 /AMR I 1.41.1R 1 I I Hap B 1 ! ill »op B 2 I Hop B3 I / - - - - 1 . - . I n r h o / Sagnilur• of Voccin• Administrator or Parert/Gonan 1511. Grran Lagged "F • Fiklorol, 5 • Slat*, 0 • Provo RA • Righl Arm tA • L•12 Arm RT • Right Thigh LT • Loh Thigh 0* Oral (Uili flivri• lido if mo•oagnifixos an onset) Division: Office Location: Patient Name: HIS # IWO $44 MA O AA MCMA D FOGA 0 PSA O _ . Birthdate: Social Security #: To be maintained in Patient Medical Record. _„,,„ for patron?: older then 4 months of age./ EFTA01709891 PAGE: EXAMINATION I GIVE SIGNIFICANT DETAILS OF CHILD'S MEOICAL HISTORY INCLUDING SERIOUS ILLNESS, CHILDHOOD DISEASES. OPERATIONS. ACCIDENTS, HANDICAPPING CONDITIONS ICONGENITAL OR ACQUIRED). ETC. NOTE SIGNIFICANT FACTORS RE: SCHOOL ADJUSTMENT, GROUP PLAY. PHYSICAL. SOCIAL. OR EMOTIONAL ABNORMALITY Abli I^ J I i Ifi ).— , i , DATE GENERAL NUTRIT ION SK IN EYES to cc Ft W NOSE P. I TII BOAT yea I ≥ ,-. u w Z is, — 0 GLANDS i cfra 6.1 .- PULSE BLOOD PRESSURE LUNGS z 0 < GENITALIA (MALEI NEURO- MUSCULAR SYSTEM _, < I- ... Lt ct'i SCOL CISIS BENDING POSITION EMO TIONAL STATUS is Ili -I J it a0 NORMAL ABNORMAL _ DID PARENTS ATTEND YES 0 NO CI EXPLAIN FINDINGS AND NOTE RECOMMENDATIONS SIGNATURE OF EXAMINE EXAMINATION II. INTERVAL HISTORY: SUMMARIZE MEDICAL HISTORY AND NOTE EXTRACURRICULAR ACTIVITIES. GROUP GROWTH AND DEVELOPMENT. ND O GENERAL NUTRITION SK IN > EARS NOSE THROAT 4 < w z t- 0 GLANDS I- a u PULSE BLOOD PRESSURE 0 Z W 2 8 1 GENITALIA (MALE) Ct 2 C w )- Z 5 o SKELETAL OLIOSIS RENDING POSITION EMO- TIONAL STATUS ALL OTHER NORMAL ABNORMAL / EXPLAIN FINDINGS AND NOTE RECOMMENDATIONS r; 2 -1 ) SIGNATURE OF EXAMINER EXAMINATION III. INTERVAL HISTORY. SUMMARIZE MEDICAL HISTORY, NOTE EXTRACURRICULAR ACTIVITIES. STAGE OF ADOLESCENT GROWTH AND DEVELOPMENT. I Il crJ CJ DATE GENERAL NUTRITION _ In EYES In c 4 hu NOSE P. 1 THROAT TEETH & GINGIVA N IL 0 2 a , 0 l- c a I.! 7 PULSE BLOOD PRESSURE LUNGS 22 8 ENITALIA (MALE) NEURO- MUSCULAR YSTEM J KELETA r .OSIIOSIS BENDING T ION EMO. TIONAL TA TUS C w _, _,,_ a 2... NORMAL ABNORMAL EXPLAIN FINDINGS AND NOTE RECOMMENDATIONS SIGNATURE OF EXAMINER EFTA01709892 PAGE 4 VISION SCREENING 3 ec dec DATE OF EXAM. SNELLEN WITH LE PLUS S OTHER DISORDER REPORT OF EYE EXAMINER CORRECTED VISION Visual Acuity P F Right Left RigM Leh tYpi& Or X30 54/ (OA i l) Wit /;)-- .'4 7 1 ?I 0 7d4CLI /ziA? A , 3e) r -- i -:-; (--/ .33"` 36 -7 L-Z 00 so 9/0; 30 5°4 L fi /if S-0 cc, .i.£-,= f,%f S . - I 7e / 9°, -,--) fr i ie 0 4 /. --.-2.4.4/, Sb q J 4/.7, '14 3/y VI; C•C' ccl HEARING SCREENING PASS - INDICATE SCREENING LEVEL IN 08 FOR EACH FREQUENCY DATE OF EXAM. R A 2 TESTER . -... - ..--. ... ....„--- -- RIGHT EAR 250 500 1000 2000 4000 8000 VASA. .2 1., r9 26 _ - - / a/. ‘ 3 7 ti CV ----• 7- y y ,--"‘ 4 4,, ar 4 .9' "S 3 %1S' -901?`4 7 fa-n-, ‘21 -5/1 // 44.,e, LEFT EAR Pas IP) Or Fail IFI Wearing r H eAaid" Date Report R vs From Ear Examiner 250 500 1000 7000 4000 8000 . ...). " e2 n --- 5 < rif A 2-5-- i ts .7r- i ANNUAL HEIGHT AND WEIGH DATE /')/ 9 7 /d4.3 9 "ti ti 9/ir efiqc 9);,r ci a `-r9f ./..`r..:-..217:?'" //7_ 2/.5 :yr 5vs HEIGHT 3 t- 5 y;%>s4' 53 6,T Sp 4? tor WEIGHT gc Vol 3.- 19(Is 053 0 (A) 7.C" cy ,,), 6 5 EFTA01709893 H511._.41 IR•%. 3/82) IN 18.320.6) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH DIVISION OF SCHOOL HEALTH SCHOOL HEALTH RECORD [SSN REDACTED] 466-6918 SAME LAST, FIRST. MIDDLE 7. 5. BIRTH DATE MONTH DAY, YEAR SEX: li MALE FEMALE NOME ADDRESS TOME ADDRESS MI HOME ADDRESS HOME ADDRESS SCHOOL DISTRICT COUNTY • Orld Ernercen WEST MIFFLIN AREA Allegheny L Xes-rxd-sd-i—Cip t_ez-e /1 / f. Z. 77 -,) i 4 - € ' / _4,4 I, PA ) 1Ark N S ;CH YR. IC?•41 g//-mil 4,{z QQ"t 7,iii- yi/c7; wit,..,;4-5, //et- '/=2. 2/9 zzt:- :.RAOE O1E/ / 17 3 / L, 7/". 7 e i. 1 )- ifillhl Mt , / 0 tECTICIN Se...EFIAL HEALTH PROBLEMS FATHER'S NAME LAST. FIRST. MIDDLE Pentek, Stephen 0. MOTHER'S NAME LAST. FIRST. MAIDEN PETiSON WITH W LIVES (IF TAN PARENT) IMMUNIZATIONS AND TESTS DATE SERIES INITIAL COMPLETED BOOSTERS AND DATES PIPHTHERIA iot.r -a 7 7/ W2,6% II SIS? 5/ 'ETANUS I ' I' " I ERTUSSIS / r A YA OLIO toC- ritf?IvIk. L-7-li DATE /0•./7 ' Or hod modes y•rifIxd by PbYticlan and SUPPOr Ted by standard stwological tows Yew GERMAN ME ASL ES V ACC INE DATE /O'/%-It MUMPS VACC IN E DATE /0. /7 tf,- MEASLES VACCINE ,erint /07-f -9tr eil D - f -ff /4 047 - - O, DATE RESULT DATE RESULT DATE RESULT TUBERCULIN TESTS CHEST X•RAYS HOME AND FAMILY CONDITIONS. FAMILY MEDICAL HISTORY. PARENT CONCERNS: CONFIDENTIAL INFORMATION ON FILE AT. EFTA01709894 Full Na Studer] Address Name or Parent or Guardian Scheer EALTH EXAMINATIONS Phone_ Birthdate Dale Race \r\il Sex A. HEALTH EXAMINATION Hevit Y weigh, !/O Blood Pressure ././r / 4 Normal-N; Abnormal-A N A COMMENT: Abnormal Findings, by number 1. Appearance 2. Skin/NoSe 3. Head/Scab 4 Eyes 5 Visual Acuity (R & L) 6. Ears 7. Auditory Acuity (R & L) a. Nose / Throat 9. Mouth. Teeth and Gums 10. Chest / Lungs 11. Heart 12. Abdomen 13.teirr-aal-Anirem- 14. Muse:Jib-Skeletal 15. Neut0107Cal 16. Alertness 17. Emotional / Mental/ 8ehav icir Prole) 18. Handicap. physical/ other (Specify) 10. Activity Roctrictions (Specily) 20. Abuse. substance/ physical / emotional 21 Nutrition 22. ether Go ao/p ,g, Ao/9/ 6-14/55-'; B. HEALTH HISTO RY (Ser 'cus Illnesses Intures: explain) ruPD wire.ittertir (attach narratrve if additional space needed) C. LABORATORY (a, indicate) Hempeiptyin/Hernatocrir Stool (O & P) Tuberculin test Leao Sickle Cell type date results NAME: FAMit y talee rtrn -ra TITLE: TV) P . CENTER Ntint atii J. ADDRESS: Royal Palm Beach, F/ 57) 7 95. 4773 (Please Print) Oil 3040 10,90 (Rople444 MRS. 44 Form 1040 '0040 le b 4•44) ISIOCIRwine.. 57.4.000-3010-21 EFTA01709895 P", THE SCHOOL DISTRICT OF PALM BEACH COUNTY Grade / Course Change Documentation 2-331 GENERAL INFORMATION L(06310 CHANGE DOCUMENTATION GRADE LEVEL ROI YEAR COURSE TAKEN lot 3ZooL MO\ Cool sitr GRADING PERIOD GRADE EXAM CONDUCT 15A 9 t-9ak(s From To -Pk" 191— From From 0_:- 713 To To From From From To To To Change course code From Reason for change: 0 ./Recalculated Grade Average To c- K Student Completed Work 0 Other (SIR v\ckfl nno.AP u p aVl (1 00kVivASuA-4- --\--te‘ak waS okt_tida-n4H CeLku\-43,4C4 ben aS 1 1 t k30.-%1 leVN -cc' R 30 4frurkl t/DP APPROVAL SIGNATURES (two of three required) SIGNATURE CF AREA ADMINISTRATOR L 0 DATE DATA PROCESSOR CONFIRMATION Sic 1/1,31ek DATE PBSD 0797 (REV 9/12/2001) ORIGINAL • Cumulative Folder Copy - Office File EFTA01709896 - A c:r=== Spring 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS Grade 10 Student Report r and Name 2331-ROYAL PALM BEACH HIGH Ch strict Number and Name 50-PALM BEACH 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 schops 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 measurement system 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 a:so allows you to compare a student's score to a score that represents "grade lever achievement. If a student's score is above the 'grade lever score, tnen 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. Congratulations! You have passed the Reading test and your score is on grade level. You have answered many of the questions on FCAT correctly. 2003 Redoing Content Sci.ne> Content Areas Points Points Earned Words/Phrases g 4 Main Idea/Purpose 14 10 Comparisons 13 9 Reference/Research 16 14 Year 2031 2002 2003 Grade Tested NA 9 10 Achievement Level 2 1885 3 2094 FCAT Score • FCAT Score Reading • Your Sco e 0 On Grace Level 0rade 3 Grade 4 Grade 3 Grade 6 Grad* ' Grad* I Grade t Grade You did not score well enough to pass the Grade 10 FCAT Mathematics test. Your Mathematics score needs improvement. Talk to your teacher or guidance counselor about classes you can take that will help you improve your score. 2003 Mathematics Content Scores Content Areas Points Points Possible Earned Number Sense 11 5 Measurement 10 2 Geometry 14 3 Algebraic Thinking 14 6 Data Analysts 11 4 Year 2001 2002 2003 Grade Tested NA 9 10 Achievement Level 2 2 FCAT Score • 1822 1881 FCAT Score Grade 3 Grad. 4 Grade Grade I Grad* Mathematics Grade Grade 9 Grade 10' it• ■ Your Score 0 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 2013 and 2175. Your 2003 FCAT Mathematics scores probably would have been between 1836 and 1926. NT = Not Tested NR —Not Reported NA —Data Not Available Data Run Date: 05/09/2003 0165361 EFTA01709897 FEAT /Wide Comprehensive Assessment Test Spring 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: ID: SCHOOL: 2331-ROYAL PALM BEACH HIGH DISTRICT: 50-PALM BEACH This report shows your results from the Grade 10 FCAT Retake test(s). Passing both the Grade 10 Reading and Mathematics Tests is a requirement for a standard Florida high school diploma. Students must earn an FCAT Score of 1926 or better n Reading and 1889 or better in Mathematics to meet the graduation requirement. The FCAT 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. Your Reading Results We were unable to find a Reading score that matched your student identification number. If you took the test this year. be sure to contact your school about locating your FCAT lest scores. Your Reading Content Content Areas Points Faired Points Possible Percent Words/Phrases Main idea/Purpose r Comparisons ti. Reference/Research k. Reading Content • Content scores give more specific intormation about the skills on the FCAT. Grade level expectations for students include: • Words and Phrases •uses skills to determine word meaning. including word parts and relationships between words. • Main idea/Purpose -determines a slated or implied essential message. details. authors purpose, or plot. • Comparisons -knows similar and different, cause and effect. and contrast. • ReterenceiResearch •uses information Irom a variety ol sources to reach conclusions. Your Reading FCAT Score FCAT Score' Achievement Level Passed NI NT 3000 2400 1800 1200 600 0 Sudent Score Paang Suss Your Mathematics Results You have passed the Grade 10 FCAT Mathematics test. Your Mathematics Content Content Areas Points Earned Points Posse:de Percent Number Sense 3 10 30 r Measurement 5 10 50 r Geometry 5 14 35 r Algebraic Thinking 6 14 43 r Data Analysis 4 10 40 r Mathematics Content- Content scores give more specific ntormation about the skills on the FCAT. Grade level expectations for students include: • Number Sense • uses number concepts and computation skills. • Measurement - solves problems involving measurements, e.g., time, length, area. • Geometry - analyzes and combines shapes to solve problems. • Algebraic Thinking -analyzes patterns and uses equations and inequalities. • Data Analysis and Probability -uses data analysis tools to display iilormation, make predetions and make inlerenceS. Your Mathematics FCAT Score FCAT Score' Achievement Level Passed 1938 2 YES 3000 2400 1800 1200 600 0 Student Ckore Passing Score 'This score shows your achievement on the day you were tested 4 you were to take the same test again a alley that your 2004 Mathematics score would be between 1901 and 1975 NT=Nol Tested NR=No: Reported Data Run Date: 04/14/2004 0012614 EFTA01709898 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION • BACK 1311 STLK)iNT LIVES mu 'CHECK 01451 BOTH PARENTS 0 MOTHER Ill FATHER 0 SHARED CUSTODY WTTA • 0 O . _ r 1404 AntFL THIS 117514E A COURT ORDER BARRING EITHER PARENT FROM REMOVING OR CONTACTING THE STUDENT DURING THE SCHOOL DAY/ EIYES EINO IF YES, PLEASE PROVIDE THE SCHOOL WITH A COPY OF THE COURT ORDER ,....s, ( ., fun :meal 6 52P.. A t /6 40 6lb NW< A4..etit (di Slat 211 COOt O(tt.PATICn..C1 EIN4•410•4 14 n„, OP ,..,,,„,,,,,„,. rote or Im/3•140IT lett ,woad *Maas non moot /How MIMS'S 10% (34) HIGHEST LEVEL OF EDUCATION COMPLETED IC441161IAti A 0 PAKVatroS0.10, . B 0 .°":7 2'..,s'")" ' ,. I a D 0 IONC 10111.4tO1Cisin. 2220•4CAUCCU130 E WTIVaitattaillile tilAtrOt1( w ..10VD 011 HIGHEST LEVEL OF EDUCATION TISTWLETED 'OPTIONAL) AD ittiKIMAIV WPC% B ❑0 ::::trAs*`"°` C 0=0 " 01000 re D 46 5014 /00.12tOrttirt E CI ar."-„ten"... C • "‘" '-,,, MO LEGAL GUARDIAN OF ANY) DOES LEGAL GUARDIAN NAVE CUSTODY? 0 YES 0 NO i tAil • row, *own 'Pit Mil — ZO coot 7 _Matt fireataii4 5.2k Arne ....... _<.._.h 1.19 AUTKOZ10 MI .-- V.1000.CV Paw PART t PERSON(S1 OTHER THAN PARENT AUTHORIZED TO PICK UP STUDENT . x n A ta-frh P,C, ( FL. YES D NO 0 YES 0 No 143) NAME ADDRESS PHONE RELATIONSHIP u IT-I YES 0 NO 1441 NAME ADDRESS PHONE RELATIONSHIP n LJ YES 0 NO 1461 NAME ADDRESS PHONE RELATIONSHIP ❑url YES 0 NO HEI PART II: 6 SCHOOL PERSONNEL ARE UNABLE TO CONTACT YOU IN CASE OF ILLNESS OR ACCIDENT. MAY WE HAVE YOUR PERMISSION TO CALL YOUR DOCTOR OR EMERGENCY SERVICES (911) FOR TRANSPORT TO THE HOSPITAL? li YES 0 NO (471 FAMILY DOCTOR • 149) PHONE MANGER 1491 HOSPITAL PROT:ROME 1501 LIST YOUR CHILD'S ILLNESSES, ALLERGIES OR OTHER PHYSICAL LIMITATIONS: aff 16I/ NAME OF CHILD SCHOOL ATTENDING STUDENT NO. (OPTIONAL) GRADE MATH OATE MI NAME OF CHILD SCHOOL ATTENDING STUDENT NO, (OPTIONAL) GRADE BIRTH DATE (53) NAME OF CHILD SCHOOL ArtFt.01M1Cr STUDENT NO. (OPITOTIMI GRADE BIRTH DATE (54) NAME OF CHILD SCIION. ATTENDING STUDENT NO. (OPTION/41 GRADE BIRTH DATE (65) NAME OP CHNO SCHOOL ATTENDING STUDENT NO. (OPTIONAL) GRADE BIRTH DATE (66) I VERIFY THAT THE INFORMATION GIVEN IS TRUE AND ACCURATE TO THE BEST OF MT KNOWLEDGE. DATE FOR OFFICE USE ONLY: REASSIGNMEXT, p3OF D r!: BISLIC 0 14' LING P 131 OFT A CO p ETE11,13* ; 64: ir,li::EFT)f.JA-11.IAN treq:VA S:PoCCSTIDN Or RPM it,2; ei:n• ELI 'Gt.' &Hi.% aril C IL': 7E.:C!cr r“, 7.11jr. r*r. Pt F:irI D CA% t COW.: Li OAT, eNAV> HMO 013D IREY. 319$ EFTA01709899 .-- THE SCHOOL DISTRICT OF STUDENT NUMBER: 001 04 40.1 . 5.), , PALM BEACH COUNTY : I I STUDENTS VERIFICATION FOR NEW/RETURNING STUDENTS: TO THE PARENTS OR GUARDIANS: r:FM/ STUDENTS: Complete all non—shaded areas on both „„ cotrpNEW/RETURNING sides of form REGISTRATION RETURNING STUDENTS: Please review both sides for correctness of typed information. If the information printed is into root please correct it by carefully and lightly crossing out the incorrect information writing the correct information above it. II/ (2) ALSO KNOWN AS L-oGi TritiCAL ADDAESS (4) MAILING ADDRESS jpx A httrr 4 her 3i-I '70 g »am /A OEM Nut dor. *a .6. Mix (SI STUDENT'S SOCIAL SECURITY M. IcaTionati SI NOME MIME NO. (7) Eyre I SEX MALI RACE El AMERICAN HOIAN OR ALASKAN NATIVE 0 B :101 e-HISPANIC I A trZU'RISLANCER MS I H HISPANIC WHITE NON-14:5PMIIC Ill M MULTIRACIAt (9) DATE OF IID)PIACE OF erne HitS bu r9 iv PA. alle(/ett" , (II) 0 0 RESIDENT STATUS 0. FOREIGN EXCHANGE STUDENT 1. OUT•Of•COUNTT RESIDENT N 2. Fif S. CM-Of-STATE RESIDENT IN-COUNTY RESIDENT 021 ENTRY DATE INTO USA IIS) FEDERAL I I 0 I I I ACT AID SURVEY YES N0 A. TIE STUDENT YES ND B. THE STUDENT YES NO C. THE PARENT YES FA t IO D. THE PARENT YES NO E. THE PARENT If YES, RESIDES ON FEDERAL PROPERTY. RESIDES IN LOW RENT NOOSING. IS EMPLOYED ON FEDERAL IS EMPLOYED ON LOW RENT IS IN THE UNIFORMED SERWCES IS THE PARENT ON ACTIVE DUTY? I AIR FORCE 0 ARMY PROPERTY HOUSING I OF I COAST LOCATED IN LOCATED IN THE nine TES I GUARD PALM BEACH COUNTY. PALM BEACH COIMY. STARS. NO 0 MARINES I NATIONAL GUARD I NAVY (14) HAS THIS CHILD BEEN MIMLEO IN ANY PRESCHOOL? I C. CHAPTER I 0 D. PRE-K DISABILITIES I E. PRE-X EMILY INTERVENTION I ii I (PLEASE WITH K. lEADSTART M. MIGRANT N. ENIN PLACE A CHEM/MARL (pi BY EACH PROGRAM AN ASTERISK ( *) THE PROGRAM YOUR CHILD PRE-K -SUBSIDIZED CHILD CARE ATTENDED. WAS I I ALSO, INDICATE IN TIE LONGEST.) 0. OTHER S . SUBSIDIZED CHILD CARE IIS) IS THE STUDENT A SINGLE PARENT? I YES 4.. OW CURRENT GRADE LEVEL girRANstEtmecomAtiorst a (171 \Alvisf NAME OF SCHOOL Mi TRANSFERRING FF1,in FROM AREA Schnt)L (18) West CITY OR LOCATION., Mifi'Liri. i PA. IIS) DATE Of LAST ATTENDANCE (D- 7-01 . (20) GRADE LEVEL 9 1211 LAST PUBLIC SCHOOL ATTENDED IN PALM BEACH COUNTY 122J DATE ATTENDED vfftfiggpRmsgpxpJP,MmpggOaqtrf,ANPX"M;T.giitifPRMX4PNfdyaatiWt 2 ... A ,,,, v. 0. (25) HAVE YOU FILLED OUT AN APPLICATION FOR FREE OR REDUCED (APPLICATION IS PROVIDED WITH THIS REGISTRATION FORM/ LUNCH? 0 YES sr ND (241 HEALTH SCREENING& I GIVE PERMISSION FOR MY CNILD TO BE GIVEN HEALTH THESE TESTS MAY BE GIVEN INDIVIDUALLY OR IN GROUPS. SCREENINGS. 131 YES 0 NO 1251 SODIUM FLUORIDE: I GM PERMISSION FOR MY CHILD TO PARTICIPATE IN TO PREVENT DENTAL DECAY. PERMISSION IS VAUD THROUGH THE SODIUM FLUORIDE PROGRAM GRADE SIX. I YES li NO OESKSTOPE.NtnOtalWitiEXP.Kt0 140MtKla*.10001,00PI.OreitettUe r ,snau (251 WHAT LANGUAGE IS SPOKEN IN THE NOME BY THE PARENT o GUARDIA* eit\16 Usk (17) WHAT LANGUAGE IS SPOKEN IN THE NOME BY HE STUDENT? 61\16L1510 128E DATE OF ENTRY INTO TIM ESOL PROGRAM tit) LANGUAGE SURVEY I. IS a LANGUAGE OTHER THAN ENGLISH USED IN ENE NOME? OYES NNo 2. OM THE STUDENT HAVE A FIRST LANGUAGE OTHER MAN ENGLISH? ÖTES NO 1. DOES THE STUDENT MOST MOUENTLY SPEAK A LANGUAGE OTHER THAN ewer DES NO STUDENT DISCLOSURES FOR 1st ENTRY THE SCHOOL DISTRICT OF PALM BEACH COUNTY HAS THE STUDENT EVER: I. BEEN EXPELLED FROM SCHOOL? 2. HAD AN ARREST RESULTING IN A CHARGE? 'O. 1140 ANY JUVENILE JUSTICE ACTIONS? IN IVES kw I YES NJ EYES g110 Otew 67971 EFTA01709900 soceniesS\ THE SCHOOL DISTRICT OF PALM BEACH COUNTY SY:434 VLS1 1 w„, coop 9-12 Academic Improvement Plan (AIP) imummillIIII SCH: PALM BEACHI III II II: 11 SL DOB: ABS: 8 PET: Marking Period Monitoring Dates: FNRT: : 59 MATH:11: 298 66 FCAT: READ: 331 First Second / / WAP: 3.5 AIP: R-ZZ W-ZZ M-FZ S-ZZ PRIM: LEP: 504: Third Fourth / / Li' z U.0 N gg Stu K READING K WRITING Q MATHEMATICS • SCIENCE O Textbook Assessments O EDL DI FCAT Diagnostic / Practice Tests O Diagnostic Sofhitare O Pain Beach Writes O Portia) O Performance Assessments K FCAT Diagnostic/Pracece Tests O Diagnostic Software K Other (see attached) Textbook Assessments rob ance Assessments FCAT Diagnostic/Practice Tests ❑Diagnostc Software O Other (see attached) O Textbook Assessments O Portfolio • Performance Assessments • FCAT Diagnostic/Practice Tests • Diagnostic Software • Other (see attached) • Other (see attached) O PhonemicAwareness O Letter Repognition K Phonics: Sound I Symbol Correspondence Decoding/Encoding Types of Writing O Word/Sentence writing ❑O Paragraph Writing O Composition Writing Awareness /Application of FCAT Writing Rubric O Focus O_ Support O Organization U Conventions Compositions O Narrative O Expository K Persuasive mber Sense, Concepts and rations effeasurement metry eb is Thinking D Analysis and Probability eacfing in Content Area Specific Concepts O The Nature of Matter • Energy O Force and Motion O Processes that Shape the Earth O Earth and Space DI Processes et Life O Meaning • Structure K Visual (Phonics) Fluency K High Frequency Words K Rate Meaning K Vocabulary • K Text Comprehension • How Living Things Interact with their Environment • The Nature of Science ooncepts ll Reading in Content Area Specific Concepts Tutoring O During School Day K After/Before School / Saturday histructionalAlfematives O Temporary Skill Groups Tutoring O During School Day K After/Before School / Saturday Instructional Alternatives O Temporary Skill Groups Tut g K ring Schad Cay After/Debt Sof col / Saturday In tional Alternatives mporary Skill Groups Cooperative Learning Groups Tutoring M Curing Stool Day O After/Before School / Saturday Instructional Alternatives O Temporary Skill Groups • Cooperative Learning Groups • Cooperative Learning Groups . Cooperative Learning Groups El Guided Reading/Writing Groups O Technology O Other (see attached) Assignment Alternative O Guided ReadingMriting Groups 0 Technology , LI Guided Reading/Writing Groups O Technology K Other (see attached) Assignment Alternative O lime O Quantity O Product Requirements K Child Study Referrals O Instructional Reading m Ted K Other (see attached) Assn ent Alternative i lity ct Requirements ld Study Referrals Instructional Mathematics P Other (see attached) Assignment Alternative • Time • Time O Quantity O Product Requirements O Child Study Referrals O Instrudiond Reading O Quantly K Product Requirements O Child Study Referrals • Instructional Language Ms ent progress will be monitored throughout the school year, and student progress will be reflected on the report card. O Successfully Remediated O Requires New AIP Next School Year O Successfully Remeciated O Requires New AIP Next School Year O Spedal Services / Placement O Other (see attached) • Successfully Remediated • Successfully Remediated G„..., O Requires New AIP Next School Year O Special Services I Placement K Other (see attached) O Requires New AIP Next School ' Year • Special Services I Placement • Special Services! Placement • Other (see attached) O Other (see attached) K Deficiencies due to non-attendance (refer to Attendance Specialist) Number of Days Absent Parent/Guardlan Contact Commitment/Contribution Checkoff Mal apply. O Monitor Attendance / Tardies O Check Homework O Read with Child Every Night O Reinforce Skills O Attend Parent Conferences O Sign Daily/Weekly Notes K Attend Parent Curriculum/ Information Meetings DATE SIGNATURE OF PARENT / GUAR0fAN SIGNATURE OF TEACHER PBSD 1687 (REV. 9/13/2002) ORIGINAL - Cumulative Folder COPY - Teacher COPY Parent/Guardian DATE EFTA01709901