EFTA01709600

EFTA01709600 , EFTA01709601 TEST RECORD INFORMATION !MAU MAIM SUM LAMB LAMb AEL SCARE TYPE NAME Comp CEA LANG NECK EXPR ante oAn 4 MIE 9- 6 --- 99 92 mmmmommoN Q4 Q4 CTBS/4 LEVEL 13 FORM A mNIFIL soon tn's talc READ READ toff. flit-0i $C- Sac GRAD, !!IIILA 4/ N RF D COMP VOr4 NAiN CEA COMP ENc 2E STUD snnalar„0„6 h° 99 97 Q4 Q4 CTBS/4 LEVEL 14 FORM SCORE TIME mEAti MATHTUTLLike- LAWd. MCA. 1.. DATE N cnmp CFA !LNG_ 04F1- 14 it 11- 6 ""' 83 87 Q4 Q4 CTBS/4 LEVEL 15 FORM B PBsD0280 WN 01-9330 EFTA01709602 STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES Special Health CUMULATIVE SCHOOL HEALTH RECORD Problems - See (This form is not intended for physician's use) Narrative Name Race 11/ Sex School Address ther's Name Mother's Name Date of Birth Place of Birth J Birth Recorded: Yesla7 No El Immunization Certification: Yes ra No El Special Immunization Programs A NARRATIVE NOTE IS REQUIRED FOR REFERRAL AND OUTCOME ENTRIES K 1 2 3 Screening and Screening Screening Screening Screening Outcome Referral Outcome Outcome Assessment To I! 7.2 a' Grades S S SP: 8 Date Vision K-3 13 PP 9-2-95 et-n /d- /--`7 0 cc Date Date 0 cc Date cc LT' P Hearing Height, Weight - 44' 1/4 QM /o?--/-5 3 kid sy HT - Li /2-4'4 A/9 'biz 1-I- (a-67 54 & Graphing u— ris 91. Nutrition yff- al • ik Dental Health Mental Health Communicable Disease Records Review Physical Assessment Other Other 4 5 6 7 8 Screening and Screening Screening Screening Screening Screening Outcome Outcome Outcome Outcome Outcome Assessment Referral Referral Referral To 7, Grades 03 0I) Date Date Date Date Date 4-8 13 0 cc cc Vision ?1211t Hearing 7 I P Height, Weight - Ca; yA ite WI- & Graphing - 171 is 347 cr 84, Nutrition Dental Health Mental Health Communicable Disease Records Review Physical Assessment Scoliosis Other Other HRS-H Form 3O41. MAY 8O (Replaces previous editions and MCH 3O4) EFTA01709603 PICTURR CARD Last . Fast Middle I Sc hoo School School Year Year Year Grade.------ Grade Grade School School School Year Year Year trade Crude Grade EFTA01709604 Spring 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS FCAT Heikki Compreheastre A‘settiatal lest Grade 09 Student Report District Number and Name 50-PALM BEACH The Florida Department of Education believes that every student has the ability to learn and succeed. The purpose of the FCAT is to ensure that Florida's publit 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 developeda measurement system that allows you to track a students academic achievement from year to year and determine if a year's worth of learning has occurred In a year's time. This system also allows you to compare a student's score to a score that represents 'grade lever achievement. If a students score is above the 'grade lever score, then they are performing at a level above their current grade. If it is below, they are in need of improvement. Using the 'Content Scores; you are able to identity any Specific academic skills needing improvement. Below you will find your 2003 FCAT Reading and Mathematicsscores., as well as your scores from previous years. The chart on the right side of the page snows your score compared to the score that represents grade level achievement. Reading Your Reading score is on grade level. You have answered many of the questions on FCAT correctly. 2soo- 2003 Reading Content Scores Points Pants Content Areas PossiNt Earned FCAT Score Words/Phrases 7 7 Main Idea/Purpose 18 15 Comparisons 10 7 Reference/Research MOO- 10 9 Year 2001 2002 2003 Grade Tested 7 8 9 Achievement Level 4 3 3 Grade 1 Gni* 4 Grade Grade a Grade Grade Grad* Grad 10' 11• FCAT Score • 1970 1957 2085 ■ Your Score CI On Grade Level Your Mathematics score is above grade level. You have answered most o1 the questions on FCAT correctly. Mathematics 2003 Mathematics Content Scores Points Points 250:t- Content Areas Possible Earned Number Sense 8 6 203o- FCAT Score Measurement 7 4 Geometry 11 10 1500- Algebraic Thinking 10 6 Data Analysts 1000- 8 5 Year 2001 2002 2003 Grade Tested 7 8 9 Achievement Level 3 4 4 Grad* 3 Grade 4 Grade •6 Grad* Grade Grade Grad 10 11+ FCAT Score • 1902 2012 2070 • Your Score O On Grade Level • These scores show your achievement on the day you were tested. If you had taken this test numerous times, it is likely that all of your scores would have been within a certain range. Your 2003 FCAT Reading scores probably would have been between 1993 and 2177. Your 2003 FCAT Mathematics scores probably would have been between 2036 and 2104. NT -Not Tested NR -Not Reported NA -Data Not Available Data Run Date: 05/09/2003 0162122 EFTA01709605 FCAT Reports Informes FCAT (SpanIsh) Rape, FCAT (Haltlan Creole) Separate reports are produced for the Sunshine State Se preparan informes separados para los exámenes del FCAT Yo prepare rapó apa pou egzamen lekti ak matematik, syans Standards tests in FCAT Reading and Mathematics, de lectura y matemáticas, ciencias y redacción según las ak redaksyon FCAT bay swivan prensip Sunshine State Science, and Writing. A separate report is also printed normas estatales Sunshine State Standards. También se Standards yo. Yo ekri yon rapb apa tou pou lekti ak matematik for the norm-referenced tests in Reading and imprime otro informe por separado para los exámenes de lectura pou "modèl egzamen ofisyèl FCAT itilize pou fè evalyasyon" Mathematics. y matemáticas de acuerdo a las normas de aplicación nacional. an. Informe sobre el FCAT ceñido a normas de aplicación FCAT Norm-Referenced Test (NRT) Report The FCAT nacional (NRT) Rapó egzamen ofisyèl FCAT itilize pou fè evalyasyon El informe del FCAT NRT presenta los NRT report shows reading and mathematics scores on resultados de lectura y matemáticas en una versión del estado (NRT) Rapb FCAT NRT a montre nbt lekti ak matematik nan a Florida version of the SAT9 (published by Harcourt de Florida del SAT9 (publicada por Harcourt Educational vèsyon Florida genyen pou SAT9 la (Se Harcourt Educational Educational Measurement). Student scores are Measurement). Los resultados obtenidos por los estudiantes se Measurement ki pibiliye li.) Yo konpare nbt elèv la ak yon compared to a national "norm" group, where a percentile comparan con el grupo modelo o 'norma", en el que la gwoup nbt yo konsidere kbm "modèl pou egzamen ofisyèl" la, rank score of 50 is average. clasificación es de un 50% del promedio. kote swivan klasman pa pousantaj la, nbt mwayèn nan se 50. Sunshlne State Standards (SSS) Reports The FCAT Informes según las normas estatales Sunshlne State Rapó Sunshine State Standards (SSS) Rapb FCAT SSS SSS Reading, Mathematics, and Science reports show Standards (SSS) Los informes según las normas estatales pou lekti, matematik ak syans lan montre nbt elèv yo fè nan test scores trom Florida's tests of academic standards. SSS del FCAT presentan las calificaciones de los exámenes de egzamen Florida bay sou prensip akademik yo. Rapb sa yo These reports contain subject scores and content lectura, matemáticas y ciencias de las normas académicas de gen nbt pou matyè ak nbt pou kontni ladan yo. Nbt pou matyè Florida. Estos informes contienen calificaciones por materias y yo dekri tout sa elèv la reyalize anjeneral epi nbt pou kontni yo scores. Subject scores describe the overall calificaciones por contenido. Las calificaciones por materia bay kantite pwen elèv la fè nan yon matyè byen detèmine. Ou achievement, and content scores give the number of proporcionan un resumen general del rendimiento y las points earned in specific skill areas. Success on the calificaciones por contenido que proveen el número de puntos ka konprann kisa elèv la reyalize nan egzamen lekti ak Reading and Mathematics tests can be best understood obtenidos en áreas de habilidades específicas. El éxito de los matematik la pi byen si w itilize yon nivo siksè kote 3 oswa plis by using the achievement levels where a 3 or higher is exámenes de lectura y matemáticas puede entenderse mejor se yon nbt ki nan nivo klas la oswa yon nbt ki pi wo pase nivo on or above grade level. utilizando los niveles de rendimiento en los que una calificación klas la. de 3 o superior está al nivel del grado o por encima. Nlvo siksè elèv yo Gen senk kategori siksè ki dekri nivo Achievement Levels Five categories of achievement describe the success students have with the content Niveles de rendimiento El éxito que un estudiante ha logrado siksè elèv yo pote nan kontni yo teste nan egzamen lekti ak matematik FCAT la. Pi gwo nivo a se nivo 5 epi pi piti nivo a tested on the FCAT Reading and Mathematics. Level 5 en el contenido examinado en el FCAT de lectura y matemáticas se nivo 1. Piske yo poko detèminen nivo siksè nan egzamenn is the highest and Level 1 is the lowest. Since science se describe por medio de cinco categorías. El nivel 5 es el más syans tan, yo klase nbt pou syans lan swivan si li tonbe pi ba. achievement levels have not been determined, science alto y el nivel 1 es el más bajo. Como los niveles de rendimiento en ciencias no se han determinado, las calificaciones de nan mitan oswa pi wo yon tyé pèfbmans elèv toupatou nan eta scores are ranked as to whether they fall in the lowest, ciencias se clasifican con respecto a si entran dentro del tercio a. middle, or highest third of statewide student inferior, medio o superior del rendimiento estudiantil a nivel performance. estatal. 5 Elèv sa a gen siksè nan matyè ki te gen pi plis difikilte ladan yo nan egzamen Sunshine State Standards la. Yon elèv ki 5 This student has success with the most challenging content 5 Este estudiante tiene éxito con el contenido más difícil de las nan 5yèm Nivo reponn pift) kesyon egzamen yo of the Sunshine State Standards. A student scoring in Level normas Sunshine State Standards. Un estudiante del Nivel 5 kbrèkteman, elèv la menm reponn kesyon ki gen pi plis 5 answers most of the test questions correctly, including the responde a la mayoría de las preguntas del examen difikilte ladan yo. most challenging questions. correctamente, incluyendo las preguntas más difíciles. 4 Elèv sa a gen siksè nan matyè ki te gen difikilte ladan yo 4 This student has success with the challenging content of the 4 Este estudiante tiene éxito con el contenido difícil de las nan egzamen Sunshine State Standards la. Yon elèv ki nan Sunshine State Standards. A student scoring in Level 4 normas Sunshine State Standards. Un estudiante del Nivel 4 responde a la mayoría de las preguntas correctamente, pero 4yèm Nivo reponn pifb kesyon egzamen yo kbrèkteman, answers most of the test questions correctly, but may have men li ka gen kak siksè sèlman nan kesyon ki sanble yo gen es posible que sólo tenga cierto éxito con las preguntan que only some success with questions that reflect the most pi plis difikilte laden yo. reflejan el contenido más dificil. challenging content. 3 Este estudiante tiene un éxito parcial con el contenido difícil 3 Elèv sa a gen enpe siksè nan matyè ki gen difikilte ladan yo 3 This student has partial success with the challenging de las normas Sunshine State Standards, pero su rendimiento nan egzamen Sunshine State Standards la, men pèfbmans content of the Sunshine State Standards. but performance es inconsistente. Un estudiante del Nivel 3 responde muchas lan pa rete estab. "'ion elèv ki nan 3yèm Nivo reponn anpil is inconsistent. A student scoring in Level 3 answers many de las preguntas del examen correctamente, pero por lo nan kesyon egzamen yo kbrèkteman, men anjeneral li gen of the test questions correctly. but is generally lens general tiene menos éxito con las preguntas que son más mwens siksè ak kesyon ki sanble yo gen pi plis difikilte ladan successful with questions that are the most challenging. difíciles. yo. 2 This student has limited success with the challenging 2 Este estudiante tiene éxito limitado con el contenido dificil de 2 Elèv sa a gen siksè limite nan matyè ki gen difikilte ladan yo content of the Sunshine State Standards. las normas Sunshine State Standards. nan egzamen Sunshine State Standards la. 1 This student has little success with the challenging content 1 Este estudiante tiene poco éxito con el contenido difícil de las 1 Elèv sa a gen yon ti siksè tou piti nan matyè ki gen difikilte of the Sunshine State Standards. normas Sunshine State Standards. ladan yo nan egzamen Sunshine State Standards la. Certificados del FCAT Los estudiantes que se clasifiquen en FCAT Certificates Students who earn Level 5 scores or el Nivel 5 o cuyos resultados de ciencias sean superiores a 400, Sètifika FCAT Elèv ki fè nbt 5yèrn Nivo oswa elèv ki fè gwo whose science scale scores are greater than 400 receive reciben Certificados de rendimiento. En redacción, los nbt ki pi plis pase 400 nan syans ap resevwa Sètifika pou Certificates of Achievement. For writing, certificates are given certificados se otorgan a todos los estudiantes que han obtenido Siksè. Yo bay tout elèv ki fè nbt 5.5 oswa 6 ak elèv klas to all students with scores of 5.5 or 6 and to fourth graders with calificaciones de 5.5 y 6. y a los estudiantes de cuarto grado que katriyèm ki fè nbt 5, 5.5. ak 6 yon sètifika pou redaksyon. Yo scores of 5, 5.5, and 6. Certificates are not awarded basad on han obtenido 5, 5.5 y 6. Los certificados no se otorgan basados pa bay sètifika swivan nbt elèv fè nan egzamen ki baze sou the FCAT Norm-Referenced Test scores. en los resultados del FCAT ceñido a normas de aplicación "modèl egzamen ofisyèl FCAT itilize pou fè evalyasyon" (NRT) nacional. an. EFTA01709606 Spring 2004 NAME: ID: FCAT Florida Comprehensive Assessment Test (FCAT) SCHOOL SSS Science Student and Parent Report DISTRICT: 50-PALM BEACH Grade 10 Florida Comprehensive Assessment Test The Florida Department of Education believes that El Florida Department ol Education (Departamento °coalman Eclicasyon nan Florida hwe chap hrtanun every student has the ability to learn and succeed de Education del estado de Florida) tree que todos pen kapasae pou aprann ep gen skse Obpktif The purpose of the FCAT is to ensure that Ronda's los estudiantes Denen ta capacidad de aprender y FCAT La se pou yo ka mien *kbl pkilk nan Florida public schools are providing the best education tenor Ono El proposal° del FCAT es asegurar clue 3P bay p bon edicasyon ki post la ep yap prepare possble and prepannp students to succeed for the las escuctlas pita= de Florida propormonen la elev yo pou yo ka gen Wise nan lavni. future metor educaabn posble y PreParen a los eStudantes pare toner Onto en el Mum) To damilye yon rwo konesans kt elve nan syans se A high level of science knowledge has been dentifed yon bagay ki esansyill pou yen noon ka pen slcse as crthdal 101SLX:ten en the compete.* 21st century Se ha demostrado que. pare el exio en el nan konpetayon Iti ponyen nan mache travay ta nan job market Working with Florida educators. the state CPI:WOW° mercaclo Laboral del siglo X)0. es crucial 21yom syta La Eta Florida a travay ansanm ak has developed a lost to measure a student's poster can alto novel de conoomentos de ciencias. pwoleso yo pou yo devlOPe Yon °gunmen ki Pen* achievement of the important science skills in the Trabajando con educadores de Florida. el estado ha yo mewe rannman yon elev nan egzamen syans ki Sunshne State Standards. This report provides your desanollado un examen pan medr be ogres de on enpotan nan Sunshne State Standards La Rapti sa students 2004 Spence Score which allows you to °students en malaria de cienoas de acuerdo a las a bay Nt4 elev fe nan Syans pou Ane 2004 La opt sa compare your students pedormance to the norms Sunshine State Standards. Este marine pen* ou konpare ON:mans elbv ou yo ak polOmans performance of other students vi the state in proporciona a su estudianto la calsficacen de lei elev nan Eta a Anglo, not yo kt nan rape a ode addition. the content scores help you to dented cenoas de 2004. b que b permite comparar el ou idanutye nan kt matye akademh elev la bezwen fs academic skies that may need improvement condiment° de su estudiame con La de caps amelycwasyon eskidantes en el estado Achoonalmente. Las cakticamones de contend° le ayudan a dentacar las habadades academicas en las que puede see necesaro meprar Your 2004 FCAT Science Score Compared to Other Students Score ' Low Middle High 341 i 500 Your 2004 Science Content Scores Points Points Compared to Other Students 400 Content Areas Earned Possible Percent High Low wage Physical and Chemical 7 ./ 300 14 50 % Earth and Space 8 11 73 % I 200 Life and Environmental 10 15 67 % i I 100 Scientific Thinking 9 11 82 % Stdent's Scots State Average This score shows your achievement on the day you were tested. If you were to take this test again, it is likely that your 2004 FCAT Science score would be between 326 and 356. Science Content Contenido de clenclas Kisa ki gen nan egzamen syans Ian • Physical and CheniCal Science explains Il Clenches fisicas y quintals explican la • Syans fizik ak chimik- esplike matye, matter, motion, force. and energy including materia, el movirmento, la I uerza y la energla, mouvman, Ids, ak eneji, sa lie di pviopriyete their properties and interactions; also identifies incluyendo sus propiedades e interacciones; yo ak Jason youn reyati ak itil; epi tou idar*llye atoms. elements. compounds, and mixtures. tamben identitican los atomos, elementos, atom, eleman, konpoze chimik ak melanj. compuestos y mezclas. a Earth and Space Science- explains Earth's • Syans late ak espas- esplike chanjman Id eel changes over time including geologic patterns, • Clenclas de he Tierra y el espacio explican sou Late ane apre ane, sa vie di aktivIle the rock cycle, minerals and weather systems; los cambios de la Tierra a craves del tempo. fewolojik, faz with. sistern mineral ak sistern also describes the solar system and universe. incluyendo los patrones geoiogicos, el tido de larneteyo a. epi li debt sislem sole a ak inive a. las rocas. minerales y sistemas • Life and Environmental Science identifies rneteorolOgicos; tambien describen el sistema Syans biyolojik sk anviwonmen idantlye and explains plants, animals, and the solar y el universo. • epi esplike plant, bet. ak anviwonman an, sa environment, including lite processes. vie di yrrosesis biygobjik, konsevasyon resous conservation of resources, and the • Clenches de he vide y el medio ambiente yo, ak entedepandans Oganis ak skstem yo. interdependence of organisms and systems. Identilican y explican las piantas, animates y el medio ambiente, incluyendo bs procesos Rezonman syantifik- itilize pwosede syantilik • Scientific Thinking- applies scientific shales. la conservation de recursos y la • pou rezoud pwoblem, rekonet regilarite aft processes to problem solving, recognizes interdependenica de organismos y sistemas. sister?), epi konprann enpak teknolo8 sou patterns and systems. and understands the lasosyete. Impact of technology on society. • Pensarniento cient•Ico- apica procesos cientlficos a la resolucien de problemas, reconoce patrones y sistemas, y comprende el impacio de la tecnoiogia en la sociedad. Data Run Oafs: OR2S2004 005763 EFTA01709607 Spring 2004 Florida Comprehensive Assessment Test (FCAT) FCAT Fhwil:le Compitheniive Assessmenl hit SUNSHINE STATE STANDARDS Science Performance Task Student Report Grade 10 This report provides your results on the FCAT 2004 Science FCAT 2004 performance tasks. each pedOrmance task on FCAT requires you to SCIENCE PERFORMANCE TASKS respond with either a short response or a longer, more detailed response. Short-response tasks are scored on a 2-point rubric and Student Name extended-response tasks are soared on a 4-point rubric. Student Number One of the short-response tasks is shown below with a copy of your School Name answer. The number of points you earned for your answer is shown School Number in the box to the right. District Name PALM BEACH District Number 50 This Performance AN Science Tags Response Performance Task Responses Points Possible 2 10 Points Earned 1 5 nil=alN6 Is cwwwwliintS (um rises dry nowt and smart with each abet l&efeelieloole Pas el the World Detialtit • setkick net •rd • ralock lormition eat car. ant rites Oaks cot& Data Run Date: 04712004 0054284 685000618 EFTA01709608 NAME: =WI Spring 2004 ID: Florida Comprehensive Assessment Test (FCAT) SCHOOL: FCAT DISTRICT: 50-PALM BEACH Writing Grade 10 Student Report Writing to Convince SCORE: 5.0 Florida Comprehensive Assessment Test How Papers Are Scored Dear Student: The student responses are scored by trained readers using the holistic method to evaluate The paper you wrote in February as part of the FCAT has been read a piece of writing for its overall quality. The readers consider four elements: focus, independently by two people trained to score this test. Each reader organization, support, and conventions. In this type of scoring, readers make a judgment judged the paper against standards set by Florida educators and gave it about the entire response and do not focus on any one aspect of the writing. an overall score. Your score is the average of the two readers' scores. Focus refers to how clearly the paper presents and maintains a clear main idea, This writing score will help you, your parents or guardians, and your theme, or unifying point. Papers representing the higher end of the point scale teachers understand how well you performed on this statewide writing demonstrate a consistent awareness of the topic and do not contain extraneous test. A description of how papers are scored is printed on the left side information. of this report. A description of each possible score is printed on the back of this report. Organization refers to the structure or plan of development (beginning, middle, and end) and whether the points are logically related to one another. Organization also refers to (I) the use of transitional devices to relate the supporting ideas to the Remember, you were given 45 minutes to read the assigned topic. plan main idea, theme, or unifying point and (2) the evidence of a connection between what to write, and then write your response. The conditions under sentences. Papers representing the higher end of the point scale use transitions to which you write papers in class or at home may not be the same as signal the plan or text structure and end with summary or concluding statements. those for this test: therefore, the writing may not be the same. You and your teachers should consider the score on this test along with all of your other writing when planning activities to continue developing Support refers to the quality of the details used to explain, clarify, or define. The your writing skills. quality of the support depends on word choice, specificity, depth, and thoroughness. Papers representing the higher end of the point scale provide examples and illustrations in which the relationship between the supporting ideas and the topic is clear. Conventions refers to punctuation, capitalization, spelling, and variation in sentence structure used in the paper. The conventions are basic writing skills DESCRIPTION OF THE TOPIC: included in Florida's Sunshine State Standards. Papers representing the higher end of the point scale follow, with few exceptions, the conventions of punctuation, You were asked to persuade community leaders whether capitalization, and spelling and use a variety of sentence structures to present to set a weekend curfew. ideas. Data Run Date: 04/07/04 50-2331 EFTA01709609 Description of Grade 4 Writing Scores Description of Grade 8 Writing Scores Description of Grade 10 Writing Scores 6.0: The writing focuses on the topic. is logically organized. and 6.0: The writing focuses on the topic, is logically organized, and 6.0: The writing focuses on the topic, is logically organized, and includes ample development of supporting ideas or examples. includes substantial development of supporting ideas or includes substantial development of supporting ideas or It demonstrates a mature command of language. including examples. It demonstrates a mature command of language, examples. It demonstrates a mature command of language with precision in word choice. Sentences vary in structure. including precision in word choice. Sentences vary in freshness of expression. Sentences vary in structure. There are Punctuation, capitalization, and spelling arc generally correct. structure. There are few, if any, usage, punctuation, or spelling few. if any, usage• punctuation, or spelling errors. errors. 53: The writing was given a 5 by one reader and a 6 by the other 53: The writing was given a 5 by one reader and a 6 by the other reader. 5.5: The writing was given a 5 by one reader and a 6 by the other reader. reader. 5.0: The writing focuses on the topic with adequate development of 5.0: The writing focuses on the topic, is logically organized, and supporting ideas or examples. It has an organizational pattern. 5.0: The writing focuses on the topic with ample development of includes ample development of supporting ideas or examples. though lapses may occur. Word choice is adequate. Sentences supporting ideas or examples. It has an organizational pattern. It demonstrates a mature command of language. Sentences vary in structure. Punctuation. capitalization, and spelling are though lapses may occur. It demonstrates a mature command vary in structure. Usage, punctuation, and spelling are generally correct. of language. Sentences vary in structure. Punctuation, generally correct. capitalization, and spelling are generally correct. 4.5: The writing was given a 4 by one reader and a 5 by the other 4.5: The writing was given a 4 by one reader and a 5 by the other reader. 4.5: The writing was given a 4 by one reader and a 5 by the other reader. reader. 4.0: The writing generally focuses on the topic. though it may 4.0: The writing focuses on the topic, though it may contain loosely contain extraneous information. An organizational pattern is 4.0: The writing generally focuses on the topic, though it may related information. An organizational pattern is apparent. evident, but lapses may occur. Some supporting ideas contain contain extraneous information. An organizational pattern is Some of the supporting ideas contain specifics and details, but specifics and details, but others are not developed. Word evident, but lapses may occur. Some supporting ideas contain others do not. Word choice is adequate. Sentences vary in choice is adequate. Sentences vary somewhat in structure. specifics and details, but others are not developed. Word structure. Usage, punctuation. and spelling are generally though many are simple. Punctuation, capitalization, and choice is adequate. Sentences vary somewhat in structure. correct. spelling are usually correct. though many are simple. Punctuation, capitalization, and spelling are usually correct. 3.5: The writing was given a 3 by one reader and a 4 by the other 33: The writing was given a 3 by one reader and a 4 by the other reader. reader. 33: The writing was given a 3 by one reader and a 4 by the other reader. 3.0: The writing generally focuses on the topic, though it may 3.0: The writing generally focuses on the topic. though it may contain loosely related information. An organizational pattern contain extraneous information. An organizational pattern has 3.0: The writing generally focuses on the topic, though it may is demonstrated. Development of the supporting ideas may be been attempted. but lapses may occur. Some of the supporting contain extraneous information. An organizational pattern has uneven. Word choice is adequate. There is some variation in ideas or examples may not be developed. Word choice is been attempted. but lapses may occur. Some of the supporting sentence structure. Usage, punctuation. and spelling are adequate. Sentences vary somewhat in structure, though many ideas or examples may not be developed. Word choice is generally COMO. are simple. Punctuation and capitalization are sometimes adequate. Sentences vary somewhat in structure, though many incorrect, but most commonly used words are spelled correctly. are simple. Punctuation and capitalization arc sometimes 2-5: The writing was given a 2 by one reader and a 3 by the other incorrect, but most commonly used words arc spelled correctly. reader. 2.5: The writing was given a 2 by one reader and a 3 by the other reader. 2.5: The writing was given a 2 by one reader and a 3 by the other 2.0: The writing addresses the topic. though it may lose focus by reader. including extraneous information. An organizational pattern is 2.0: The writing may be slightly related to the topic or offer little demonstrated. Development of the supporting ideas may be relevant information and few supporting ideas or examples. 2.0: The writing may be slightly related to the topic or offer little nonspecific. Word choice may be limited. Frequent errors may There is little evidence of an organizational pattern. Word choice relevant information and few supporting ideas or examples. occur in sentence construction, usage, punctuation, and spelling. may be limited or immature. Sentences may be limited to simple There is little evidence of an organizational pattern. Word constructions. Frequent errors may occur in punctuation, choice may be limited or immature. Sentences may be limited IS: The writing was given a I by one reader and a 2 by the other capitalization, and spelling. to simple constructions. Frequent errors may occur in reader. punctuation, capitalization, and spelling. 1.5: The writing was given a I by one reader and a 2 by the other 1.0: The writing addresses the topic, though it may lose focus by reader. 1.5: The writing was given a I by one reader and a 2 by the other including extraneous and loosely related ideas. The organizational reader. pattern is weak. Ideas arc often presented through lists and limited 1.0: The writing may only minimally address the topic because there is or inappropriate word choice. Frequent errors may occur in little or no development of supporting ideas or examples. No 1.0: The writing may only minimally address the topic because there is sentence construction, usage, punctuation, and spelling. organizational pattern is evident. Ideas are often provided through little or no development of supporting ideas or examples. No lists, and word choice is limited or immature. Unrelated organizational pattern is evident. Ideas are often provided through U: The writing is unrelated to the assigned topic or cannot be read. information may be included. Frequent errors in punctuation, lists, and word choice is limited or immature. Unrelated capitalization, and spelling may impede communication. information may be included. Frequent errors in punctuation, capitalization, and spelling may impede communication. U: The writing is unrelated to the assigned topic or cannot be read. U: The writing is unrelated to the assigned topic or cannot be read. ISO1409 EFTA01709610 (1) STUDENT NUMBER THE SCHOOL DISTRICT OF PALM BEACH COUNTY (SDPBC) New and Returning Student Registration NEW STUDENTS: Complete all non-shaded areas on both sides of the form. RETURNING STUDENTS: Review both sides. If the pre-printed information is incorrect, correct the information by carefully and lightty ctossing out the incorrect information and wilting the correct information above it DIST:2451 TOP 061 STDT CRS:2100010 SEC:01 BL06:01 RM:172 08/16/01 (3) mucous LEGAL NAME put Aril mdde) (4) ALSO KNOWN AS (5) LOCAL ADDRESS (Aaneno. s steer risme) WI no) (cry) (stay) ( ,i, code) LOXAHATCHEE FL 33470 (6) MAKING ADDRESS (house no a flee nuns) OS Po I WO Is!**) (zip coda) (7) SOCIAL SECURITY NO 0050060 (8) HOME TELEPHONE NO (9) SEX (10) RACES-WPC ORIGIN M 0 I-American Indian/Alaskan Native 0 8-Black. Non-Hispanic 0 H-Hispanic F 0 A-Asian/Pacific Islander 0 W-White, Non-Hispanic 0 M-Multiracial (11) GATE OF BIRTH (12) PLACE OF BIRTH (oty, state. county) (13) RESOENT STATUS (14) USA ENTRY DATE (540.500NYYY) 3 (MIA00/Yrry) 0 0. Foreign Exchange Student IL US ILLINOIS 0 1. Out-of-county Resident 0 2. Out-of-state Resident (15) FEDERAL IMPACT SURVEY 0 3. In-county Resident YES NO (16) PRESCHOOL ENROLLMENT iNFORmAT)ON m 0 0 A. The student resides on federal ptoperly. Place an X by each program attended. Aisll. indicate with • C 8. The student resides in low rent housing. an asterisk (') the program your child was in the longest. 0 0 C. The parent is employed on federal property located in P.8. County. 0 N Non-subsidized Child Care 0 M. Migrant Pre-K 0 0 D. The parent is employed on low rent housing located in P.B. County. 0 O. Pre-K Disabilities 0 H. Headstart 00 E The parent is in the uniformed services of the United States. 0 I. Pre-K Early Intervention 0 C. Chapter I 0 S. Subsidized Child Care • 0. Other 0 0 If E. is YES. is the parent on active duty? Check service below: (17) LS THE STUDENT A 05) CURRENT GRADE LEVEL SIN PARENT? 0 Air Force 0 Army 0 Coast Guard • Marines O National Guard 0 Navy NO 08 0 YES 0 NO TRANSFER INFORMATION (19) NAME OF SCHOOL TRANSFERRING FROM 520) CITY OR LOCAT)ON (21) LAST ATTENDANCE DATE (1S) LAST GRADE LEVEL (23) LAST PUBLIC SCHOOL ATTENDED IN PALM BEACH COUNTY (24) DATE ATTENDED IN PBC HEALTH SCREENING INFORMATION FREE OR REDUCED (25) Students will receive non-invasive health screenings pursuant to Florida Statute 381.0056(7)(d) Non-invasive PRICE LUNCH screenings may include vision, hearing, sodas*. height. and weight. These tests may be given individually or iv) Have you filled cut an in groups. Parents or guardians, however, have the right to request an exemption in writing Ifau100 NOT NOT SCREEN application for free and want your child to receive the screenings, write the words' o not screen" here' (This exemption wit cover al types of screenings) reduced lunch? • YES 0 NO (26) I give permission for my child to participate in the sodium fluoride program to prevent tooth decay. E YES C NO (Application is provided (permission is valid through 6th grade) NO with this form) NEW STUDENTS TO PALM BEACH COUNTY (28) HOME LANGUAGE SURVEY YES NO • • 1. Is a language other than English used in the home? If YES, what language? 0 0 2. Does the student have a first language other than English? If YES, what language? 0 0 3. Does the student most frequently speak a language other than English? If YES, what language? R9) 4. What language is spoken in the home by the parent or guardian? (30) 5. What language is the students first language? 032) silken LNES WITH (check one) (31) What is the date of entry Into an ESOL program? 0 Mother 0 Father 0 Both Parents (33) DISCLOSURES FOR ENTRY INTO PBC SCHOOL DISTRICT YES NO 0 Other 0 0 I. Has the student ever been e,pelled from school? (31) CUSTODY STATUS OF STUDENT (check one) • Mother 0 Father El Shared Custody 0 0 2. Has the student ever had an arrest resulting in a charge? 0 0 3. Has the student ever had any Juvenile Justice actions? 0 Other MN Is there a court order barring either parent from removing or contacting the student during the school day? .0 YES 0 NO If YES, provide the school with a copy of the court order. PESO 0636 (REV. 5/29/2001) page 1 of 2 EFTA01709611 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGISTRATION (36) FATHER OR LEGAL GUARDAN first rmcWe Hap SAD giimOR4211 OR LEGAL GUARDIAN (last mAMM nee! WV IIIIIII IIIII PU: Y PU: Y ADDRESS (steel numbs. Ova nano, imwbnent number) ADDRESS (OW number. fl eet name aptalment numb*') CITY STATE ZIP CODE CITY STATE ZIP CODE OCCUPATION OCCUPATION PLACE Of EMPLOYMENT PLACE OF EMPLOYMENT NOME TEL BUSINESS TELEPHONE 6 ... 4(bAGER NUMBER HOME TELEPNCNE BUSINESS TELEPHONE CELUPETCR NUMBEfr EMAIL ADDRESS (44P4440 EMAIL ADDRESS foptcrer) EMERGENCY HEALTH AND SAFETY INFORMATION Person(s) other than parent authorized to pick up student isisi PASSWORD (krnt 10 characters) (39) NAME (leg middle ,Thtet 430 (41) NAME (Int middle neat MO OR ADORESS (OW numbs; awe nem, •Pein*Ilf numbs') ADDRESS 011.0 number. SFR name. 'prima,' twritkvi CITY STATE ZIP CODE CITY STATE ZIP CODE TELEPHONE RELATIONSHIP (40) AUTHORIZED FOR TELEPHONE RELATIONSHP (42) AUTHORIZED FOR EMERGENCY PCKUP EMERGENCY PICKUP • YES 0 NO T OTHER • YES 0 NO T (43) If school personnel are unacce to contact you in case of illness or accident. (44) MECCA& INFORMATION MI satienws irre:34I. bresov.x, hoc", issuin. spot mectocabons. or tts physar bintsbora) may we have your permission to call your doctor or emergency services (91 ) for transport to the hospdal? il YES 0 NO (45) FAMILY PHYSICiAN (46) PHYSCIAN PHONE (48) Does your child currently have health Insurance? 0 YES 0 NO If YES. Indicate (47) HOSPITAL PREFERENCE p Medicaid 0 Private • Healthy Kids, l60 Care ID interested In receiving information PARENTS/GUARDIAN'S OTHER CHILDREN IN PALM BEACH COUNTY SCHOOLS (49) NAME OF CHILD twat m404. 440 SCHOOL ATTENDING STUDENT NO pcNINNTO GRADE DATE OF BIRTH (50) NAME OF CHILD (Ent middle. MO SCHOOL ATTENDING STUDENT NO (optKAN) DRAM DATE OF BIRTH (51) NAME OF CHILD (hat middle MAD SCHOOL ATTEKONG STUDENT NO POPHO (-inn; DATE OF BIRTH (52) NAME OF CHILD (Ent middle. HAD SCHOOL ATTENDING STUDENT NO (c9bons0 GRADE DATE OF BIRTH PARENT/GUARDIAN SIGNATURE FOR OFFICE USE ONLY (53) SOT NO (54) STUDENT NO (5$) OCR 51) ENTRY CO (57) ENTRY OAT MI GP IN (59)CIL I verify that the information given 2451 US I E01 08/14/01 08 01 is true and accurate to the best of my knowledge. (CO) TEACHER NO (51) REASSIGN CODE KZ TRAKSPORTADDI 03)894114 VERF (64) HAS 0 PBC Bus a D Pakn Tran 1 2 3 4 51 A 0 Parent/Student Trans • Walk • Base 6 7 8 9T B2 (65) Din arNTATION CITECKLIST (PHI aNS Ple alum tserNE 0 Immunizations (date) 0 Birth Records Verif. (date) a Soc. Sec. No. (date) 0 Physical Exams (date) okjOATA ENTRY OnakElID BY DATE u DATE PBSD 0636 (REV. 4/920015/29/2001) EFTA01709612 a-e./C 01- fig' , I) 02-/ 6-4 0 1- 411 64) icia) 712 V n C V 6 *, Pe-Gas-via- 4O ./ I be 6 Litt W- 4-6 chb . Thy_ iek it9 tibia- ; to Car a./,re ht nioriced m Cal phone Mt t9-7t-k etc. EFTA01709613 THE SCHOOL DISTRICT OF PALM BEACH COUNTY 1998-1999 END-OF-YEAR RE OR for GRADES 1-5 tudent Grade Principal This school year, your child: cv did not have an Academic Improvement Plan (AIP) had an individual Academic Improvement Plan (AIP) for: 0 reading 0 writing ❑ mathematics This AIP identified remediation strategies used to assist your child this year. Your child may need another AIP next school year. of your child's performance this school year, your child is being recommended for: Ass Promotion to the next grade level O Retention in the same grade level ❑ Administrative Placement to the next grade level ❑ Summer School (for Limited English Proficient students) O Extended School Year (for Exceptional Student Education students) O 2.5 Summer Reading Program (for retained second grade students) O 5.5 Transition Program (for fifth grade students with Administrative Placement to grade 6) ❑ Other (Specify): In a continuing effort to keep you informed, this report is being provided to notify you of your child's progress toward meeting the school district's levels of performance in reading, writing, and mathematics. Your child's end-of-year performance level in reading, writing, and mathematics is identified below: READING WRITING (COMPOSITION) MATHEMATICS O Above grade level El Above grade level Above grade level EV- At grade level [ThAt grade level At grade level ❑ Below grade level' O Below grade level* Below grade level' ❑ Substantially below ❑ Substantially below Substantially below grade level** grade level— grade level— If below grade level has been indicated for reading, writing, and/or mathematics, you may be asked to participate in the development of a plan to improve your child's academic performance. This plan will be developed at the beginning of the 1999-2000 school year. " If substantially below grade level has been indicated for reading, writing, and/or mathematics, you will be asked to participate in the development of a plan to improve your child's academic performance. This plan will be developed at the beginning of the 1999-2000 sc ool year. eacher Signature Date PBSD 4 FY00 Printing White/Cumulative Folder Yellow/school Use Pink/Report Card EFTA01709614 THE SCHOOL DISTRICT OF PALM BEACH COUNTY Grade ELEMENTARY REPORT CARD Year 19 98 -19 99 Student School _ Teacher Principal MARKING CODES - ACADEMIC SUBJECTS SOCIAL DEVELOPMENT/CLASSROOM STUDY HABITS GRADES 1 and 2 Please work on the area(s) that have a check (I). E - Excellent S - Satisfactory Marking Period V - Very Satisfactory N - Needs Improvement 1st 2nd 3rd 4th Overall effort GRADES 3-5 A - Outstanding (94% - 100%) Works cooperatively B - Above Average (85% - 93%) Works independently C - Average (77% - 84%) Completes classwork on time 1.," D - Below Average (70% - 76%) F - Failing (0% - 69%) Completes homework on time V 1-7 - Incomplete Follows classroom rules and routines Uses time wisely ACADEMIC SUBJECTS Marking Period Follows directions ist 2nd 3rd 4th Accepts responsibility for own I Mathematics .frec.,arr eve. with ache:. A ti .43 .60 actions ,_. On or above grade level &e. V .4 _✓ ✓__ I,._ V Comes to class prepared with materials Below grade level Reading .rndcarc .eve A '' a tree 8 .8 Ei -0 iI On or above grade level Below grade level V''' fre... 1,'....' V ALTERNATE ASSESSMENTS Marking Period Composition Language Spelling )., 3 3,6 3.5' -(1 Indicate thoSe used with a check (I) Skills Checklist(s) Portfolio Audio Cassette Recording 1st 2nd 3n1 4th V V V i.---• 1 Handwriting/Penmanship Social Studies i Science/Health .F5 13 C c... Video Recording Computer Program Standardized Test(s) ObservationsMiritten Comments 7 V V V V V V V V tr." I, ,,/ • Grades not given this nine weeks Other MARKING CODES - FINE ARTS 3 - Outstanding effort and participation 2 Satisfactory effort and participation ATTENDANCE Marking Period 1 - Inadequate effort and participation: parent conference Regular attendance and punctuality requested are essential for quality education. Days Present FINE ARTS REPORT Marking Period Days Absent 1st 2nd 3rd 4th Days Tardy Art _3 3 3 Information Included Music 3 3 Physical Education 3 3 ,3 PLACEMENT • PARENT/GUARDIAN/TEACHER Marking Period CONFERENCE Grade Special Session 1st 2nd and 4th • If Special Session program is indicated, grade placement will Conference conducted (Indicate datets)) be determined by the Nome school. PBSD 0768 (Rev. 6/98) Goldenrod/1st Period Pink/2nd Period Canary/3rd Period Green/4th Period White/Office Copy EFTA01709615 THE SCHOOL DISTRICT OF PALM BEACH COUNTY Grade Sh ELEMENTARY REPORT CARD Year 19 9 7 -19 9 8 Student School Teacher Principal J MARKING CODES - ACADEMIC SUBJECTS SOCIAL DEVELOPMENT/CLASSROOM STUDY HABITS GRADES 1 and 2 Please work on the area(s) that have a check (I). E - Excellent S - Satisfactory Marking Period V - Very Satisfactory N - Needs Improvement 1st 2nd 3rd 4th GRADES 3.5 Overall effort A - Outstanding (94% - 100%) Works cooperatively B - Above Average (85% - 93%) Works independently V / C - Average (75% - 84%) D - Below Average (65% - 74%) Completes classwork on time / l., / F - Failing (0% - 64%) Completes homework on time t./ / / - Incomplete Follows classroom rules and routines Uses time wisely ti 7 ACADEMIC SUBJECTS Marking Period Follows directions 1st 2nd 3rd 4th Accepts responsibility for own Mathematics (Imitate level vet, a check) B [2) ce (3 actions On or above grade level V kr - V - 1 - Comes to class prepared with materials Below grade level Reading finthcate kvel wen a check) Pi _bB. PC_ On or above grade level V l/ V/ . Below grade level ALTERNATE ASSESSMENTS Marking Period Composition Lt I i t Indicate those used with a check (!) Skills Cheddist(s) in 2nd 3rd 4m Language Portfolio Spelling Audio Cassette Recording Handwriting/Penmanship Social Studies Science/Health Ag i Video Recording Computer Program Standardized Test(s) ObservationsNVritten Comments Grades not given this nine weeks Other MARKING CODES • FINE ARTS 3 - Outstanding effort and participation 2 - Satisfactory effort and participation ATTENDANCE Marking Period 1 - Inadequate effort and participation; parent conference Regular attendance and punctuality requested to 2nd 3rd 4th are essential for quality education. Days Present FINE ARTS REPORT Marking Period Days Absent 71} i t to 2nd 3rd 4th Days Tardy 1 -2 I Art Information Included V V Music 3 Physical Education .3 3 3 PLACEMENT • PARENT/GUARDIAN/TEACHER Marking Period CONFERENCE in 3rd 4th Grade V Special Session • if Special Session program is indicated, grade placement win I Conference conducted [Indicate date(s)] be determined by the home school. PBSD 0768 (Pilot FY 95) Goldenroditst Period Plnk/2nd Period Canary/3rd Period Green/4th Period White/Office Copy EFTA01709616 THE SCHOOL DISTRICT OF PALM BEACH COUNTY Grade 3 ELEMENTARY REPORT CARD Year 1996 -19 97 Student School Ma= Teacher Principal n MARKING CODES - ACADEMIC SUBJECTS SOCIAL DEVELOPMENT/CLASSROOM STUDY HABITS GRADES 1 and 2 Please work on the area(s) that have a check (I). E - Excellent S - Satisfactory Marking Period V - Very Satisfactory N - Needs Improvement let 2nd 1rd 4th GRADES 3-5 —Overall effort A Outstanding (94% - 100%) Works cooperatively B - Above Average (85% - 93%) Works independently C Average (75% - 84%) D Below Average (65% - 74%) Completes classwork on time / F Failing (0% - 64%) Completes homework on time I Incomplete Follows classroom rules and routines Uses time wisely ACADEMIC SUBJECTS Marking Period Follows directions ist Ind 3rd 41/‘ Accepts responsibility for own Mathematics (wan MW at a McNQ actions On or above. Comes to class prepared with materials Below grade le - ', .- Reading (nchcare level wrth a check/ On or above grade level Below grade level .• ALTERNATE ASSESSMENTS Marking Period Indicate those used with a check (i). lit 2nd 3rd 4th Composition Skills Checklist(s) Language Portfolio / /1 / Spelling Audio Cassette Recording Handwriting/Penmanship Video Recording Computer Program Social Studies Standardized Test(s) Science/Health A 1111 • Grades not given this nine weeks Observations/Written Comments Other i V V V V MARKING CODES - FINE ARTS 3 - Outstanding effort and participation 2 - Satisfactory effort and participation ATTENDANCE Meriting Period 1 - Inadequate effort and participation; parent conference Regular attendance and punctuality In raid 3rd lth requested are essential for quality education. Days Present a 1 :5_ FINE ARTS REPORT Marking Period Days Absent fl tl iii in 2nd 3rd ati, Days Tardy Art 3 Information Included Music Physical Education 3 3s PLACEMENT • PARENT/GUARDIAN/TEACHER Marking Period CONFERENCE lit 2nd 3rd 4th Grade Special Session • If Special Session program is indicated. grade placement will Conference conducted [Indicate clarets)) be determined by the home school. PBSD 0768 (Rev. 7194) Goldenrod/1st Period Plnk/2nd Period Canaryr3rd Period Gnmord4th Period WhIte/OffIce Copy EFTA01709617 SCHOOL BOARD OF PALM BEACH COUNTY Notice of Student with Special Characteristics PLEASE PLACE THIS NOTICE IN THE STUDENT'S CUMULATIVE RECORD IL NAME OF STUDENT Please check 2 in pencil each of the information items below which are accurate for this student. When changes occur please update by adding or erasing check marks as appropriate. Please sign and date each time the information on this page is changed. ErIcychological evaluation has been completed. Student is being processed for placement in an exceptional student program. Student has been staffed for an exceptional student program but has not been officially placed. Student has been placed in a full-time exceptional student program. List: Student has been placed in a part-time exceptional student program. List: ❑ Student has been referred for attendance problems. O Dispensing of medication during the school day has been authorized. ❑ Evidence regarding high risk medical condition is in folder. ID Student has been referred to the Community Mental Health Center. El Student has been referred to community agencies for service. El Migrant Student El Other This page has been updated OV DATE: BY: DATE: 4a97a5- PBSD 0269 (REV. 1/88) EFTA01709618 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 232.032, s. 10D-3.088, F.A.C. and s. 10M-12, F.A.C. LAST NAME FIRST MI DOB MCYDAAR PARENT OR GUARDIAN Child's SS# (optional) STATE IMMUNIZATION Mal Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-1, A-2, B, or C) on reverse side of form. • If the child is presenting for the 7th grade requirement only and has previously filed a Certificate of Immunization (680A or 680A-1) with their current Florida school, fill in boxed areas below and complete Part A-2 on the reverse side of this form. • For additional information: Sec Immunization Guidelines for School and Child Care Facilities for information and instructions on form completion and immunization requirements. Guidelines are updated annually and arc available from the local county health department. VACCINE DOE Dose S Dose 2 Dose 3 Dosc 4 Dose 5 DTaP/DTP2 DT' Td4 PoHos HIB6 MMR (Combined)9 (Separate)* Hepatitis B9 F PON rr • The state immunization ID# is an identifier supplisby the state immunization registry (optional). 2 DTP 5 doses required. If the fourth primary dose is administered on or after the fourth birthday a fifth dose is not required. DTaP is an acceptable alternative for one or more doses of DTP. 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 third dose is administered on or after the fourth birthday, a fourth dose is not required. IPV is an acceptable alternative for one or more doses of OPV. Polio vaccine is not required for children 18 years of age or older. 6 Hib is required for child cart and preschool entry and attendance only. 7 1st dose valid if given on or after 1st birthday. Second dose (measles) valid if given at least 1 month after 1st dose. A second dose of measles (preferably MMR) is required for students in grades K-4 in the 1997-98 school year, and 7th grade entry and attendance effective with the 1997/98 school year. In each subsequent year thereafter, the next highest grades arc included. Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (I). 9 Hepatitis B vaccine series is required for seventh grade entry and attendance effective with the 1997-98 school year and kindergarten entry and attendance effective with the 1998-99 school year. In each subsequent year thereafter, the next highest grades arc included. EFTA01709619 LAST NAME BAST MI DOB (NtO/DANR) Certificate of Immunization for K-12 Excluding 7th Grade Requirements PART A-1 (Immunizations are complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code 1 I have reviewed the records available, and to the best of my buiwledge, 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) for school attendance as documented on the reverse side of this form. Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: couwAtowes. FL 994.70 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, tll next highest grade will be included in the requirement.) DOE Code 8 I have reviewed the records available, and to the best of my low the above named child ceived the following immunizations requiredfor entry and attendance in 7th grade effective with the 1997.98 schoo iphtherig booster, hepatitis B vaccine series, and second dose ofmeasles vaccine as documented on the reverse side of this fo a.red area ' Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: ?Po Address: Date: Temporary Medical Exemption PART B (For preschool children, children in day care and school children who are incomplete for immunizations in Pan A-1 or A-2.) Invalid without expiratio date. DOE Code 2 I centifir that the above named child has recce the immunizations docum e reverse side of this form and has commenced a schedule to complete the required immunizations. Additiona munizations .t medically indicated at this time. e Physician or Clinic Name: Expiration Date: (Print or stamp) (15 days after ant inuntuthafteei appointment) hvsician or Address: ignature: Date: Permanent Medical Exemption PART C For medically contraindicated immun tions, 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 immun . ((s) as icated in Part C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Sign re: Address: Date: C41 680, II/96. obsolete* eel echunra (Sack Nernter 5740-000-0660.6) EFTA01709620 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code LAST NAME FIRST NAME MI DOB MO/DA/YR PARENT OR GUARDIAN CHILD'S SS# (optional) STATE IMMUNIZATION ID#' Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-I, A-2, B, or C) on reverse side of fem. • If the child is presenting for the 7th grade requirement only and has previously filed a Certificate of Immunization (DH 680, Part A-I) with their current Florida school, fill in boxed areas below and complete Part A-2 on the reverse side of this form. • For additional information: See Immunization Guidelines for Sch0ol andChild 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' Td' Polio` Hib' MMR (Combined)' (Separate)" Hepatitis B' Varicella" Varicella Disease I 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 4th birthday a 51" dose is not required. 3 DT (pediatric) is acceptable if pertussis vaccine is medically contraindicated. (Complete Part C for pertussis contraindication.) 4 Td (Adult) vaccine is recommended for children 7 years of age or older. S Polio 4 doses required. If the 3'd dose in an all OPV or all IPV series is administered on or after the 4th birthday, a 4th dose is not required. Polio vaccine is not required for children 18 years of age or older. 6 I lib 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 2nd dose of measles (preferably MMR) is required for students in grades K-6 and 7th 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 B vaccine series is required for 7th 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. EFTA01709621 LAST NAME J FIRSi MI DOB (MO/DA/YR) Certificate of Immunization for K-12 Excluding 7th Grade Requirements PART A-1 (Immunizations arc complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code 1 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. rube a and hepatitis B (for kindergarten effective with the 1998/ school year) and varicella. varicella vaccines not indicated if history ofdis ase either physician documented or parental recall (for kind arten effective with the 2001/2002 school year) for school attendance as do mented on the reverse side of this form. Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: Date: Certificate of Immunization Sup ement for 7th Grade Requirement Part A-2 (Immunizations arc complete or 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 ofmy knowledge, the above named child has received the following immunizations requiredfor entry• and attendance in 7th grade effective with the 1997/98 schoolyear: tetanus-diphtheria booster. hepatitis B vaccine series, and second dose ofmeasles vaccine as documented on the reverse side ofthisform (boxed areas). Physician or Clinic Nam Physician or (Print or stamp) Authorized Signature: Addres LOXAHAXCHHZ. FL 33470 Date: X 3 4O1 Temporary Medical Exemption PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who are incomplete for immunizations in Part A-I or A-2.) Invalid without expiration date. DOE Code 2 1certify that the above named chi has received th immunizations documented on the reverse side of this form and has commentyd a schedule to complete the required immunizatio Additional i munizations are not medically indicated at this time. Expiration Date: Physician or Clinic Name: (I5 days after next immunization (Print or Stamp) appointment) Physician or Address: Authorized Signature: Date: Permanent Medical Exempti n PART C For medically contraindi ated immuni ations, list each vaccine and state valid clinical re soning or evidence for exemption: DOE Code 3 / certify that the physical condition is such that immunization(s) as indicated in Part C above is medic indicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: Date: D11600. &2000, obtain., enIkr edition, (SI Numbyr: 5140400-0680-6) EFTA01709622 FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: FLORIDA STATUTES 2.32.032, s. 10D-3.088, F.A.C. and s. 10M-12, F.A.C. LAST NAME FIAIST MI DOB MO/DA/YR PARENT OR GUARDIAN Child's SS# (optional) STATE IMMUNIZATION ION Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-1, A-2, B, or C) on reverse side of form. • If the child is presenting for the 7th grade requirement only and has previously filed a Certificate of Immunization (680A or 680A-1) with their current Florida school, fill in boxed areas below and complete Part A-2 on the reverse side of this form. • For additional information: See Immunization Guidelines for School and Child Care Facilities for information and instructions on form completion and immunization requirements. Guidelines are updated annually and are available from the local county health department. VACCINE DTaP/DTP2 DT3 Td' Polio' HIB6 MMR (Combine (Separate Hepatitis B9 The state im 2 DTP 5 doses required. If the fourth primary dose is administered on or after the fourth birthday a fifth dose is not required. DTaP is an acceptable alternative for one or more doses of DTP. 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 third dose is administered on or after the fourth birthday, a fourth dose is not required. IPV is an acceptable alternative for one or more doses of OPV. Polio vaccine is not required for children 18 years of age or older. 6 Hib is required for child care and preschool entry and attendance only. 7 1st dose valid if given on or after ist birthday. Second dose (measles) valid if given at least I month after 1st dose. A second dose of measles (preferably MMR) is required for students in grades K-4 in the 1997-98 school year, and 7th grade entry and attendance effective with the 1997/98 school year. In each subsequent year thereafter, the next highest grades arc included. Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (I). 9 Hepatitis B vaccine series is required for seventh grade entry and attendance effective with the 1997-98 school year and kindergarten entry and attendance effective with the 1998-99 school year. In each subsequent year thereafter, the next highest grades arc included. EFTA01709623 LAST iCIAME FIRST MI DOB (MO/DA/YR) Certificate of Immunization for K-12 Excluding 7th Grade Requirements PART A-I (Immunizations are complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code I I have reviewed the records available, and to the best of my knowledge, the above named child has been adequately immunized against diphtheria, tetanus, pertussis, polio, measles, mumps, rubella and hepatitis B (for kindergarten e ective with the 1998199 school year) for school attendance as documented on the reverse side of thisform. Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: Date: 7kAk Certificate of Immunization Supplement for 7th Grade Requirement PART A-2 (Immunizations arc complete for students who enter or attend the 7th grade alter the beginning of the 1997/98 school year. Each subsequent year thereafter, the next highest grade will be included in the requireme • •E Code 8 I have reviewed the records mailable, and • the best of my knowledge, the above name has received the following immunizations requiredfor entry and attendance in 7th grade 1ective with the 1997/98 school yea etanus-diphtheria booster, hepatitis B vaccine series, and second dose ofmeasles vaccine as documented the reverse side of this (boxed areas). Physician or Clinic Name: Physician or (Pant or stamp) ture Address: Date: Temporary Medical Exemption PART B (For preschool children, children in day care and school children who arc incomplete for immunizations in Part A-1 or A-2.) Invalid without expiration date. DOE Code 2 I certify that the above named child has recen the immunizations documented on the reverse is form and has commenced a schedule to complete the required immunizations. Additiona munizations are not medically i at this time. Physician or Clinic Name: Expiration Date: (Print or stamp) (15 days after wert InimonLtatbn app6Intrnent) Physician or Address: 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 e is medically contraindicated. Physician or Clinic Name: (Print or stamp) hysiclan Signature: Address: DH 611{1 I I /96. obsolete. whet editions (Stock Mtge 57411.041)6e0 6) EFTA01709624 S '01_ BOARD OF PALM BEACH COUNTY, F! DA SCHOOL ATHLETIC HEALTH EXAMINATION FORM STUDENTS NAME SCHOOL IN THE EVENT OF AN EMERGENCY WHEN A PARENT OR GUARDIAN CANNOT BE REACHED, CONTACT THE PERSON BELOW: NAME PHONE ADDRESS CITY STUDENTS PERSONAL PHYSICIAN PHONE HOSPITALIZATION OR MEDICAL INSURANCE COMPANY AND POUCY NUMBER: PHYSICAL EXAMINATION: Pulse Rate CCU VISION: Normal Abnormal Wood Pressure I 10 r (CO Right Eye I iOntriout glasses 3 9 without glasses (00 - Leh Eye Height 2 9 with glasses 4 with glasses Weight NOTE: Minimum weight at which this student may wrestle i pounds. Skin calipers must be used to determine minimum weight. I. 2. L C .. NOT NORMAL ABNORMAL EXAMINED COMMENTS EXAMINER 1. Eyes lY 2. Ears. Nose, Throat t..." 3. Neck (soft tissue) —7 4. Mouth and Teeth ,_../ 5. Cardiovascular i_.../ 6. Chest and Lungs ...-7 7. Abdomen ._V - 8. Genitalia-Hernia _...., 9. Skin and Lymphatics _..." 10. Neck _ea- 11. Spine -- 12. Shoulders _.... 13. Arms and Hands „.../ 14. Hips c.../ 15. Thighs _......1 16. Knees ,.../ - 17. Ankles _./ 18. Feet ...." 19. Neurological ..../ 20. TubercuilnymNlype Dave Rskia. . 2 Urinalysis (Opsbck) 22. HematocnwHemoglobin GM --- (Required tor grades 6, 9, and any student new fo the (optional) Lo4Jt (optional) ,* Florida School System) ,...._ Based ol ihnludol ard IsQl elanatchr Ire ictbrang 2,10Itaftes nere bald and RE IDATIONS: (Attach additional information if necessary) need vealmat. .T4tere were no history or physical findings on this examination which 2 17 would prohibit this student from panimpating in competitive athletics. ri This student stould have the to:lowing health problems evaluated or treated pnot to participation in competitive athletics: S P It DATE 74% O This student has health problems which need to be accommodated to enable the child to participate in competitive athletics: This student has health problems which would prohibit him or her from participating in competitive athletics. PHYSICIAK S ADDRESS TELEPHONE NO. PBSO 1482 (NEW 8193) GC6684a EFTA01709625 SL .d0L BOARD OF PALM BEACH COUNTY, FL ADA SCHOOL ATHLETIC HEALTH EXAMINATION FORM-(PRE-PARTICIPATION) THIS FORM MUST BE FILLED OUT COMPLETELY BEFORE STUDENT IS ALLOWED TO PRACTICE AND OR COMPETE STUDENTS NAM A DATE OF BIRTH SCHOOL GRADE PARENT'SGUARDIANS NAME HOME PHONE HOME ADDRESS BUS. PHONE: 'rum., BUS. PHONE: Newer) SCHOOL ATTENDED LAST YEAR CSTWSTATE HEALTH HISTORY PRE-PARTICIPATION EVALUATION AND HISTORY: (To be completed by student and/or parents) HAVE YOU EVER HAD (Check yes or no in appropriate box for each of the following questions YES NO ATE OF LAST KNOWN TETAN tie main past tin years 1. My throne or recurrent ienesses? 2. My Mess lasing more than a week? use this space if 3. My ridsptalizations? explain 4. My surgery other than mn%eclomy? provide any additional information: 5. My inymes Nearing treatment oy a physician? 6. My problem with blood pressure or heart? 7. My dizziness, Wong. convulsions or frequent headaches? 8. MY Ion cgs?? 9. My knee surgery? 10. MY arta WY? II. My neck inysy? 12 My other pint sprain or dislocations (shoulder. wrist)? 13. My broken bones (rrangeS)? This application to compete In It My heat eirausuan or heal stroke? interscholastic athletics for the above Ate you presently taking any medication/ school is entirely voluntary on my part 16 Have you ever been knocked out or had a concussion? and is made with the understanding that 17. Do you wear eyeglasses or contact lenses? I have not violated any of the eligibility Do you wear any dental appliances such as Paces. bodge or plates? rules and regulations of the Florida High 1a Are you alerts to ANY medications (aspen. penoWn. etc.)? School Activities Association. al Do you have to stop while running around V. mile tiara Nye? a Have any mernoers of your larnty had heart problems or heart attack under the age of 50? a Has anyone in your close family ever had ciabetes thigh sugar in blood)' DATE ZS Has anyone n your tansy under age 50 died suddenly? 24 Do you have any organ missing other man wises (appenon. eye. kidney)? SIGNATURE OF STUDENT PARENT'S OR GUARDIAN'S PERMISSION: Parent or Guardian to Read and Sign — Ice* the above information is true and I consider hinvher physically capable of parmapaung in athletics. I hereby give my consent lor the above named student (I) to represent hisrher school in athletic actrwbes. except those exceptions cited by the examining physician provide that such athletic activities are approved by the State Association: (2) to accompany school team of which he/she is a member on any of its local or out of town tnps. I authorize the school to obtain, through a physician of its own choice, any emergency medical care that may become reasonably necessary for the student in the course of such athletic acLvities or such travel. I also agree not to hold the school or anyone acting in its behalf or the Florida High School Activities Association responsible for any injury occurring to the above named student in the course of such travel. I also grant permission to the Palm Beach County School System to release any and all athletic injury information relating 10 the above named student to a Sports Medicine Program Injury Registry. SIGNATURE OF PARENTGUARDIAN DATE POND 1068 (REV. 8/93) GC66841) EFTA01709626 STATE OF FLORIDA DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES Student STUDENT HEALTH EXAMINATIONS Dale CO. I I •CO Full Na Phone Race ei Sex Address Birthdal, Name of Parent or Guardian A. HEALTH EXAMINATION levant 106 1 Pre'sure Iccb (I) Normal-N: Abnormal=A N A COMMENT: Abnormal Findings. by number 1 Appearance C.-0/7 2. Skin/Nose t.---17 3. Head/Scalp .../ 4 Eyes ..7 0 .99133 CL), ..DJ.906 651-4 n 5. Visual Acuity IIR & LI .....- 6. Ears 7. Auditory Acuity IR & LI 8 Nose / Throat .7 9. Mouth. Teeth and Gums 10. Chest / Lungs ..--"*" 11. Heart ..„..-- 12. Abdomen ,...--- 13. Genitals and Anus ,...----' 14. Musculo-Skeletal ....,- 15. Neurological V 16 Alertness .../ 17. Emotional / Mental/ Behavior Rob I 18. Handicap. physical/ other (Specify) 19. Activity Restrictions (Specify) 20. Abuse. substance/ physical / emotional 21. Nutrition L.,- 22 Other -----"---- B. HEALTH HISTORY serious Illnesses Injuries: explain) (attach narrative if additional space needed) C. LABORATORY ( indicated) type Hemoglobin/Hematocrit Stool (0 & PI date Tuberculin test Lead Sickle Cell resuk Na A (Pt dL ti—OXAHATCHEE. L. 33470 Au a ignature ate MRS -M Form 3040, Mar 91 (Obsotetes previous editions) (Stock Muter: 5744.000-3040-2) EFTA01709627 STATE OF FLORIDA DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES STUDENT HEALTH EXAMINATIONS Date Student's Full Name., Age Race Sex Address Birth-JP., Name of Parent or Guardian School A. HEALTH EXAMINATION Heght f Weight ` Blood Pressure 11 0/66 (v) Normal-N: Abnormal-A N A COMMENT: Abnormal Findings, by number 1 Appearance 2. Skin/Nose 3 Head/Scalp 4. Eyes 5. Visual Acuity (R & LI 6. Ears 7. Auditory Acuity (R & LI 8. Nose / Throat 9. Mouth. Teeth and Gums 10. Chest / Lungs 11. Heart 12. Abdomen 13. Genitals and Anus 14. Musculo-Skeletal 15. Neurological 16. Alertness 17. Emotional / Mental/ Behavior Prob. 18 Handicap. Physical/ other (Specify) 19. Activity Restrictions (Specify) 20. Abuse. substance/ physical / emotional 21. Nutntion 22 Other B. HEALTH HISTORY Serious Illnesses Infuriesi explain) (attach narrative if additional space needed) C. LABORATORY pvicl ted) type 7 .15/7 1-1C Heriluglobing LoiertuLrit t:-/ • Stool (O 8 13) date. f:r1 / Tuberculin test Lead o: r oil results NAME: TITLE: ADDRESS: WEST PALM BEACH, )-1. (Please Print) Authorized Signature Date IIRS-11 Form 3040, Mar 91 (0bsotetes previous editions) (Stock Number: 5744-000-3040.2) EFTA01709628 Pint a MANS FLORIDA CERTIFICATE OF IMMUNIZATION (HRS 680 - PART A) (Florida Statutes 232.032) otraanson a st FOR CHILDREN WHO HAVE COMPLETED ALL REQUIRED IMMUNIZATIONS FOR SCHOOL ATTENDANCE DATE OF BIRTH 1 CHILD'S NAME MO DA ' YR PARENT OR GUARDIAN DOCTOR: PART A OF THIS FORM IS USED ONLY IF THE CHILD HAS RECEIVED ALL REQUIRED IMMUNIZATIONS LISTED BELOW. IF NOT. SEE REVERSE SIDE. DTP — 5 DOSES REQUIRED IF THE FOURTH PRIMARY DOSE OF DTP IS ADMINISTERED ON OR AFTER THE FOURTH BIRTHDAY, A FIFTH DOSE IS NOT REQUIRED. OT (PEDIATRIC) VACCINE IS ACCEPTABLE IF PERTUSSIS VACCINE IS MEDICALLY CONTRAINDICATED (COMPLETE PART C FOR PERTUSSIS CONTRAINDICATION.) Td (ADULT) VACCINE (A SERIES OF 3 DOSES) IS ACCEPTABLE AND RECOMMENDED FOR CHILDREN 7 YEARS OF AGE Oft OLDER. POLIO (TOPV) - 4 DOSES REQUIRED IF THE THIRD PRIMARY DOSE OF TOPV IS ADMINISTERED ON OR AFTER THE FOURTH BIRTHDAY. A FOURTH DOSE IS NOT REQUIRED. POLIO VACCINE IS OMITTED FROM THE REQUIRED IMMUNIZATIONS OF CHILDREN 18 YEARS OF AGE OR OLDER. MEASLES. MUMPS. AND RUBELLA - I DOSE REQUIRED !AMR COMBINED - 1 DOSE AT 12 MONTHS OF AGE OR OLDER AND IN 1968 OR LATER (RECOMMENDED AT 15 MONTHS) -OR- MEASLES SINGLE - 1 DOSE AT 12 MONTHS OF AGE OR OLDER AND IN 1968 OR LATER (RECOMMENDED AT 15 MONTHS) MUMPS SINGLE - 1 DOSE AT 12 MONTHS OF AGE OR OLDER RUBELLA SINGLE - 1 DOSE AT 12 MONTHS OF AGE OR OLDER MO DA ALL APPROPRIATE DOSES AND DATES INCLUDING BIRTHDATE MUST BE ENTERED. AND THE CERTIFICATE SIGNED BELOW BY A PHYSICIAN OR AUTHORIZED PERSON AND DATED IN ORDER FOR THE CHILD TO ATTEND SCHOOL. I HAVE REVIEWED THE RECOR F MY KNOWLEDGE THE ABOVE NAMED CHILD HAS BEEN ADEQUATELY IMMUNIZED AGAINST DIPHTHERIA, TETANUS. PERTU D RUBELLA AS REQUIRED BY FLORIDA LAW FOR SCHOOL ATTENDANCE. 33407 WEST PALM BEACH, FL PHYSICIAN OR CLINIC NAME (PLEASE PRINT) PHYSICIAN OR AUTHORIZED SIGNATURE EFTA01709629 DATE OF BIRTH I I I CHILD'S NAME MO DA YR PARENT OR GUARDIAN DOCTOR: IF THE CHILD HAS NOT RECEIVED THE REOUIRED DOSES LISTED IN PART A, PLEASE COMPLETE PART B OR PART C. AS APPROPRIATE. AND SIGN AND DATE. TEMPORARY MEDICAL EXEMPTION (HRS 680 - PART B) FOR PRESCHOOL CHILDREN AND FOR SCHOOL CHILDREN WITHOUT ALL IMMUNIZATIONS REQUIRED IN PART A I CERTIFY THAT THE ABOVE NAMED CHILD HAS RECEIVED THE IMMUNIZATIONS LISTED BELOW AND HAS COMMENCED A SCHEDULE TO COMPLETE THE REQUIRED IMMUNIZATIONS. ADDITIONAL IMMUNIZATIONS ARE NOT MEDICALLY INDICATED AT THIS TIME. TYPE VACCINE DATE (MO/DA/YR) DATE (MO/DA/YR) DATE (MO/DA/YR) DATE (10/0A/YR) DATE (MO/DA/YR) DTP DT Td POLIO Nth MMR RUBEOLA (MEASLES) EXPIRATION BATE (MO/DA;YR) MUMPS (SHOULD BE 15 DAYS AFTER NEXT APPOINTMENT RUBELLA PHYSICIAN OR AUTHORIZED SIGNATURE DATE PERMANENT MEDICAL EXEMPTION (HRS 680 - PART C) I CERTIFY THAT THE PHYSICAL CONDITION OF THIS CHILD IS SUCH THAT IMMUNIZATION(S) IS MEDICALLY CONTRAINDICATED. LIST VACCINE(S) AND STATE VALID CLINICAL REASONING OR EVIDENCE FOR EXEMPTION FOR EACH VACCINE. PHYSICIAN'S SIGNATURE DATE HRS Farm 680. Mar 91 (DowMes Previous edtheris) Bunk Number 5740.000.0680-6) EFTA01709630 ILTCNING IDC OF ILLINOIS CHILD'S DIRT14 MYYKI CERTTIRCATE OF LIVE BIRTH 112- N ANNA LAilv OATS OF Mann isseNTa. SAP 'S aul 2b. CITY. TONS. Tat 7.1n Pm OM ROAD DISTRICT ISO Female 4a MerCY COUNTY Urbana k. Champa gn OF MIMI lit NOT IN VAN AAAAA 5, Michigan 6c VPS e. rhampai nn CITY Oa T•All Illinois 61866 •CIElAt Tani 01 OT IBIS?" III NOT NI V • • <W NTNtl TAM Ilatoll Sb. 23 Sc. California • no •••• MST on Nv aoon-L•Det Ale SC LIS • NS L ATION TO CHILD Pi OSY VIA01 9•31Thno-4") lt} NAAR LAAA AO moan Al.vt at •nil • 00 I. nut •,40 OA TC LIOHCO 1.0.• so toed RATS • I Ob M 'LONGO' Liston MO. ?MC OA AT SURTO IF OTNLM THAN CCRTIFICR Inn OA NOM IDs Ioc.75310 100 CCM tiAllltIWO Mil ITVIS ON MAILING AD DIMS, I AAAAAA M NA 00 CItY OO DANA AAAAA 10e 1~ Champaign,Illinois 61820 LOCAL RCOI won :CCC. 1VA ST LOCAL NCO' DATE III ID 7‘ in VRI00 IllTS/ II LikelS OEPARTMEMT OF PUBLIC MEAL - OFFICE OF VITAL RECORDS 'MASSA AA !MI DA. STANCLA•0 CSIIT/INCATI, I, DENNIS R. BING, duly elected, qualified and acting County Clerk of Champaign County, Illinois, • and keeper of the records thereof, do hereby certify that the foregoing is a true and correct copy of the original record of BIRTH OF IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this 17th day of November A.D. 1987 nty Cle Deputy County Clerk EFTA01709631 Customer Copy Fold On Perforation Before Tearing Please notify FPL of any changes in the Date Of This New Owns Total Amount customer name or rate classlype of usage Statement Past Dos After Now Due FPL (Example: Residential VS. Non-Residentiall. C JUL 30 9 AUG 20 9 260'67 Customer Name Service Address Account Nunn I Meter No. Class Of Service Smice Used c Mem hadiap Kilowatt Amount From Oen Previews Coital Noun Used RS-1 RESIDENTIAL JUN 301.TJUL 30130 762410592 2968 230 97** GROSS RCPTS TAX INCR 237 FRANCHISE CHARGE 881 e, G3 UTILITY TAX 1852 \ LATE PAYMENT CHARGE OF 1.5% WILL APPLY IF NOT PAID BY AUG 20 HELP HOLD DOWN SUMMER COOLING COSTS. CALL 1-800-DIAL-FPL AND ASK FOR A FREE. SUMMER ENERGY DIET KIT. Total Amount Now Due ) 26067 Energy Usage Information ••Electric Service Amount Includes The Following Charges: KWH Used This Month lanai KWH Per Day Cestome MOW Energy Chagas hal Camp Dowd Charge Charge This 2968131 99 565 4582 1ST 750 2262 Year test Year 1510 0to I I 0205420490 4503 Dollars Per Month 5582 OVER 750 Coos Per KWH Cab PINION Dollars Per KW 697-8000 FPS Office Location PALM BCH GARDENS FPL non No. yoe have arryguestion or regain assistance, call or visit ley FPL business office. . 411kt other FPl customer service location. See reverse side for additional information Call letth Waited 1117TDD11.00-C-6564. 4. EFTA01709632 REPORT fl CTBS/4 STUDENT REPORT TEACHER: FOR: SCHOOL: GRADE: 05 DATE OF TESTING: 4/13/99 TEST: CTBS/4 LEVEL 15 FORM B STUDENT NUHBER: SCORE RANGES WIEST AVERAGE HIGHEST PERCENTILE TESTS RANKS LOW low( READING COMPREHENSION 83 ===m=== MATH CONCEPTS & APPLICATIONS 87 ===w== TOTAL LANGUAGE LANGUAGE MECHANICS LANGUAGE EXPRESSION RANGES OF 1-M mi* 51-75 76-99 PERCENTILE PERCENTILE PERCENTILE PERCENTILE PERCENTILE RANKS Dear Parent/Guardian: This spring, 'I'll, was given the Comprehensive Tests of Basic Skills/Fourth Edition (CTRS 4 . This report explain test results. When compared with students across the nation, scored in the highest range on all tests taken. Additional information about these tests can be found on the back of this page. If you would like more information about test scores, please contact our school. Sincerely, Principal SCHOOL COPY EFTA01709633 FCAT Achievement Levels The Florida Comprehensive Assessment Test (I:CAT) measures student performance on selected benchmarks in reading and 1999 mathematics as defined by the Sunshine Stare Standards. The Standards articulate challenging content that Florida students are expected to know and be able to do. Individual Profile A student achieves ono of five possible levels based on the student's Total Score. The Total Score that a student could achieve on each subject area ranges from 100 to 500. Report LEVEL 5: Performance at this level indicates that the student has success with the most challenging content of the Sunshine State Standards. A Level 5 student answers most of the test questions correctly, including the most challenging questions. ID Number LEVEL 4: Performance at this level indicates that the student has success with the challenging content of the Suns/luxe State Standards. A Level 4 student answers most of the questions correctly but may have only somo success with questions that reflect the most challenging content. Grade 5 LEVEL 3: Performance at this level indicates that the student has partial success with the challenging content of the Sunshine State Standards, but performance is inconsistent. A Level 3 student answers many of the questions correctly but is generally less successful with questions that are most challenging. LEVEL 2: Performance at this level indicates that the student has limited success with the challenging content of the Sunshine State Standards. CAT LEVEL 1: Performance at this level indicates that the student has little success with the challenging content of the Sunshine State Standards. Comprehensive Assessment Test Achievement Total Level Score Mathematics 3 336 The Total Mathematics Score of 336 indicates that scored in the highest third of grade 5 students who took FCAT Mathematics in 1999. Achievement Level Total Score Ranges Mathematics SubscoreS Each Subscore represents the percentage of content in that area that the student responded to successfully. Level 5: 395-500 0 25 50 75 100 Level 4: 355-394 Level 3: 326-354 Level 2: 288-325 Level 1: 100-287 Mathematics Number Sense 64% Measurement 69% School Number. 2141 Geometry 62% ACREAGE PINES ELEMENTARY District Number 50 Algebraic Thinking 73% PALM BEACH Data Analysis 65% If you were to take FCAT again, your total score and subscores might be slightly lower or higher than reported above. However, your scores should fall within an expected range of scores. For FCAT Mathematics, you would be expected to score not Run Dal, !,1:119!) lower than 326 and not higher than 346. For the subscores, you would be expected to perform in the range represented by the lines extending from the diamonds. CTB McGraw-HIII EFTA01709634 Mathematics Content Tested Área de contenido del examen de Matemáticas FCAT Mathematics is an assessment of the Sunshine State Standards El examen de Matemáticas FCAT es el examen que evalúa las normas educativas in mathomatics. FCAT Mathematics assesses content from the de Matemáticas del estado de la Florida (Stuuhine State Standards). Este examen following areas: evalúa las habilidades siguientes: Number Sense, Concepts, and Operations Comprensión numérica, conceptos y operaciones • identifying operations (+, x, -l-) and effocts of operations • identificación de operaciones (+, x, -1 y efectos de operaciones • determining estimates • estimación de resultados • knowing how numbers are representod and used • uso y representación de números Measurement Medidas • recognizing moasurements and units of measurement • reconocimiento de medidas y de unidades de medidas • comparing. conlrasting, and converting measurements • comparación y conversión de medidas Geometry and Spatial Sense Geometria y noción espacial • describing, drawing, identifying, and analyzing two- and • descripción, dibujo, identificación y análisis de figuras de dos y tres dimensiones three-dimensional shapes • visualización e ilustración de cambios en figuras • visualizing and illustrating changos in shapes • uso de geometría coordinada • using coordinate geometry Razonamiento algebraico Algebralc ThinkIng • descripción, análisis y generalización de patrones, relaciones y funciones • describing, analyzing, and generalizing patterns, relations, • escritura y uso de expresiones, ecuaciones, desigualdades, gráficas y fórmulas and functions ▪ writing and using expressions, equations, inequalities, Análisis de datos y probabilidad graphs, and formulas • análisis, organización e interpretación de datos • identificación de patrones y elaboración de predicciones, inferencias y Data Analysis and ProbabIllty conclusiones válidas • analyzing, organizing, and interpreting data • uso de probabilidad y estadística • identifying patterns and making predictions, inferences, and valid conclusions • using probability and statistics La Prueba de Evaluación Comprensiva del Estado de la Florida (FCAT) mide el rendimiento del estudiante según criterios específicos en áreas de lectura y matemáticas, los cuales están especificados en las Normas Educativas del Estado de la Florida (Sunshine State Standards). Dichas normas establecen el nivel de conocimientos que los estudiantes del estado de la Florida deben tener y saber aplicar. El estudiante puede alcanzar uno de los cinco niveles de rendimiento posibles, en base a la calificación total. El estudiante puede alcanzar una calificación entre 100 y 500 en cada área de estudio. Nivel 5: Este nivel de rendimiento indica que el estudiante ha alcanzado con facilidad el nivel de conocimientos establecido en las Normas Educativas del Estado de la Florida. Un estudiante del Nivel 5 responde a la mayoria do las preguntas correctamente, incluyendo las más complicadas. Nivel 4: Este nivel de rendimiento indica que el estudiante ha alcanzado satisfactoriamente el nivel de conocimientos establecido en las Normas Educativas del Estado de la Florida. Un estudiante del Nivel 4 responde a la mayoría de las preguntas correctamente, pero responde acertadamente solamente a algunas de las preguntas más complicadas. Nivel 3: Este nivel de rendimiento indica que el estudiante ha alcanzado de una manera parcialmente satisfactoria el nivel de conocimientos establecido en las Normas Educativas del Estado de la Florida y presenta un rendimiento variable. Un estudiante del Nivel 3 responde a muchas de las preguntas correctamente, pero en general, tiene bastante dificultad con las preguntas más complicadas. Nivel 2: Este nivel de rendimiento indica que el estudiante, de una manera limitada, ha podido alcanzar el nivel de conocimientos establecidos en las Normas Educativas del Estado de la Florida. Nivel 1: Este nivel de rendimiento indica que el estudiante ha tenido poco éxito en alcanzar el nivel de conocimientos establecido en las Normas Educativas del Estado de la Florida. ;ya CTB McGravv-Hill EFTA01709635 REPORT 81 CTBS/4 STUDENT REPORT TEACHER: FOR: SCHOOL: GRADE: 04 DATE OF TESTING: 4/20/98 TEST: CTBS/4 LEVEL 14 FORM A STUDENT NUMBER: SCORE RANGES LOWEST AVERAGE HIGHEST PERCENTILE TESTS RANKS LOH HIGH TOTAL READING READING COMPREHENSION 99 =a READING VOCABULARY TOTAL MATHEMATICS MATH CONCEPTS & APPLICATION 97 ..m= MATH COMPUTATION SCIENCE SOCIAL STUDIES RANGES OF 1-25 26-50 51-75 76-99 PERCENTILE PERCENTILE PERCENTILE PERCENTILE PERCENTILE RANKS Dear Parent/Guardian: This spring, was given the Comprehensive Tests of Basic Skills/Fourth Edition (CTBS 4 . This report explains test results. When compared with students across the nation, scored in the highest range on all tests taken. Additional information about these tests can be found on the back of this page. If you would like more information about test scores, please contact our school. Sincerely, Principal SCHOOL COPY EFTA01709636 Student Name FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2000 NORM-REFERENCED TEST Student Report Grade 06 District Name and Number 50 • PALM BEACH This report shows your results from the FCAT National Norm-Referenced Test. The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics Problem Solving describe your performance in relation to the performance of students throughout the nation. Your scores are shown below. SUBJECT SCORES CONTENT SCORES National Number Number Number Scale Percentile of Points of Points of Questions Score Rank Stanine Possible Earned Attempted Reading Comprehension 54 49 54 Reading 726 95 8 Initial Understanding 12 12 12 Comprehension Interpretation 24 22 24 Critical Analysis 9 9 9 Mathematics 697 87 7 Problem Solving Strategies 9 6 9 Mathematics Problem Solving 48 38 48 The Scale Score expresses your performance and allows comparisons from year to year. Measurement 6 6 6 Reading Comprehension Scale Scores range from 491 to 810. Mathematics Problem Solving Estimation 4 2 4 Scale Scores range from 497 to 814. Problem Solving 5 3 5 The National Percentile Rank and Stanine indicate your relative standing in comparison to the Number Relationships 6 5 6 national reference group. National Percentile Ranks range from 1 to 99. Stanines range from 1 to 9. Number Systems 5 4 5 Patterns & Functions 3 3 3 It you took the test again, your National Percentile Rank might be slightly higher or lower than stated here. However, your National Percentile Rank would probably fall within a certain range. Algebra 3 3 3 For Reading Comprehension, your National Percentile Rank should be between 90 and 98. For Statistics 6 4 6 Mathematics Problem Solving, your National Percentile Rank should be between 81 and 93. Probability 3 3 3 Geometry 7 5 7 The content tested is described on the back of this report. Each question was worth 1 point. Run Date: 06/21/2000 0265714 EFTA01709637 Grades 5, 6, 7, and 8 Grados 5, 6, 7, y 8 The FCAT NRT Reading Comprehension Test assesses La Prueba de Comprensiem de Lectura FCAT NRT evaltia the following objectives: los siguientes objetivos: • Initial Understanding - Demonstrate the ability to comprehend explicitly • Entendimiento - Demostrar su habilidad para comprender stated relationships in a variety of reading selections. expllcitamente el contenido y la relacien entre si dentro de una variedad de • Interpretation - Demonstrate the ability to form an interpretation of a variety solecciones de lecture. of reading selections based on explicit and implicit information in the • Interpretation - Demostrar su capacidad interpretative dentro de una selections. variedad de solecciones de lecture, basandose en informaci6n expllcita o • Critical Analysis - Demonstrate the ability to synthesize and evaluate impllcita en dichas selecciones. explicit and implicit information in a variety of reading selections. • Analisis crttico - Demostrar la habilidad para sintotizar y evaluar • Strategies - Demonstrate the ability to recognize and apply text factors and information expllcita e impficita en una variedad de selecciones de lecture. reading strategies in a variety of reading selections. • Estrategies Demostrar habilidad para reconocer y aplicar el contenido del texto y ostratogias utilizadas en una variedad de solecciones do lecture. The above objectives are measured within the following contexts: Los objetivos anteriores se evalOan en los contextos siguientes: • Recreational- material typically read for enjoyment. • Textual - material typically found in grade-appropriate textbooks and other • Recreativo - material utilizado para entretenimiento. sources of information. • Textual - material utilizado en libros de texto del grade apropiado yen • Functional - material typically encountered in everyday life situations. otras medios informativo. • Funcional - material utilizado on la vide diaria. The FCAT NRT Mathematics Problem Solving Test La Prueba para Resolver Problemas de Matematicas assesses the following objectives: FCAT NRT evaltia los siguientes objetivos: • Measurement - Demonstrate an understanding of the principles of • Medidas - Demostrar sus conocimientos de los principios de modir. measurement. • Estimacion - Deteminar cuen razonables son los resultados y aplicar la • Estimation - Determine the reasonableness of results and apply estimation estimation en la solution de problemas. in problem solving. • Estrategias pare resolver problemas - Demostrar comprension del • Problem Solving Strategies - Demonstrate an understanding of the process proceso de resolver problemas convencionales y fuera do lo comOn. of solving conventional and non-routine problems. • NOmeras y relaciones entre nOmeros Represontar y usar nUmeros on • Number and Number Relationships - Represent and use numbers in formes equivalentes en problemas de matematica y de la vide diaria, y equivalent forms in real-world and mathematical problems, and demonstrate demostrar sentido para las fracciones, los decimates y los nUmeros enteros, number sense for whole numbers, fractions, decimals, and integers. positivos y negativos. • Number Systems and Number Theory - Demonstrate an understanding of • Sistemas y toads de los nOmeras Demostrar conocimiento numeric° de relationships among arithmetic operations and apply concepts of number las relaciones entre las operations de aritmetica y splicer conceptos de la theory such as primes, factors, and multiples in real-world and mathematical teorla de los nUmeros tales como nUmeros primes, factores y mUltiplos en problems. problemas de matematica y de la vide diaria. • Patterns and Functions - Identify numerical and geometric patterns and • Pautas y funciones - Identificar funciones y pautas numericas y usarlas functions and use them to solve problems. para resolver problemas. • Algebra - Demonstrate the ability to evaluate expressions and solve linear • Algebra - Demostrar la capacidad para evaluar expresionos algebraicas y equations. resolver ecuaciones lineales. • Statistics - Demonstrate an understanding of the relationships in data sets. • EstedIstica - Demostrar conocimiento en procesamiento do data. • Probability - Demonstrate an understanding of the laws governing chance. • Probabilided - Demostrar conocimiento de las leyes qua gobiernan el azar. • Geometry - Demonstrate an understanding of geometric principles. • Geometria - Demostrar conocimiento do los principios de geometria. nip Slanktd Atlyinernent Tat Sas, Moth Edison. Compsnclun of instrucbonai On•rrtr•s 4. Pined voth perms's+ by Hittest Edc•tlon•t ilsosursnunl, /foal I SOO EFTA01709638 FCAT Total Score The Total Score indicates the student's level of achievement on FCAT Reading. The Total Score that a student could achieve ranges from 100 to 500. Total 1998 Reading Score 317 The Total Reading Score of 317 indicates that middle third of grade 4 students who took FC scored In the ea ing in 1998. Individual Profile Report ID Number The Subscores indicate the student's level of achievement on separate content areas Subscores of I:CAT Reading. Each Subscore represents the percentage of content in that area Grade 4 that the student responded to successfully. 0 ?5 50 75 100 Reading Information 58% Literature 88% CAT Comprehensive Assessment Test The Information content area contains reading passages such as magazine and newspaper articles about science, history or other topics. The Literature content area contains reading passages such as fictional stories, poems and folk tales. Message to Parents: The Florida Comprehensive Assessment Test (I:CAT) is a new achievement test for Florida students. FCAT measures the Sunshine State Standards for reading and mathematics. Adopted in 1996, the Sunshine State Standards are challenging expectations for Florida students. They apply to all students whether they plan to enter the world of work or go on to further education after high school. The Standards signify what students should know and be able to do as they progress through school. The Sunshine State Standards are the foundation for a strong accountability School Number 2141 system for Florida's schools. ACREAGE PINES ELEMENTARY District Number: 50 PALM BEACH 1,CAT was administered for the first time in Florida schools in January 1998. The 1998 test scores will set the baseline for future achievement of the Sunshine State Standards in reading and mathematics. 1:CAT scores are an overall indicator of achievement of these challenging new standards. FCAT results will not be used in making Run Date 0/30/98 decisions concerning the promotion of students in 1998 but will be one consideration in promoting students in future years. CTB KIW McGraw-Hill EFTA01709639 Reading Content Tested / Grade 4 Area de contenido del examen de Lectura / Grado 4 PCAT Reading is an assessment of the Sunshine Stale Standards El examen de Lecture 1:CAT es el examen que evalUa las normas In reading. 1:CAT Reading assesses content from the following educativas de Lectura del estado de la Florida (Sunshine Slate areas: Standards). Este examen evalUa las habilidades siguientes: • determining the meaning of words, phrases, and sentences in • determinar el significado de palabras, frases y oraclones dentro de the context of a passage un contexto • determining stated or Implied main ideas or essential messages • determinar las ideas prIncipales, Indicadas o impllcitas, o el mensaje mas Importante de un texto • identifying the author's purpose • identificar el propesito del autor • recognizing the difference between facts and opinions • reconocer la diferencia entre hechos y opinlones • recognizing the use of comparison and contrast • reconocer el use de la comparaclon y el contraste • recognizing cause and effect relationships • reconocer la relacien entre causa y efecto • understanding plot development and conflict resolution • entender el desarrollo de una trama y su desenlace • knowing similarities and differences among characters, settings, and events • comprender las semejanzas y diferenclas entre personates, el lugar donde ocurre una action y los acontecimlentos • reading and organizing information from different sources for a variety of purposes • organizer los datos de diferentes fuentes de informacien para diferentes usos • selecting and using a variety of reference materials, including maps, charts, and photographs, to gather information for • seleccionar y usar diferentes fuentes de referencia, como mapas, research projects tablas y fotografias, para obtener informacien que se usare en proyectos de investigaciones Menu*, a los padres de familla: La Prueba de Evaluacien Comprensiva de la Florida: Florida Comprehensive Assessment Test (1:CAT) es un examen nuevo diseflado para los estudiantes del estado de la Florida. El examen 1:CAT mide las normas educativas (Sunshine State Standards) de matematicas y de lectura. Dichas normas, que fueron adoptadas en 1996, tlenen expectativas altas CAT de los estudiantes del estado y se aplIcan a todos los estudiantes ya sea que vayan a trabajar o que sigan con estudios universitarios despues de la escuela secundaria. Las normas educativas representan lo que los estudiantes prebensive deben saber y pueden hater en su avance academico. Las normas educativas establecen la base para un sistema Assessment que define una mayor responsabIlldad para las escuelas de la Florida. Test El examen MCAT fue administrado por primera vez en enero de 1998 en las escuelas del estado de la Florida. Los resultados del examen de 1998 determinaran la base para el futuro logro de las normas educativas del estado de la Florida en las areas de lectura y matematicas. Los resultados del 1:CAT son un reflejo general de estas nuevas normas educativas y sus altas expectativas. Los resultados del 1:CAT no se usaran en 1998 para decidir en que grado se colocara el estudiante pero sl sera uno de los factores que se consideraran en el futuro. Mc CTB :Jill EFTA01709640 Student Name: 1998 Florida Writing Assessment Student I.D. No.: STUDENT REPORT School: District: PALM BEACH COUNTY Florida Grade 4 / . Writing / Assessment TYPE OF WRITING TESTED: WRITING TO EXPLAIN SCORE: 3.0 Program Description of Writing Scores Your Student's Score 6.0: The writing focuses on the topic, is logically organized, and includes ample development of Dear Parents or Guardians: supporting ideas or examples. It demonstrates a mature command of language, including precision in word choice. Sentences vary in structure. Punctuation, capitalization, and spelling are generally correct. The paper your student wrote in January as part of the Florida Writing Assessment Program has been read independently by two people trained 5.5: The writing was given a 5 by one reader and a 6 by the other reader. to score this test. Each reader judged the paper against a set of 5.0: The writing focuses on the topic with adequate development of supporting ideas or examples. It standards and gave it an overall score. Your student's final score is the has an organizational pattern, though lapses may occur. Word choice is adequate. Sentences average of the two readers' scores. vary in structure. Punctuation, capitalization, and spelling are generally correct. 4.5: The writing was given a 4 by one reader and a 5 by the other reader. This writing score will help you, your student, and the teacher understand how well your student performed on this statewide writing 4.0: The writing focuses on the topic, though it may contain extraneous information. An test. A description of each possible score is printed on the left side of organizational pattern is evident, but lapses may occur. Some supporting ideas contain specifics and details, but others arc not developed. Word choice is adequate. Sentences vary this report. somewhat in structure, though many arc simple. Punctuation, capitalization, and spelling are usually correct. Students were given 45 minutes to read the assigned topic, plan what to 3.5: The writing was given a 3 by one reader and a 4 by the other reader. write, and then write their responses. The conditions under which your student writes papers in class or at home may not be the same as those 3.0: The writing generally focuses on the topic. though it may contain extraneous information. An for this test; therefore, the writing may not be the same. You and the organizational pattern has been attempted, but lapses may occur. Some of the supporting ideas teacher should consider the score on this test along with all of your or examples may not be developed. Word choice is adequate. Sentences vary somewhat in structure, though many are simple. Punctuation and capitalization are sometimes incorrect, hut student's other writing when planning activities to continue developing most commonly used words arc spelled correctly. your student's writing skills. 2.5: The writing was given a 2 by one reader and a 3 by the other reader. 2.0: The writing may be slightly related to the topic or offer little relevant information and few supporting ideas or examples. There is little evidence of an organizational pattern. Word choice may be limited or immature. Sentences may be limited to simple constructions. Frequent errors DESCRIPTION OF THE TOPIC: may occur in punctuation, capitalization, and spelling. 1.5: The writing was given a I by one reader and a 2 by the other reader. Students were asked to explain why one 1.0: The writing may only minimally address the topic because there is little or no development of place is their favorite. supporting ideas or examples. No organizational pattern is evident. Ideas are provided through lists, and word choice is limited or immature. Unrelated information may be included. Frequent errors in punctuation, capitalization, and spelling may impede communication. RUN DATE: 04/25/98 50-2141-000000410 U: The writing is unrelated to the assigned topic or cannot he read, or there is no response. EFTA01709641 EVALUACION DE SECRITURA DE LA FLORIDA PRIMAVERA DE 1998 REPORTE ESTUDIANTIL INFORMES DE LOS ESTUDIANTES DE 4' GRADO Descripción de las Notas de Redacción Estimados padres o tutores: 6.0. La redacción se concentra en el tema, está lógicamente organizada e incluye un La prueba escrita por su niño(a) en enero como parte del Programa de amplio desarrollo de las ideas o ejemplos fundamentales. Demuestra un dominio maduro del idioma, incluyendo precisión en la elección de términos. Las oraciones varían en su estructura. Evaluación de Redacción de Florida, fue leida independientemente por dos La puntuación, uso de mayúsculas y ortografía son generalmente correctas. personas capacitadas para evaluarla. Cada lector juzgó la prueba en relación 5.5: La redacción recibió un 5 por parte de un lector y un 6 por parte del otro lector. a un conjunto de normas y la calificó con una nota general. La nota final de 5.0: La redacción se concentra en el tema y tiene un desarrollo adecuado de las ideas o su niño(a) es el promedio de las notas otorgadas por los dos lectores. ejemplos fundamentales. Tiene una estructura organizada, aunque haya algunos lapsos. La elección de términos es adecuada. Las oraciones varían en su estructura. La puntuación, uso Esta nota de redacción le ayudará a usted, a su niño(a) y a los maestros a de mayúsculas y ortografia son generalmente correctas. comprender cómo se desempeñó su niño(a) en esta prueba de redacción 4.5: La redacción recibió un 4 per parte de un lector y un 5 por parte del otro lector. realizada en todo el estado. Una descripción de cada una de las notas 4.0: La redacción se concentra en el terna, aunque puede contener información ajena al mismo. Es evidente una estructura organizada, aunque puede haber algunos lapsos. Algunas posibles aparece en el lado izquierdo del Informe. ideas fundamentales contienen datos específicos y detalles, pero otras no están desarrolladas. La elección de términos es adecuada. Las oraciones varían algo en su estructura, aunque la Los estudiantes dispusieron de 45 minutos para leer el tema asignado, mayoría son simples. La puntuación, uso de mayúsculas y ortografia son generalmente correctas. planificar lo que iban a escribir y escribir sus respuestas. Las condiciones 3.5: La redacción recibió un 3 por parte de un lector y un 4 por parte del otro lector. bajo las cuales los estudiantes redactan otras pruebas en clase o en el hogar 3.0: La redacción se concentra generalmente en el tema, aunque contiene información pueden ser diferentes a las empleadas en esta prueba; por lo tanto, la ajena al mismo. Se intentó una estructura organizada, aunque puede haber algunos lapsos. redacción puede ser diferente. Ustedes y los maestros deben considerar la Algunas de las ideas o ejemplos fundamentales pueden no estar desarrollados. La elección de términos es adecuada. Las oraciones varían algo en su estructura, aunque la mayoría son nota de esta prueba junto con todas las otras redacciones del estudiante, al simples. la puntuación y la ortografia son a veces incorrectas pero las palabras más planear actividades para continuar desarrollando las habilidades de comunmente usadas están escritas correctamente. redacción del estudiante. 2.5: La redacción recibió un 2 por parte de un lector y un 3 por parte del otro lector. 2.0: La redacción está apenas relacionada con el tema u ofrece poca información relevante, así como pocas Ideas o ejemplos fundamentales. Hay poca evidencia de una estructura organizada. La elección de términos puede ser limitada o inmadura. Las oraciones se limitan a construcciones simples. Pueden encontrarse errores frecuentes de puntuación, uso de mayúsculas y ortografía. 1.5: La redacción recibió un I por parte de un lector y un 1 por parte del otro lector. 1.0: La redacción considera mínimamente el tema porque no hay o hay muy poco desarrollo de las ideas o ejemplos fundamentales. No hay evidencia de una estructura organizada. Las ideas aparecen enumeradas en listas y la elección de términos es limitada o inmadura. Puede aparecer información no relacionada con el tema. Los errores frecuentes de puntuación, uso de mayúsculas y ortografia pueden impedir una comunicación efectiva. U: La redacción no tiene relación con el tema asignado, no puede leerse o no obtuvo respuesta. EFTA01709642 6/8/98 12:38pm LEVEL & COURSE PERFORMANCE End of Year Report Total Total Total Corr/Att Percent Enroll IPM Current Course Time Exercises Correct Level Level Level Gain 4302 (Enroll Date 8/26/97) Class 406 FAB 0:29 N/A N/A N/A N/A WRI 0:29 N/A N/A N/A N/A MCS 2:24 98/254 39 3.49 2.51 2.53 0.02 RW 1:41 203/366 55 3.50 3.06 3.09 0.03 MI 38:59 N/A N/A N/A N/A RA 0/0 0 N/A N/A N/A N/A DE 0:20 **/21 71 -- -- RI 0:14 16/45 36 -- __. EFTA01709643 5/16/97 12:54pm COURSE PERFORMANCE ALL Page Class(es) : Student(s) : 3109 Course(s) : MCS,IR,RW Total Total Total Corr/Att Percent Enroll IPM Current Course Time Exercises Correct Level Level Level Gain 3109 Enroll Date - 8/22/96 MCS 11:50 914/1023 89 2.79 2.80 3.69 0.89 RW 7:05 703/836 84 4.53 5.09 5.34 0.25 GRAND TOTAL RECORDS = 1 Copyright (c) 1991-94 by Computer Curriculum Corporation. All Rights Reserved. If the format of this report is altered by the customer, CCC shall not be held liable for any inaccuracies that may occur in the report as a result of such alterations. EFTA01709644 Teaching 4uestions for tomorrow's answers March 1, 1994 Dear Parent, The State of Florida has asked that we obtain the following information on all students in kindergarten: Has your kindergarten child had pre-kindergarten experience? Yes ye" No If yes, please answer the following: The program my child attended was Public School ArIvate Pre-school Home-based Day Care Other Please state other. Student'§ Name Teacher s Name Parent s signature Please return this form to your child's classroom teacher by Friday, March 4th. Sincerely Data Processor EFTA01709645 X.Al2e-tiqqe t-iedejaii 442% .i7laffize/ xi/ aitig c1J/u Ace1/22,ez.Le al./ inn 24--621/ ter EFTA01709646 Teaching Phil p P.,, 44estions for tomorrow's answers March 1, 1994 Dear Parent, The State of Florida has asked that we obtain the following information on all students in kindergarten: Has your kindergarten child had pre-kindergarten experience? Yes ✓ No If yes, please answer the following: The program my child attended was Public School Pub\,C, Privet° Pre-school Home-based Day Care Other Please state other. Studeht'S Name Teacher's Name Parent's Signature Please return this form to your child's classroom teacher by Friday, March 4th. • Sincerely, Data Processor EFTA01709647 EFTA01709648 4r-4.4 Nef9 reS-adt Se/ 4.2' r kdeLlOte: t -e el a d/ /2-in j atoz --et•-•••le, kal/rx. EFTA01709649 Ku/7- READING ' DIRECTIONS. This article is about Walt Disney. Read the article. Then answer questions 16-26. WALT DISNEY (1901-1966) by Jean Marzollo Walt Disney was born in Chicago, but his family moved to a Notes farm in Missouri when he was young. As a child, he enjoyed drawing. When he was 16, Walt went back to Chicago to study art. At the age of 19, he started making cartoon ads to be shown in movie theaters. He didn't earn much money, but he liked the work. When he was 22, Walt Disney moved to Los Angeles, California. He was fascinated by cartoons. Cartoons are made by drawing many pictures and showing them one after another, so quickly that the pictures are animated, or seem to move. Disney drew cartoons in his garage. He liked to make characters do funny things. When he was 27, he created Mickey Mouse. In the next ten years, Walt Disney invented Donald Duck, Goofy, Pluto, and other cartoon characters that are still famous today. Many people went to movie theaters to see his short cartoons. At last, Walt Disney was successful. But Disney didn't want to make only short cartoons. He wanted to make a full length animated film. He settled down to work and made the first long cartoon movie ever: Snow White and the Seven I Dwarfs. He hired talented people to help him make the thousands of drawings needed for the movie. It was a hit. Walt Disney then made more long cartoons: Pinocchio, Fantasia, Dumbo, Bambi, Cinderella, Alice in Wonderland, Peter Pan, Lady and the Tramp, 101 S Dalmatians, and The Jungle Booh. I Grade 4 • End-of-Year Test 11 EFTA01709650 even Notes So many movies! So much success! Yet Walt Disney had and more ideas. He created Mary Poppins, a movie with cartoons nues to people. His comp.any today employs many people and conti The Little make imaginative movies like Beauty and the Beast and Mermaid. make Walt Disney had another brainstorm. He wanted to selves. enormous amusement parks where people could enjoy them himself: When this idea came true, he named the parks after Disneyland and Walt Disney World. MIME Grade 4 • End-of-Year Test EFTA01709651 DIRECTIONS. Choose the best answer to each question and fill in the bubble beside the answer you choose. Or, write your answer on the lines. 16. What happened first? C) Walt Disney drew cartoons in his garage. ® Walt Disney made Snow White and the Seven Dwarfs. 41 Walt Disney's family moved to a farm in Missouri. (1) Walt Disney created Mary Poppins. 17. Just after Walt Disney became successful at last, he wanted to: C) create Mickey Mouse. C) open an amusement park. 6 make full-length animated films. ® print his cartoons in the newspaper. 18. Describe how Snow White and the Seven Dwarfs is different from the cartoons Walt Disney had made before. Nat,) ci(t5 ck-r(4 ii , c1,1*19 co:ma -ten' ‘t I M I (tar{ -his rnr-f-onas bacq, wra2 short CQr lc 000 s_ 19. Write a summary of the important ideas in this article. co z c k Wird -t- Gyic Kcisilm -Fat Ace ;12.9 ha a rt-70 t--{P hQ iocavne (floc& srbc-s42 65-- ce4//, 0 Grade 4 • End-of-Year Test 13 EFTA01709652 20. Which sentence best describes the author's view of Walt Disney? 0 He was creative. C) He was.unhappy. C) His work was not understood. C) He wanted to keep things from changing. 21. Which word from the article is a compound word? (1) thousands C) company (I) cartoons brainstorm 22. Read the first paragraph of this article again. Then write a paraphrase of the paragraph. 2 W 01 /4 moue 't 6 M:,55 -son r.' (4/7 6 ft_ wrt 5 y o A fiji_ e9 n m 4ha, 2 ell ha_ (fr ea k/ eel_ rger, 14 Grade 4 • End-of-Year Test EFTA01709653 DIRECTIONS. Choose the meaning of the underlined word in each sentence below. artoons are made by drawing many pictures and showing them one after another, so quickly that the pictures are animated or seem to move. C) Lively • Colorful ® Carefully drawn ® Comical 24. He wanted to make enormous amusement parks where people enjoyed themselves. ® After the amusing ® Before amusing • A means of amusing ® Not amusing 25. His company today employs many people and continues to make imaginative movies like Beauty and the Beast and The Little Mermaid. ® Talks to • Gives jobs to ® Draws ® Interests A 26. The movie Snow White and the Seven Dwarfs was a hit. ® A slap et To ask A success ® To strike a ball 2 Grade 4 • End-of-Year Test 15 EFTA01709654 DIRECTIONS. Choose the word that has the same meaning as the underlined word in each sentence below. 27. She bent the twig into a circular shape. ® Cracked ® Ruined C) Shortened O Curved 28. Gerald hoisted the flag. ® Opened ® Twirled 4!) Lifted ® Folded DIRECTIONS. Choose the word that means the OPPOSITE of the underlined word in each sentence below. 29. Sharon thought that riding a bike withoUt a helmet was dangerous. @ Hard ® Silly O Safe ® Rough 30. Abdul entered the store. C) Opened O Exited ® Passed ® Closed 16 Grade 4 • End-of-Year Test EFTA01709655 Date Fill in the circle of the correct answer. Choose the answer. (2.3,2.5) ‘i. q6 + 302 + 77 2. 971 — 643 3. $7.42 + $0.93 + $8.15 C) 203 9 ,13 428 C) $15.57 C. • 475 9 334 o.a5 • $16.50 -0 1339 332 © $17.45 145 0 2030 9 328 © $24.87 1415 t) -77-A l 4. $2 A4 14 5. 51'24 6. $X0 and - 8.56 2239 — 7.07 817 1(4.58 + 66 V -37cF, A4 A. 0 $13.70 IF 8246 • $73.23 © $13.42 © 7363 C) $73.37 14) $12.58 7234 © $87.23 © $12.42 QD 3246 © $87.37 Choose the product. [6.3: t2.3( 7. 2 x 3401 8. 5 x 6743 9. +1879 10. 1'58-88 3 (46) a .® 5803 (°)c3 5 C) 30,748 t (Al \ 1C) 16,848 A 4-5 1® ., 20,684 © 6622 ‘f 0a • 6802 3-r41. 5 C) 30,793 ) (:) 33,708 • 16,911 © 18,799 © © 20,692 22,532 0 6822 9 33,715 0 18,979 0 22,752 _ 11. 38 x 407 12.44 X 916 13. 210 14. 608 4F-)-- Cille x 84 x 79 x se el ei ik '3Qs1.Q • 15,466 1,11---qr ( 36,064 --q) 17,632 0 47,032 1 a ,D. bs ® 15,246 " is') © 39,104 • 17,640 © 47,532 - ---ap 13,855 3 ' 04 40,304 © 17,850 © 47,932 S 1 q646 12,056 IA.,y,pyi © 41,604 0 18,630 • 48,032 OO.C. Heath and Company 161 Page 1 of 7 at EFTA01709656 Name Date Final Test Divide. [7.2,7.3.13.21 ts. $49A5 + 5 16. 1463 + 2 17. $59.78 + 7 . 19. 2820+ 8 C) $9.09 ® 730 0 $8.11 • 352 R4 • $9.89 0 730 R1 0 $8.31 C) 352 R2 © $9.90 © 731 a $8.54 © 350 R4 © $9.91 • 731 R1 © $8.58 © 350 R2 19. 5)7155 20. 6FITITT 21. 4)-3- 1 22. 9ffifffe. ® 8 • 302 R2 ® 604 ® 776 R2 0 50 C) 302 C) 904 © 776 R4 • 80 © 300 R2 • 906 © 778 R2 © 200 © 300 © 9060 • 778 R4 21418+11 4 96+ 19 4...615+ 35 741 + 57 ® 36 R3 © 37 © 37 R1 2 5 RI 5 © 6 R3 • ® © 16 R30 17R10 17 R20 ID C) 12 R56 / I C) 13 © 13 R29 41)38 . . © 6 R5 O 18 R5 O 14 Complete each number sentence. 02) 27.g- = 3 • ■ • 28. 3 -11 r2 30. 2 = -6- 0 4 ® 6 • 4 1 5 • 4 8 C) 2 • 6 © 3 12 C) 4 10 © 2 O 16 6 Choose the answer. Use objects or draw a picture to check your answer. [8.4) 31. of 36 *, 3 of 18 *-41t.)io of 20 34. 5 of 15 4 ® 12 C) 2 3 C) 6 ® 9. C) 4 5 • 9 ID 6 © 5 4(91 10 12 @ 3 • 10 • 15 O.C. Heath and Company 162 Page 2 of 7 (4) EFTA01709657 Name Date Final Test i f Choose >, <, or =. Use fraction bars when Choose the fractions that are ordered it helps. [83) from least to greatest. (8.3] 7 1 3 1 3 1 1 7 8' 4' 8' 2' 4 2' 8 5 1 2 3 1 1 7 4 ® > 10' 51 g, 15 g, 5 12 , 6 4.41 < 1 1 2 3 5 1 1 3 O = 5' g g, 6' 9' 6 1 1 4 5 5 1 3 1 5' 6' g 8' ' ;1". ' Choose the answer. 9.1.9.4) 3 2 1 2 11 4 5 39. 8 + 5 40. -g + 5 41. m - 7- 42. i 6i3 — 173- C) I „ a 72 ® A o l o I o 4 o i to I O A © 4 © i @. I o i @ Tif • 110 43. 51 0 44. 21 45. 9-Z 8 46. 5g 4 +4 10 • +68 -28 -3 1 01-4- O 41 O 78 ® 13i II ® 11% 4 82 • 76 o 8-1 o 9-fr) © 12 O78 0 2i • 4 © 12s ED 128 2 © 4 Use the grid at the right to answer questions 47 and 48. [5.3) 47. Which figure is at point (2, 3)? O circle star 6 5 square 4 II triangle 3 2 0 48. Which figure is at point (5, 5)? 1 0 circle 0 1 2 3 4 5 6 triangle square star O D.C. Heath and Company Page 3 of 7 163 I EFTA01709658 Name Date Final Test Choose the name of the figure at each of the following points. (5.31 49. D5 fa triangle ® star 6 © circle 5 4 QD square 3 2 50. A3 1 0 circle ABCDEF © star © square C) triangle Choose the perimeter. poi) 51. 52. 53. 2ft 3 yd 2 yd 4}n sin. San C) 9; ft .C) 19 in. C) 18; cm • 22 yd • 13ft © 20 in. © 21 cm © 20 yd © 13;ft • 27 in. 4) 36 cm © 17 yd © 14ft ® 56 in. ® 37 cm C) 10 yd Choose the length of each to the nearest centimeter or millimeter. (10.21 55. 9 centimeters 8 centimeters 7 centimeters 6 centimeters 56 95 millimeters 100 millimeters 105 millimeters 110 millimeters C Heath and Company 164 Page 4 Of 7 (4' EFTA01709659 Name Date Final Test $ Choose the better estimate. (1U) 57. height of a per5on 58. capacity of a sink e 6 ft e 20 L C) 6 yd © 20 mL 59. you could wear shorts outdoors so. you would need a scarf outdoors C) 26°F 4) 30°F • 26°C © 30°C Choose the elapsed time. [10.6] 61. 9:05 A.M. 62. 6:30 P.M. 63. 7:45 P.M. 2:03 A.M. 11:20 A.M. 10:55 P.M. 1:15 A.M. 2:56 A.M. C) 1 h 15 min C) 3 h 5 min ® 8h C) 36 min C) 1 h 25 min C) 3 h 25 min © 6 h 45 min © 53 min 2h 15 min . 4 h 10 min 14 5 h 30min © 56 min © 2 h25min e 4 h 25 min © 5h 15min 59 min Choose the value of the underlined digit. (11.2) 65. 37.48 66. 11.07 ® 4 hundredths • 7 hundredths • 4 tenths © 7 tenths © 4 ones © 7 ones • 4 hundreds • 7 hundreds 67. 261.53 68. 905.$6 ® 1 hundredth C) 8 hundredths • 1 tenth 410 8 tenths • 1 one © 8 ones © 1 hundred • 8 hundreds C D.C. Heath anti Company 165 Page 5 et 7 EFTA01709660 Name Date Final rest Choose the answer. 11.4, 11.5) 69. 41 70. 36.01 — 9.3 71. 67.58 + 29.4 72. 88.9 + 28.5 - 31.06 C ® 12.5 ® 45.31 ® 38.18 ® 119.96 0 27.5 0 45.07 0 38.54 © 119.15 © 41.5 © 26.98 © 96.62 41 57.84 to 69.5 se 26.71 OD 96.98 © 5.78 73. 52.4 lk 23.11 75. 0.3 - 0.2 76. 17.2 - 15 25.66 4.8 + 6.7 + 90.72 • 84.76 ® 117.53 ® 1.0 ® 2.0 © 83.66 © 118.63 C) 0.6 • 2.2 © 78.76 • 119.62 © 0.5 © 15.7 © 73.76 © 127.63 • 0.1 © 32.2 Find the average of each set of numbers. (13.3) n. $16, $24, $7, $15, $13 78. $74, $52, $31, $71 ® $13 ® $228 ® $14 C) $75 (0 $15 • $57 © $16 © $47 79.134,99,64,105,65,53,87,98,114 80. 700, 612, 1000, 6477422, 5807659- O 81 • 660 ® 89 C) 666 O 90 © 760 * 91 © 776 0 D.C. Heath and Company 166 Page 6 of 7 t4) EFTA01709661 Name Date Final Test Solve each problem. A trolley travels 1005 feet in 1 minute. How far will the trolley travel in 4 minutes? 2010 ft y Chad is selling raffle tickets for the school Special Olympics. The raffle tickets cost $5 per book. On Friday, 2050 ft Chad sells 45 books. On Saturday, he 4002 ft sells 110 books. How much money does 4020 ft Chad raise for the two days? C) $775 @ $780 0 $825 © $875 83. Pam plans to ride her bicycle 1 mile over 84. Mickey collects stamps from foreign the weekend. She rides a mile Saturday countries. One half of the stamps are morning and -1 mile Saturday afternoon. from Canada, ands of the stamps are How far does Pam ride on Saturday? from France. What part of the stamps 1 are from Canada or France? 1 mile 2 4 mile 1 3 4 mile 2 4 -4 mile 0 5 3 4 as. Rachel has saved $93.67 to buy a tape 86. Mr. Townes spends $15.49 for a set recorder. The recorder costs $120.98 on of earphones and $3.65 for a blank sale. How much more money does cassette. How much money does Rachel need to buy the tape recorder? Mr. Townes spend altogether? ® $25.31 C) $11.84 • $27.31 $19.14 (1) $137.61 © $46.14 © $214.65 © $51.99 87. The planetarium is open 195 days out 88. City planners ordered 425 bags of - of the year. On each of those days, chipped bark to help beautify parts of the a special film is shown that lasts for city. Each bag has 15 pounds of chipped 60 minutes. How many minutes are bark. How many pounds of bark did the films shown over the year? city planners order? ® 1350 minutes fe 6375 pounds © 8100 minutes © 6355 pounds © 11,400 minutes © 6275 pounds 11,700 minutes © 440 pounds 0 D.C. Heath and Company 167 Page 7 of 7 (4) I EFTA01709662 x4 - 2 v3, -3- /0 iS Rt tirl q -5 03 29.9 -Rv ci4 -9 Y a_rc-Fre top - As S Is Is 31. 0 (Q Sq. • a q L11-) sa. 4. 15, G Co ,6 X11, 6, a jei -a c5i,Ase EFTA01709663 • rg. R3 13 35 Su I34-1 Rq Io5 4 1 53 0 ve q qt q q kat ! L 1 U 6 c lieetsC • CI 0 R la o EFTA01709664 C- 'ft St- _ - ws /To •... it 0 (1 75 44- kae5 4 ta /14-kra. .5 ka5 -a 5 rak -— {r335- EFTA01709665 At recess y u o un things. Pretending is fun. Pretend you are a tennis shoe. Before you begin writing, think about what your tennis shoe // experiences each day at recess . Now tell about your recess experience as a tennis shoe. 01)8 Cily Mfrs nn O-4/ oche c.11! r 4pled ,(-)t re Mrs\, 12 " 0 O/ reel— me.71-;_cic2.5 uns pla.an -Ti,irrRfDpO critcfnft ti nIc/ nonp_r-s +-0 Jr L f Von, ?ep k)p r csfy-,in I Ann/ i h,Qc,J mgr. ±ha -6-- P(Ila \d rw chryt `Hc.h? (k) (Nr)-1/ MI n4,1rpr - nSkeri. re ar,e_t/rx,, pm/6y? Ana ofq -&-rn it %(11 or, (->s-- nry, (cin,‹ r~,r1 . rvz-- rhri nr, 30c2r--,3 Hama JP (e-mci?c-{ nn 110r.] (%11)0 5ce; I/ raisi4kt. EFTA01709666 6t your 4-eon, Ft,e:44 T- rest;ed 114ka halt ±-O nw 2+n k. t.0 Vour3 sreirg *In Said. k(Clka(/ ) She n try. )en?ri tc-a.nc/ (methyl- or- Ind Oa) outs hceCs sv.o ct5 6c or/. LOWeilicr M inc-1-1/ d u1/.2);-En -E-hat LIP C7 ek 03 cv( en 1-44-\ EFTA01709667 ... • EFTA01709668 Li Sometimes we do things that we were told not to do and then find ourselves in trouble with no one around to help. Then we have to figure out how to solve the problem on our own. () Read this story about Tamaqua and the bear. In the story, an Indian boy named Tamaqua finds himself with a very big problem - a big bear that is threatening his life. Tamaqua is trapped, and there seems to be no way that he can get away. The story stops just as the bear seems about to catch Tamaqua. However, Tamaqua manages to escape. After reading the story, write an ending that tells how Tamaqua escapes from the bear. Itrthi nit% jrkrk 1,2/ , now, int ,ev trY ,Cor ) .,Q,O714 ffi :.e7(- abt 8g. 4,e,ry xe)pend6, 4 )) ,,a.PA,vm(.?rtny, rbmtri, Lat34,5, ;- PAC/7/7 61)&6 4,1 pai3O_F; u-ActiQ 8ry 46, A4062. E.Plni-) A Luy2 0 /CA. A.h19-1L,tilia26- 117 hen)`[ rfL a/mi 5,./w Oinivg /Ur /?/rdeaary, anot ,o.A from, arb if'in iii cp. EFTA01709669 sizz.k stat_xic kt ja-vtattg:),_flairtl yizetun --) -.1k 1-i-- tv.a V zas N b- I heWM._, __Cia___ -kJ/CUL t:ci ek jj win attry ---7 _. -art A- P4 aos __ , /Sad •-ne 3-49-461/4. -,--.*F---- \ .4,-r. - 1 --• r-- - -I. 7r 1 _it ti. -• : Pq - 4 . SIR& WrieSr- ``,. 4 I '-. -:--;__) , isinteivetais i„--- t EFTA01709670 ‘ose. too.3 no+. Xistakstr_ic josS+ '‘he Sayan& t\g*et N3 030,-\\0 4 con 4the - Aik, (twig's. cktIck\e_r. • k- r e-{ So Me-I' \\ ta _SsetiSiion os the tortsQ0O) li ENtrCt -EI Nye_ t:st%Ne:n.c) ----&XNel-s 5+0" Csotac\ek,N5 uniltV Q00 \\24.r €httn&a.e(' .-riz te._, Nq;swan - .\-\a• r\ u n\O-er, -Ho- Ccic ee--- 0-otl.a. -C-Intl. crEorr4 37 C be tiro el NO QC°up4 /4eN. Govv3.- 5 \*\P.- 6.411 \\cic- s r-o,N4t, co.4,,,,se SO.it cxnL <Z an_ 4 -he thor Q-C es Iss..S_____Caer • EFTA01709671 Everyone has a place that is special to them. This place may be anywhere you would like it to be. Before you begin writing, think about your special place .§: Now explain why this place is so special to you. /(1), 5,0F50 place. ,4c; 5 a /CV / 1.e 97.0e S'14z-v- c, c cr ?IP/ gz,r, (7 .19 ivy- V°4 Ern ji2i- c, (-LA Inter IY 11. At Cr7 .4:e LOVE -4-he. = I l L ;ke aryf sh.oica3 J40 ;i v" cf.-v-14) piaci 0 ir-e y0-, A r gcs4. r, -k--' II sr,erz, clothe, Q(A n.- Pay IPS3 - n70 Mr I/ 15- -3c-) I) - -7M4-'S" e.J6 y -±-hq (r)-1.0 is !qv EFTA01709672 %asp -thew rel . t -eckicts (JP a SO eitaCce-CorrE *NY cap- Lnd• tp L- tabs LOV4 EFTA01709673 — Name Date e r Student Attitude Assessment 1. Color the circle that shows how you feel. 2. Make a math award for yourself. Write what you Agree Disagree do well in math. I like math. I use math almost every day. Math is hard. Mathis important to me. Math scares me. Math can be fun. 3. Circle your favorite subject. Put an X on the one you like least. h Science 4. Make a word map to show how you feel about math. Write a feelingin each circle. Make more circles if you need to. 5. Circle your favorite subject. Put an X on the one you like least. • MVh WD Social Studies (c) D.C. Heath and Company 15 (41 EFTA01709674 Spring 2004 NAME: ID: Florida Comprehensive Assessment Test (FCAT) FEAT SCHOOL: NORM-REFERENCED TEST DISTRICT: 50 PALM BEACH Grade 10 Student Report Raids Caw*Mauva Assossmett This report shows your results from the FCAT National Nonn-Referenced Test. The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics Problem Solving describe your performance in relation to the performance of students throughout the nation. Your scores are shown below. SUBJECT SCORES National Scale Percentile Stanine Score Rank Reading Comprehension 799 99 9 Mathematics 726 81 7 The seale Score describes your performance on the lest and allows for comparisons from year to year. Reading Comprehension Scale Scores range from 527 to 817. Mathematics Scale Scores range from 568 to 863. The National Percentile Rank (NPR) and &lanais indicate your relative standing in comparison to the national reference group. National Percentile Ranks range from 1 to 99. The NPR score indicates the percent of students in the national sample wh0 scored equal to or below your score. Slanines range from 1 to 9 where 1 is low and 9 is high. Stanines In the range of 4-6 are considered average scores. If you were to take the test again, your National Percentile Rank might be slightly higher or lower. However, your National Percentile Rank would probably fall within a certain range. For Reading Comprehension, your National Percentile Rank should be between 94 and 99. For Mathematics, your National Percentile Rank should be between 73 and 87. CONTENT SCORES Number of Number of Number of Questions Questions Correct on Test Attempted Responses Reading Comprehension 51 51 50 Initial Understanding 8 8 8 Interpretation 22 22 22 Critical Analysis 9 9 8 Strategies 12 12 12 Mathematics 48 48 31 Problem Solving 6 6 0 Algebra 6 6 6 Statistics 6 6 5 Probability 5 5 5 Functions 5 5 4 Geometry-Synthetic 7 7 6 Geometry-Algebraic 4 4 3 Trigonometry 3 3 0 Discrete Math 3 3 2 Pre calculus 3 3 0 Data Run Date: 04/16/2004 0140442 EFTA01709675 Spring 2004 Florida Comprehensive Assessment Test (FCAT) Fear florid" Compreliessive Atte;fan ho SUNSHINE STATE STANDARDS Reading Performance Task Student Report Grade 10 This report provides your results on the FCAT 2004 Reading FCAT 2004 performance tasks. Each performance task on FCAT requires you READING PERFORMANCE TASKS to respond with either a short response or a longer, more detailed response. Short-response tasks are scored on a 2-point rubric and Student Name extended-response tasks are scored on a 4-point rubric. Student Number One of the short-response tasks is shown below with a copy of your School Name answer. Tho number of points you earned for your answer is shown School Number in the box to the right. District Name PALM BEACH District Number 50 This task required you to read an article about a young man who creates a successful business by salvaging lost golf balls. Al Reading Task: Select one of the following personality traits and show how it This Performance Performance Task helped Jim Reid build a successful career. Use details and Task Response Responses information from the article to support your response. Daring Hardworking Imaginative Points Possible 2 10 Points Earned 2 5 J;m Rcta .s 4 vCAj aant-9 emu. VC -It:Ot- UP ..1..05/ aNtril sin ca0nrOn c 9a0. Fattyl qoIrtoms. It tato tk, fibt \v uosn o ri Lvsur rt3D Lc' or Qtr to eir.9 ovt„t tiny vOCLtt.r.Flins3 'PC tw•-tre Ir4) 4 0--UOltd trt-, a)( cYCO-turtt,v-a-ti 4 ) Attn...01 LetAit, w\AA utnn ticet $irtua Cwn Oritt6 Pala toaca kio YvOu t CO-1Ca • Data Run Date: 05,0412004 0072669 737200360 EFTA01709676 Read the article "Turtle Alert" and then answer Numbers 1 through 8 in your Answer Book. 'Cup-rye AL eg rr The sun is just coming up in Neighborhood dogs who eat Florida. Most kids are still in bed, turtle eggs are also a big problem. but net 15-year-old Chris Miller. Even when the turtles hatch, there For the last seven years, Chris are dangers. For example, the baby has been a member of a local sea turtles can get trapped under the turtle patrol. Twice a day, during the weight of their hatched eggshells. "I May to October turtle nesting season, try to rescue them before they die;' he patrols a stretch of beach near his Chris says. "Then I release them in home. the ocean:' "I follow the tracks back to the Over the last seven years, Chris sea turtles' nests;' Chris says. "Then figures he has helped 14,000 baby I check the nests to make sure they're sea turtles make it safely to the protected." ocean! "The babies wouldn't have And there's lots to protect the survived without help," he admits. turtles from. Like the high tide, for "Sea turtles are endangered. So I feel instance. "High tides can bury the like I'm really giving something nests and drown the turtles!" Chris back to the Earth!" explains. "So I dig out the eggs and rebury them in a safer place." Baby turtles sense the direction in which they must travel to reach the sea from the nest. Natural light on the ocean water shows them the way. When many buildings and houses are built in an area, the streetlights or house lights can confuse the baby turtles. Now turn to page 15 in your Answer Book. Page 1 1 EFTA01709677 FLAT Reading price. "I know who will take care of you, Slowly, the sickly girl rises from her little bird," the man whispers. bed and carries the cage to the open When he arrives home, he carries the window. Unlatching the rattan door, the cliff swallow in its rattan cage to the girl asks, "Will you fly for me, too, little room where his daughter lies sleeping. bird?" And her language is one that the Rather than wake her, he places the caged swallow understands. bird on her bedside table. As he leaves For a moment, the bird studies the the room the little bird coos, "Oh, please open cage door uncertainly. Then it steps let me fly under the rice moon tonight!" to the ledge, carefully spreads its small But the man does not understand the wings, and flies away. swallow's language. Although the cliff swallow now can When the girl wakes suddenly in the fly anywhere it chooses, it always passes middle of the night, the first thing she by the little girl's bedroom window each sees through her fever is a small cliff night. And each night, for a little while, swallow blinking at her from behind the both the bird and the girl are free under bars of a rattan cage. She knows too well the rice moon. how terrible it is to be kept inside. "I know what you need, little bird," she murmurs. But the swallow no longer believes what people say. ri mmall ow turn to page 19 in your Answer Book. Page 13 EFTA01709678 # e AL eg -r Now answer Numbers 1 through 8. Base your answers on the article "Turtle Alert." CO Think about what Chris does. Then read this sentence from the article. Twice a day, during the May to October turtle nesting season, he patrols a stretch of beach near his home. What does patrols mean? O cleans up runs on • watches over C) writes about Why did the author write the article "Turtle Alert"? 0 to tell about the lives of sea turtles © to persuade people to join turtle patrols 0 to persuade people to keep their dogs on leashes • to tell about one person's work to save sea turtles Page 15 EFTA01709679 pio,dc a /crib- On -nri&S Ceiebrerwro TberiSS hen (4.)q:s Snow_ a ct- 4tis___)971ayt Mbar _wee tsr) erect) 46- gz ipiejerei -Fn00-her- nn 4ne tebor r O e cog err-) -04_ j. Coo_a_ay___ -be sel-f-ge is &ay i_rtibtas, EFTA01709680 Plod& wr--144a COI% IDeVIVe WS+ Lb() 4/00_00 I. Miry}, goingin jo le +kiwi . let) cS5 ii i WI -to huy .56^xt Cs +hi.ngs:X- 449- hive a bf- oc coo' 4-h;n3.5 bq# rig .534-eb'' lo5\--knern-.5o Cool 1-+)7 s nezci c*placemen45. 520:1-4/=Yri ins -Ft *he ow( +o bcit‘_9 Cb-l-h25 GM 5b a e.i.. rove ((most none IVe.., °(-0 9:);ns 4-0 tkAgAsaueat ei3ccFe+,5 , - 12r-I MIn<2 I 0 C ro-CA-L\179. '7 nn z 1, P7 it, buts ...5n ..309)e.5. enter lo.54- pl acas 0'19 old Bc\0725/ or -frheB ort, Ke- ey,+- t .3,-,-,:nt{ E im going *0 t&4a c-1\\ m3 4-rer.na ou:k- -to dinner, (Amid yrod bo I C\ Calk13 co d inti tAQ i i c /14 5+ t wea ICIO 'VC& I A F+e r (0a42 1, 4cce fry laniily VIJ Xt. Id F'la" to CnOncr cand +here CAcv3t02 o- a. sWo irrl CilOrnj - fro 924- rry ti3b3- 4i-er 4-c) -k-ciVe ^le A- 0 +KV 5t -are 5o .. 77. cam. -04e-- bug m9 .-E-&en111 "Oc5eni-5.- Then, - t,..btkici hc-vt .'99 Paren-t- +aKt The 4,9 -frine si-cr -v-0 'tot.A. 1002.5e11-1-5 Icor bo -Fh my babescl -.51-H-ers, Oecck(45)2 -- .16 €-)ine- -sto 9 'owe some +-ill 03 (tic-KM -Ea EFTA01709681 CIO etar3tril PlortdQ W r-P-cs EFTA01709682 n infoki) Ij“-%-;trnst 11/1, 46a, money: rist bkirY o rloorr_ _ ne w4 -gor Alt ne 0O-1c1p)for. r6a17-1 /4 WAY atlith$t fo r -fitowne ill TY, I CI O/ LkSS-a_ c4+-,5sc SI claSq11411 .51 Rabb nd SpciSkeind s e _6 frit?, n 1:1/4kle. 4(01'0MM:1 _ Poic Kees pc Thin KA s, Pac K645 pa4Ki9igEG . C? 4o±da9.Senei.thePocri5‘4.°riotneh£tbait C 40 nef C. r 154 t_ci.CtS .01"114 e hi4.W.Set t 617 r W rp Akk -t Pre, b le&spiv Yroacher rit in-4164 w or 4 91cit 4,4 1.41<tains Pi en St --0-b-s anew r iv ell b ,boa -i-6 • EFTA01709683 NA )21,,,tv icrtP What Do I Know About the Statue of Liberty? What? - Tile 4. p, OP C.; bezkg ►y e 5-4-r-kie a vo,rico Mtn Q cl Gber-4- rEpreieri +708 +9-men O1'5 /-;;;adome Where? 54-.04.ua new 54.qAd 5 on 8ed soe/.5 m_sta_r4 Alaw.. harroc,r:_ 5ctAIP÷uc.62.-- nome6 AuYA- . - When? 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You, os-E- tqc\a,tu\:" . *mo to a P)c44-e-is . 1(1 -\-E- Ii7-11§a +he - --c--c.A-1-11- "Sa3 q .-'\e"kkoine(S 0..5624:2t- \N) \ Tii6A +0A y 3 r,-1co akcict , At.ork--hER -4-4-c43-/-)4- C\o 0 .7•--7/Ct 4-r° p * YeZ0.\- ' s20, CrTC6 k5e-c4 . ("4- ice,K c nea.c1 CO GI A) 71.1 -Z €Y I bY; k I Rose-, 14G--R --41-.€;j5,? L_Oot< typ-k-he-'6;k ‘.. V' C.oNke- rv5- moThe-eR lk).Let.7 „ /14s sr as .S EFTA01709687 NAME Plants to Watch Out For! How the Plant How the Plant Attracts and Traps Name of Plant Looks or Feels Insects 6ucc-r64,3(t.,i. 6`Q, guy 3kkE1K5 ) ,5 4Q5 r ot) Fyzv 5 i-;c10 0,-1n 1-r, Lk.) 5tfi)t-- ,)(:31 Ccxi,v7:5 "1-0 TQ; 1()°1̀.(3 / Thgl) -51'SckP-S .y.E-Eiv 4 PtO6re 5 WEP4' LC5c),-) ( i ivA ; ct c;, 4_4,, ; ns44 Q -rocovse-- 13E- C'T P. , /4-kW E /1 i 0S . 6; I In) co.] Qck- 4-) Oc.fo(4.451/ 00,7V What do the plants do to insects after they trap them? .Sckr 'Cr-0 X0155 (ti_r3E -r - ----rh•F- pit) "\-1\F" AX151E\ bck_33 at 3A 8 BUGS, BEWARE! EFTA01709688 Loco\ 4-0 rte 1;a LicrCicc-icle..- becos-Ze hooks reetS,1uk cu.la ‘30 4t S on) e+rem t il3Z03- /V1 LA dad Goad *--Qach ilk., ,(0.2.cOsuc3.c he:LS be e N rrcl? CutClo.5 r o. \ 0 OS Wk= e- el 60 Ss b ? Sia5 OR \\ ,Act; + I./Jock( ci cs c n Hoe a \?-1-4-tE C,G-5 us A3 4-c Kean.), ecacaS e Ca.L) Co_nck 2- °A d, 0q ()STr tW)! >J c-LS • XDSX4Ne A -7no5 a ace SC n EFTA01709689 ocro t-__,:,3411q, I EFTA01709690 Lid nt m FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001 Student Number NORM-REFERENCED TEST School Name and Number Student Report Grade 07 District Name and Number 60 - PALM BEACH This report shows your results from the FCAT National Norm-Referenced Test. The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics Problem Solving describe your performance in relation to the performance of students throughout the nation. Your scores are shown below. SUBJECT SCORES CONTENT SCORES National Number Number Number Scale Percentile of Points of Points of Questions Score Rank Stanine Possible Earned Attempted Reading Comprehension 54 49 54 Reading 735 94 8 Initial Understanding 10 9 10 Comprehension Interpretation 24 22 24 Critical Analysis 10 10 10 Mathematics 716 92 8 Problem Solving - Strategies 10 8 10 Mathematics Problem Solving 50 40 50 The Scale Score expresses your performance and allows comparisons from year to year. Measurement 5 2 5 Reading Comprehension Scale Scores range from 490 to 819. Mathematics Problem Solving Estimation 6 5 6 Scale Scores range from 517 to 830. Problem Solving 5 5 5 The National Percentile Rank and Stanine Indicate your relative standing In comparison to the Number Relationships 6 4 6 national reference group. National Percentile Ranks range from 1 to 99. Stanines range from 1 to 9. Number Systems 4 3 4 Patterns & Functions 3 3 3 If you took the test again, your National Percentile Rank might be slightly higher or lower than Algebra 4 4 4 stated here. However, your National Percentile Rank would probably fall within a certain range. For Reading Comprehension, your National Percentile Rank should be between 87 and 97. For Statistics 5 4 5 Mathematics Problem Solving, your National Percentile Rank should be between 84 and 98. Probability 3 2 3 Geometry 9 8 9 Each question was worth 1 point. Run Date: 04/28/2001 0350834 EFTA01709691 Student Name FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001 SUNSHINE STATE STANDARDS IMO School Name and Number Student Report Grade 07 District Name and Number Florida Com irehensive Assessment Test 50 - PALM BEACH This report shows your results from the FCAT Sunshine State Standards Test. The FCAT Sunshine State Standards Test measures your performance on selected benchmarks in reading and mathematics as defined by the Sunshine State Standards. Scores on this test are one indication of your achievement of the challenging content that Florida students are expected to know. Achievement levels for this portion of FCAT have not yet been determined. Student Achievement Level Descriptions LEVEL 5: Performance at this level indicates that the student has success with the most challenging content of the Sunshine State Standards. A Level 5 student answers most of the test questions correctly, Including the most challenging questions. LEVEL 4: Performance at this level Indicates that the student has success with the challenging content of the Sunshine State Standards. A Level 4 student answers most of the questions correctly but may have only some success with questions that reflect the most challenging content. LEVEL 3: Performance at this level Indicates that the student has partial success with the challenging content of the Sunshine State Standards, but performance Is inconsistent. A Level 3 student answers many of the questions correctly but is generally less successful with questions that are most challenging. LEVEL 2: Performance at this level indicates that the student has limited success with the challenging content of the Sunshine State Standards. LEVEL 1: Performance at this level Indicates that the student has little success with the challenging content of the Sunshine State Standards. Your scores are shown below. SUBJECT SCORES CONTENT SCORES State Number of Number of State Comparison: Points Points Comparison: Student Thirds Achievement Scale Possible Earned Thirds Level Score Lowest Middle Highest Reading Lowest Middle Highest Reading TBD 348 1 Words/Phrases 8 8 1 Mathematics TBD 334 1 Main Idea/Purpose 17 14 1 Sunshine State Standards Reading and Mathematics Scale Scores range from 100 to 500. Comparisons 15 13 1 If you took the test again, your scores might be slightly higher or lower than the scores on Reference/Research 5 5 1 this report. However, your scores would probably fall within a certain range. For reading, your scale score should be between 330 and 366. For mathematics, your scale score should Mathematics be between 321 and 347. Number Sense 9 3 I Measurement 9 5 1 The check marks (1 ) show if you scored in the lowest, middle, or highest third of grade 07 Geometry 8 6 I Florida students who took this test. Algebraic Thinking 9 6 1 Data Analysis 9 7 I The Content chart shows the number of points possible and the number of points earned for each category. Each question was worth 1 point. "*TBD: To Be Determined Run Date: 04/26/2001 0347932 EFTA01709692 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2002 NORM-REFERENCED TEST . (3. Student Report GRADE 08 10001.1fl District Name and Number Florida Comprebenstve Assessment Test 50 - PALM BEACH This report shows your results from the FCAT National Norm-Referenced Test. The FCAT Norm-Referenced Test measures your achievement on a test that was given to a national sample of students. Your norm-referenced scores in Reading Comprehension and in Mathematics Problem Solving describe your performance in relation to the performance of students throughout the nation. Your scores are shown below. SUBJECT SCORES CONTENT SCORES National Number Number Number Scale Percentile of Points of Points of Questions Score Rank Stanine Possible Earned Attempted Reading Comprehension 54 48 54 Reading 732 88 7 Initial Understanding 8 8 8 Comprehension Interpretation 27 25 27 Mathematics 729 93 8 Critical Analysis 7 5 7 Problem Solving Strategies 12 10 12 Mathematics Problem Solving 52 43 52 The Scale Score expresses your performance and allows comparisons from year to year. Measurement 5 5 5 Reading Comprehension Scale Scores range from 510 to 820. Mathematics Problem Solving Scale Stores range from 527 to 836. Estimation . 5 4 5 Problem Solving 6 4 6 The National Percentile Rank and Stanine Indicate your relative standing In comparison to the national reference group. National Percentile Ranks range from 1 to 99. Stanlnes range from Number Relationships 6 4 6 1 to a Number Systems 4 4 4 Patterns & Functions 3. 2 3 If you took the test again, your.National Percentile Rank might be slightly higher or lower than stated here. However, your National Percentile Rank would probably fall within a certain range. Algebra 6 6 6 For Reading Comprehension, your National Percentile Rank should be between 77 and 94. For Statistics 4 3 4 Mathematics Problem Solving, your National Percentile Rank should be between 87 and 96. Probability 4 3 4 Geometry 9 8 9 Each question was worth 1 point. Dab Run Dale: 05/11/2002 0343813 EFTA01709693 Spring 2002 Florida Comprehensive Assessment Test (FCAT) Sunshine State Standards - Grade 08 Student Report Satinbei north Co kursive Assessment Test Dis'del Name and Number 50 - PALM BEACH The FCAT is a test developed in Florida to measure student achievement of the Sunshine State Standards (SSS) for reading, mathematics and writing. The test is one measure of how much students have learned and how prepared they are for more challenging work. The standards tested on FCAT were developed by groups of teachers and Identify the knowledge and skills students should achieve as they move from grade to grade. The A+ Plan for Education established an annual assessment of student learning in grades three through ten as well as regular reports to parents. This report provides parents with independent information about the achievement and learning gains of their students. 2002 compared to 2001 2002 Achievement Levels and Scale Scores 2001 Achievement Levels and Scale Scorer* Your FCAT score is reported In several ways. The This section of the report shows the scale scores Grade 08 Scale Score Is a score between 100 and 500. The Grade 07 Achievement Levels and achievement level scores you earned last Achievement Level score Is one of five success Achievement Levels year. The table on the ten shows the scale score Scale Score Ranges levels described on the back of this report. Scale Score Ranges ranges for the test you took last year. Reading Mathematics Reading Mathematics Level 5: 394500 371.500 Scale Achievement Level 5: 389-500 379-500 Level 4: 350-393 347.370 Scale Achievement Score Level Level 4: 344-388 344-378 Level 3: 310.349 310.346 Level 3: 300-343 Score Level Level 2: 271.309 Reading 306-343 280.309 325 3 Level 2: 267-299 Reading 275.305 348 4 Level 1: 100.270 100.279 Mathematics. 350 4 Level 1: 100-266 • 100.274 ,Mathematics 334 3 Your test scores show how you performed on the day you took the test. If you had taken this test numerous times, most of your scales scores would likely have fallen between two scores. Your FCAT Reading scores might have been between 309 and 341. Your FCAT Mathematics scores might have been between 341 and 359. The range reflects the amount of statistical variability in the scale score. 2001 to 2002 Learning Gains*" The Learning Gains section of this report shows an estimate of your progress from 2001 to 2002. Your learning gains are based on a comparison of your 2002 Content Scores Achievement Level scores from year to year. Number of Number of Points Points Possible Earned Reading Learning Gains: Content scores show your Reading Your FCAT Reading achievement level score is lower this year performance on more specific Words/Phrases 8 than last year, but your overall achievement is satisfactory. 8 areas of the Reading and Main Idea/Purpose Mathematics tests 22 18 Comparisons 10 5 Reference/Research 10 8 Mathematics Learning Gains: The table shows the number Mathematics Your FCAT Mathematics achievement level score improved over of points possible and the • last years score, and you have made good progress. Number Sense 12 number you earned for each 9 category. Questions on this Measurement 12 9 test were worth from 1 to 4 Geometry - 2 12 6 points. Algebraic Thinking .12 10 """ 2001 scores and learning gains are reported if matching records were found Data Analysis 12 on the computer file. 7 Ilato Ron naen• asnirunn, EFTA01709694 Student Name: FCAT WRITING Student I.D. No.: N STUDENT REPORT School: District: ALM B •AC 2002 Grade 8 SCORE: 4.5 Florida Comprehensive Assessment Test WRITING TO CONVINCE How Papers Are Scored. Dear Student The student responses are scored by trained readers using the holistic method to evaluate The paper you wrote in February as part of the FCAT has been read a piece of writing for its overall quality. The readers consider four elements: focus, independently by two people trained to score this test. Each reader organization, support, and conventions. In this type of scoring, readers make a judgment judged the paper against a set of standards and gave it an overall about the entire response and do not focus on any one aspect of the writing. score. Your score is the average of the two readers' scores. Focus refers to how clearly the paper presents and maintains a clear main idea, This writing score will help you, your parents or guardians, and your theme, or unifying point. Papers representing the higher end of the point scale teachers understand how well you performed on this statewide writing demonstrate a consistent awareness of the topic and do not contain extraneous test. A description of how papers are scored is printed on the left information. side of this report. A description of each possible score is printed on the back of this report. Organization refers to the structure or plan of development (beginning, middle, and end) and whether the points are logically related to one another. Organization Remember, you were given 45 minutes to read the assigned topic, also refers to (I) the use of transitional devices to relate the supporting ideas to the plan what to write, and then write your response. The conditions main idea, theme, or unifying point and (2) the evidence of a connection between under which you write papers in class or at home may not be the sentences. Papers representing the higher end of the point scale use transitions to same as those for this test; therefore, the writing may not be the signal the plan or text structure and end with summary or concluding statements. same. You and your teachers should consider the score on this test along with all of your other writing when planning activities to continue developing your writing skills. Support refers to the quality of the details used to explain, clarify, or define. The quality of the support depends on word choice, specificity, depth, and thoroughness. Papers representing the higher end of the point scale provide examples and illustrations in which the relationship between the supporting ideas and the topic is clear. Conventions refers to punctuation, capitalization, spelling, and variation in sentence structure used in the paper. The conventions are basic writing skills DESCRIPTION OF THE TOPIC: included in Florida's Sunshine State Standards. Papers representing the higher end of the point scale follow, with few exceptions, the conventions of punctuation, You were asked to convince the reader to accept capitalization, and spelling and use a variety of sentence structures to present your opinion on teenagers having jobs or chores. ideas. RUN DATE 04/11/02 50-2451 EFTA01709695 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2002 READING SUNSHINE STATE STANDARDS PERFORMANCE TASKS FCAT flocida Competent... Assessment Test Student Report Grade 8 This report provides your results on the FCAT 2002 Reading FCAT 2002 performance tasks. Each performance task on FCAT requires you READING PERFORMANCE TASKS to respond with either a short response or a longer, more detailed POINTS EARNED response. The short-response tasks are worth up to two points and the extended-response tasks are worth up to four points. Student Name One of the short-response tasks is shown below with a copy of ID Number your answer. The number of points you earned for your answer Is School Number shown in the box to the right. School Name District Number od There were four performance tasks on this year's test. The District Name PALM BEACH highest number of points possible on all four tasks was 10 points. The total number of points you earned is also shown in the box to Points earned for answer shown below 0 the right. Total number of points you earned: 5 This task required you to read an informational passage about survival skills that can be used under several adverse conditions. How are the survival skills needed for extreme heat and extreme cold similar? Use details and information from the article to support your answer. ity ettfielledi men:t- ater& earl ore Carat31. eau\ ome cc ic~t tro& anne scetatt‘ eme heat- caucgs reatskidet. 1e, sx.teat o3tc:t oficiw nlc:(3trttretCL 4 f'‘ ti Data Run Date: 05/05/2002 0075729 7€9000149 EFTA01709696 THE SCHOOL DISTRICT OF PALM BEACH COUNTY Graduation Intent Students and parents/legal guardians must return the completed Graduation Intent to the student's school Guidance Department. If the signed Graduation Intent is not returned to the school by September 2, 2003. the student shall be considered to have selected the general requirements for the four-year graduation option Option A. Students choosing Option B or Potion Q who do not meet their graduation requirements at the end of three years. will then be required to meet the 24 credit option, Option A and would attend high school a fourth year. If you have questions. contact your school Guidance Department. Student Name Student ID Number School Current Grade I have reviewed the requirements of the three standard diploma graduation options listed below, in accordance with Florida Statute § 1003.429. I realize my choice of programs may affect the post-secondary options available to me. I am aware of credit opportunities that may enhance my education, such as dual enrollment, advanced placement, early admission to college, International Baccalaureate, magnet programs, career academies and Tech Prep programs. I am aware that advanced course work in high school is the best predictor of success after high school. I realize that meeting the minimum admissions requirements for the Florida State University System does not guarantee acceptance by a university, in or out of the state system. I plan to graduate by meeting the requirements of: El OPTION A- Four-year, 24 credit General Graduation Program 0Wrriou B - Three-year, 18 credit Standard College Preparatory Program ❑ OPTION C - Three-year, 18 credit Standard Career Preparatory Program I am aware that I should review my graduation option choice with my school counselor on a regular basis. to- a0-of _intletrorteS PRSCI 2034 (Nov 8/4/2003) ORIGINAL - School Guidance Counselor EFTA01709697 Media Specialist* Assistant Principals Occupational Spc: Counselor/Stdt Serv: Data Processor/Date: - / / Wa: Form# PEISO 0756 (Rev. 9/90) 13.0'15. EFTA01709698 Rprt-Tsrsrm ene utsLr ILL ul rdom owaL” •-uunty es “sulem-swav,..... SECONDARY STUDENT WITHDRAWAL FORM School Year 05/06 This is NOT an official transcript. Please send request to school center for an official transcript. Race 20648804 WHITE MIMMIIIII Grade Sex Birth wi l Date Code Reason 12 FEMALE - G-Eb EACH TEACHER: mark grades to present date. Record number of unexcused absences in upper left half of absence box; record total absences in lower right half of absence box. Collect book(s) and note return. Do all work in ink. Prds Course Sec 1st Abs 2nd Abs Ex 3rd Abs 4th Abs Book Bldg-rm Title Gr Ex/Un Gr Ex/Un Gr Gr Ex/Un Gr Ex/U Rt'd 01 8301620 001 WORK EXP 2 I 11/ A // 04-108 03" Signature of IM=p // 02 1001400 015 ENG IV 03-209 Signature of 11 6 03 1206330 201 ANLY GEOMETRY 04-223 Signature of .4;th 04 2106450 004 AMER POLITICAL S 02-221 Signature of 05 8301650C 001 WORK EXP-O3T 9/ OC-O3T 0/N Signature of Ems gimp fl 06 83016508 001 WORK EXP-O7T I 9/ OC-COT 0/N Signature offing mom fl F 07 8301650A 001 WORK EXP-OJT I 8/ (..)/N OC-COT Signature of Isms. II F Title of books not returned Book* Condition Price Other Outstanding Obligations EFTA01709699