EFTA01710166
EFTA01710167
. _., THE SCHOOL DISTRICT OF STUDENT NUMBER:
too:
. Ly
..,. :-. PALM BEACH COUNTY
VERIFICATION FOR NEW/RETURNING STUDENTS:
TO THE PARENTS OR GUARDIANS:
.---. NEW/RETURNING STUDENTS NEW STUDENTS: Complete all non-shaded areas on both
sides of form
REGISTRATION RETURNING STUDENTS: Please review both sides for
correctness 01 typed information. If the intormaton
printod is incOrrOCt, please correct it by carefully
ISTR:2511 TCHR:PUTIGNA, E TNER:163STOT: 13642421 and lightly crossing out the incorrect information and
a..03/30/00 writing the correct information above it
C2,6 0 - 08:3 408 Sc I-On
II) STUDENTS LEGAL HARM
BEAR? 4:14> ANA -424 ' 1
(2) ALSO 'MORN AS
i...ST
13) LOCAL ADDRESS (4, GUn IVG ADDRESS
s., 4. .C./.1 he mar MAW( a, ,
;ar orES
41 Vrilt, 4• Ml
cn, sr *Tr t, car ',We rrAW
isi metiers SOCIAL SECURITY NO. 161 HOME >HONE N0. il ) SEX (8) RACE
(OPTIONAL)
I remAte e
F . AMERICAN INNAN
OP ALASKAN NATIvE. D A ttl iCti:IC ISLANDER 1 W yy:::,...,,,,..,<,
3 MALE I B '
NON -HISPANIC I
H HISPANIC 0 M v..,..0...
(9) DATE OF BIRTH (IEN PLACE Of BIRTH
000ro Art FL U$,,,, FL0RID4,,,„,
, n''
(II/ RES:DENT STATUS 112E ENTRY DATE INTO USA
3
0. FOREIGN EXCHANGE STUDENT I 2. OUT -Of -STATE RESIDENT
I. OUT -OF -COUNTY RESILIENT
0 3. IN-COUNTY RESICENT
113) FEDERAL iNVIACT A 0 SURVEY
9 YES 0 NO A. THE STUDENT FESIDES ON FEDERAL PROPERTY.
0 TES
YES
I
0
NU
NO
B. THE SIAM PE SILES IN NW KENT HOUSING.
C. THE PARENT IS EMALMID DN LEDERAL PROPERTY LOCATED IN PALM BEACH COUNT/.
O HS 0
YES 0
NO
NO
D. THE PARENT IS MAIMED ON .OW RENT HOUSING LOCATED IN PALM BEAN COUNTY.
E. THE PARENT IS IN THE UNIFORMED SERVICES OF TIE UNITED STATES.
IF IFS. IS THE PARENT ON ACTIVE MITT? 0 YES 0 MO
AIR FORCE 0 ARMY 0 COAST GUARD N MARINES 0 NATIONAL GUARD ll NAVY
1 41 HAS THIS OHIO REIN ENROLLED IN AN PRY srannt, CEASE PLACE A DICKMAN( I jar SY EACH PROGRAM ATTENDED. ALSO, INDICATE
WITH AN ASTERISK I *) NE PROGRAM TIM CHILD SAS IN THE LONGEST.)
C. CHAPTER I 0 It NIAUSTANI 0 0 OTHER
I C. PREK DISABILITIES I li MIGRANT PAT -K 0 S SIRSIPIIFIL El•Illl CAM
9 1. PRE-K EARLY INTERVENTION 9 N. NON-SUBSIDIZED CHILD CARE
OM IS NE STUDENT A SINGLE PARENT?
NO
9 us 0 MO
116) CuRRINY GRADE lE4
08
TRANSFER INFORMATION:
(II) NAME OF SCHOO. TRANSFERRING FROM (I8/ CITY OR IODATION (19) DATE Of LAST ATTENDANCE
120E GRADE LEVEL (211 LAST PUBLIC SCHOOL ATTENDED IN PALM BEACH COUNTY (22) DATE ATTENDED
FREE OR REDUCED PRICE LUNCH AND HEALTH INFORMATION:
(23) NAVE YOU FILLED OUT AN APPLICATION FOR FREE OR REDUCED LUNCH? II YES Ill NO
(APPLICATION IS PROVIDED WITH THIS REGISIP.ATION IOW/
(24) HEALTH SCREENINGS:
I GIVE PERMSSION FOR MY CHILD TO IN G AEN HEALTH SCREENINGS.
THESE TESTS MAY BE GIVEN INCIVIDUALLY OR IN GROUPS. 0 YES 0 NO
NO
(251 $00iuM FLUORIDE:
I GIVE PERMISSION FOR MY CHILD TO PART CIPATE IN THE SODIUM FLUORINE PROGRAM
TO PREVENT DENTAL DECAY. PERMISSION IS VALID THROUG1 GRADE SIR
0 YES 0 no
NO
NEW STUDENTS TO PALM BEACH COUNTY: HOME LANGUAGE SURVEY
UM WHAT LANGUAGE IS SPOLEN IN THE HON! kri WHAT LANGUAGE IS SPOLEN 28) DATE Of NM
BY THE PARENT or GUARDIAN. IN THE ROME BY THE STUDENT? INTO THE ESN PROGRAM
129) LANGUAGE SURVEY (30) DISCLOSURES Ia lirst say MID
I. IS A LANGUAGE OTHER THAN ENGLIST USED IN HE HOME? OTIS 0 NO Ellis SCHOOL DISTRICT
2 OMIS THE ST,IDENT HAVE A IIRST LANGUAGE OTHER THAN ENGLISH? ,YES El NO HAS THE STUDENT EVER.
3. DOES nit STUDENT MOST FREQUENTLY SPEAR A LANGUAGE OTHER THAN ENGLISH? OILS Ill NU I. BEEN EXPELLED FROM SCHOOL? 0 YC 0 YO
2. HAD AN ARREST RESULTING IN A CHARGE? 0 t> 0 NU
3. HAD AM JAVENILE JUSTICE ACTIONS? ll EL ■0 NO
EFTA01710168
THE SCHOOL DISTRICT Of PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION BACK
(31) STUDENT LIVES WITH (CHECK ONE)
0 BOTH PARENTS s MOTHER El FATHER ❑SHARED CUSTODY E OTHER
(32) TRANSPORTED BY Swart em tie %raspy/IAA le/Lem EON', oy has ,I *Ow Than IMF OM/ T33) IS THERE A COURT ORDER BARRING EITHER PANEW INDIA REMOVING OR
CON- ACING THE STJOENT DURING THE SCHOOL DATE
YES 0 NO
0
IF YES, PLEASE PROVIDE THE SCHOOL WITH A COPY OF
THE COURT ORDER
(34) FATKER/GUAREHAN DOES FATHER HAVE CUSTODY, OYES Elmo (351 MOTHER. GUAR MAN DDES MOTHER HAVE CUSTOM! ) D YES 0 NO
YES YES
ll
MOKI LAM
it' a a ... LAST
FL 33470 FL 33470
. • < NOME /430MSS CM ST AR aCOOS
e4JA. Kw
(tAa OF ONUNNOWT MCI OP MaCinaDir
NOM MOM Mufti LORI CO4 Fwom ARAM POI
1361 HIGHEST lEvEl OF EDUCATION COMPLETO (OPTIONAL) (311 NIGH.ST 'Eva OP EDUCATION COmPTETED )OPTIONAL)
An OAMINTAP• toga BO or 0 1003.
C 0
0 litSOOL AD :r aj lni: IICH:a B 0 tan NO. til00(
C
SOCO.
twat .r.e auers 1.1E. Featousvo wawa 6.I. [le anuAto
D 0 .....or.stc.....
TIOAtiCALFTWOD
ra,scsucmisot
E D COSA I ., Mal, '"'"`",,,,a
D 0 „,,, nnte `s- E 0 nal.‘"jc„ aua
1310 LEGAL GUARDIAN PR AIM DOES LEGAL GUARDIAN HAVE CJSTODYT Ill YES n Na
is L. .0.41 &OOMit CITY PATE
IMERCIENCY HEALTH AND SAFETY INFORMATION
PART I PERSONS) OTHER THAN PARENT AUTHORIZED TO PICK UP STUDENT 091 PASSWCRD OMIT 10 CHARACTERS) In
NPLLe
(II) NAME ADDRESS PHONE RELA'IONSHIP C- 1
u YES
0 NO
OW NAME ADDRESS PHONE RELATIONSHIP n
U YES
0 NO
(431 NAME ADDRESS PHONE RELATIONS/4M rl
U YES
0 NO
(441 NAME ADDRESS PHONE EFL ATTONSHIP I- 1
u YES
0 NO
(45) NAME POORESS PRONE PELAIK)ESHIP rn
u YES
0 NO
ICE) PART II F SCHOOL PERSONNEL ARE UNABLE TO CONTACT YOU IN CASE OF ILLNESS OR ACCIDENT. MAY WE HAVE YOUR PERMISSION TO CALL YOUR
DOCTOR OR IMERGENC, SERVICES (III) POR TRANSPORT TO THE HOSPITAL' • YES C3 N3
(41) EMILY DOCTOR 148) PHONE NuWEIER (49) HOSPITAL PREFERENCE
ISO) LIST YOUR CHAD'S ILLNESSES, ALLERGIES OR CHER PHYSICAL ,IMITATIONS
YOUR CHILDREN IN OTHER PALM BEACH COUNTY SCHOOLS:
IS 11 NAME Of CH4 0 SCHOOL ATTENDING STOOP(' NO ICPTIONAI) GRADE BIRTH CATE
1021 NAME OF CHAO SCHOOL ATTENDING STUDENT NC. (OPTIONAL) GRADE BIRTH DATE
1531 RAW OF CHILD SCHOOL ATTENDING STUDENT NC. (OPTIONAL GRADE BIRTH DATE
154) NAVE OF CHILD SCHOOL ATTENDING STUDENT NC (OPTIONAL) GRADE BIRTH DATE
(551 NAME OF Cm() SCHOOL AT TENDING STUDENT NC. (OPTIONAL GRADE BIRTH DATE
156) 1 VERIFY THAT TIN INFORMATION GIVEN IS TRUE
ANO ACCURATE TO THE BEST OF MY INOVILEME
SIGMATIRE 3) PARENT OR IF GAL GUARDIAN O..0
FOR OFFICE USE ONLY:
DO/ SCHOEN ND (STD QOM; EMINTREA (St SITIOINT t A Main GE ED [CR VII ENTRY (001 U2( ENTRY CATS 4B3L SAC tEVE
EN E01 08/16/98 420A
184, PARENT , GLARCIAN LANGUAGE 'lib/ GRADE LENT. (561 CALM OR Nil) TEACHES NE.
2511 EN us 08 01
438) REASSIGNMENT CODE 1611 TRANSPORTATION 70) tE 6 (CATION OF O.RTH 011 EMS 72) DOE MINTATION CDECAUST HECA ANN DATE WHEN gifttriel
0A, AOM ,GATE misuNiZATiONS El 'ATE
VISIMICATION Of
074SE 0 YES 0 N?,4
1 z BIRTH RECORDS
0B 7 ESOL 010.M0G 0 I I 3 4 s 6 T 3 4 6 6 7 6 9 T AEI CloATE
SOCIAL SECURITY n 'ATE
la PMCGICAL EXAMS
NO OP ORAL
OM DATA FERRI COMPIFT(0 St DATE:
PBSO 0636 (REV. OM)
EFTA01710169
HE SCHOOL DISTRICT OF STUDENT NUMBER
oat oks, \
.;7) / PALM BEACH COUNTY
1 r VERIFICATION FOR NEW/RETURNING STUDENTS:
TO THE PARENTS OR GUARDIANS:
K.. L ..* STUDENTS NEW STUDENTS Complete all non- shaded areas on both
4e., ..",:";NEW/RETURNING sides of form
REGISTRATION RETLRNING STUDENTS: Please review both sides for
correctness of typed nforrration. If the information
printed is incorrect, please correct it by CarefUlly
and lightly croSsEng out tho incorroct information and
... ea writing the correct information above it.
Cl) STUDENT'S LEGAL NAME 21 ALSO PINONN AS
(3) LOCAL ADDRESS
7 2
<T.
)•7 L. .i 1.3 4' )Pn—•
/.. I
C
. <foe
iligraffini r
IS) STIM(NT'S SOCIAL SECLIRIT, N) . 0( S MI RACE
PTI NA.
0 I OM
fr R CAL
PI A
CsAillAINtOi
FEMALE NATIVE I A PArIFNI: 1ISLANDER I W w„.".1(Hip,..,
0 mA., 9 MAC.:
NON -HISPANIC
0
El H INSANE. C El M MULL RACIAL
MD/ PLACE OF BIRTH
MOO. DAY ■ rA en . La‘Pi t 411 CA. F io t do, ..---, (15,
III) RESIDENT STATUS, DV ENTRY CATE IN70 USA
I 0 Fano IICIWIV STUOINT I
1 OM -Of -STATE RESIDENT
I. OUT -OF •CORNTT RESIDENT Et 3. IN-:OURTV RESIN!
1131 FEDERAL IMPACT AID Suarfir
0I
115
TES
0
9
NO
NO
A. TOE STUDENT RESIDES ON IECERAL PROPERTY,
B. TOE STUDENT RESIDES IN LOW RENT VOWING
I in ii NO C THE PARENT IS EMPLOYED ON FEDERAL PEOPEATT LOCATED IN PALM BEAN COUNTY.
ll YES 0 NO 0 THE PARENT IS EMPLOYED ON LOW RENT HOUSING LOCATED IN PALM BEACH COUNTY.
O fFS D NO F TN( PARENT IS IN THE UNIFORMED SERVICES OF THE UNITED STATES.
IF YES. IS TIC PARENT ON ACED( GATT? 1:l TES I NO
AIR FORCE I ARM) I COAST GEAR( 9 MARINES 0 NATIONAL GUARD I NAVY
04: HAS THIS CHILD BEEN ENROLLED IN ANY PRESCHOOL? LPL; AM PLACE A CHECOAA4K Ike ST EACH PNONKAM ATTENDED. ALSO, ALIKAlt
WITH AN AMMO I * I THE PROGRAM TOUR CHEM WAS IN THE LONGEST I
C. CHAPTER I I H HEAESTART 9 0 OTHER
ll D. PRE-K DISABILITIES I M MIGRANT PRE -IL El S. su6ScIZED CHILD CARE
E. PRE-K EARLY INTERVENTION I N. NON-SUBSIDIZED CHILD CARE
libi IS THE STUDENT A SINGLE PARENT? IMO `[ARE IT GRAPE LEVEL
I Iris NO
-01
TRANSFER INFORMATION:
(Ill NAME OF SCR( 01 TRANSFERRING FROM IUD CITY OR LOCATICN ILB DATE OF EAST ATTENDANCE
(20) GRADE I WI 20 I AST POOL IC SCHOOL ATTEND) S IN PAi Ns RA AIN COUNT( (22 DATE ATTENDED
FREE OR REDUCED PRICE LUNCH AND HEALTH INFORMATION:
123) HAiE IOU I DU 0 CUT AN APPLICATION FOR FREE OR REDUCED MOO
(APPLICATION IS PROVIDED WITH THIS REGISTRATION FORM/
I IFS
134) HEALTH SCREENINGS:
I GIVE PERMISSION FOR Mr CRIED TO BE GIVEN HEALTH SCREENINGS.
THESE TESTS MAT BE GIVEN INDIVIDUALLY OR IN GROLPS. YES II NO
1151 SODIUM ILUORIOE:
I RIVE PERMISSION ION MC ONItO TO PARTICIPATE IN INF SURMA *IMAM( PROAAM I NO
YES
TO PREVENT DENTAL DECAY. PERMISSION IS PALM EIROUGII :RARE SIX.
NEW STUDENTS TO PALM BEACH COUNTY: HOME LANGUAGE SURVEY
'25) WHAT .ANALIAISE Is. SPOKEN IN THE HOME an WHAT IANCJAGE IS SPOKEN URI DATE Of ENTRY
BE THE PARENT re GUARINO& IN THE NOME BY TIE STUDENT" INTO TN ESOl PROGRAM
135) LANGUAGE SURVEY ...
STUDENT DISCLOSURES FOR 1F , ,.
I IS A LANGUAGE OTHER THAN ENGLISH IMO IN THE HOME? IES THE SCHOOL ()STRICT OF Pf <5 Ao
,
COUNTY 4 ;46
3. DOES THE STUDENT HAS( A FIRST LANGUAGE OTHEF THAN INDIAN, II FOS THE STUDENT EVER
S
n iv
3 DOES THE STLIIHNT MOST IRFOUENTI Y SPEAK A LANGUAGE OTHER THAN ENGLISH? f( I BEEN ExPILLE0 HUM SCHOOlt 'f'
••
2 MAD AN ARREST RESULTING API 4.
3. HAD AND JUVEIIIII JUSTICE
PBSO 0636 IRA7 $/97/
EFTA01710170
THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEM/RETURNING STUDENTS REGISTRATION BACK
IS)) STUD I LIVES WITH (CHICK OKI
GOTH PARENTS 0 MOTHER 0 FATHER i SNARID CUSTODY Q OTHER 1
4
1311 TRANSPORTED OY $14.4*.a ..a 4.6 ucitspmned tylinr +w. kw C.. m• 4.4/ I646 p....1) (B3) IS THERE A COURT ORDER BARROIC EITHER PARENT FRoirtEMONNen
OR
CONTACTING THE STUDENT DURING THE SCHOOL DAY'n YES
IF YES, PLEASE PROVIDE THE SCHOOL WITH A COPY OF
CA CC:q- THE COURT MUM
74e F. IFER/Gu Al DOES FATHER HAVE CUSTODY YES 0 NO 13.5) MOTHER/GUARDIAN DOES ROPIER HAVE CJSTOOY' CipeES 0 NO
C 7O VI
ISLVD C
OY1Q_
... .
A# H
im 1. 4 V L U 1 NB. , R ST LEVE. OF PCUCATiON;OMPTETEID ‘ ICPTIONAll
13 3 • HiGHE
t C 0 =try C i ncl. lcbcc.
D0 'ow Hn. : 7 ,0
4.6•.
D 0 ----,--
0,.....„
-- E 0 . .r-ar,.:"....
- E D
it conauX4••••1
MARY,. •• mcms
MN LEGAL GUARDIAN OP ANY1 DOES LEGAL GUARDIAN NAVE CUSTODY( 0 !Es 0 No
1 4664444 OT• VATS— 70 em
0•44. is/ INN ang/IT
EMERGENCY HEALTH AND SAFETY INFORMATION
PART I PERSONISI OTTER THAN PARENT A JTHORI2E0 TO PICK UP STUDENT (3)) PASSWORD fLIMT 10 CHARACTERS) a' " 7"""ZW
PO.
0•1001100
PICK/
•• • PHONE RELATIONSHIP
/YES
Fa ea.
0 NO
1:11tTIONa Bp irec
rn.
0 NO
ADDRESS REEATIONMiro I- 1
u YES
0 NO
IAN ma ADDRESS PHONE RELATIONSHIP rl
u YES
0 ND
145) NAME ADDRESS PHONE RLLAIION Sm. r-1
u YES
0 No
KM PART II f sa4001. PERSONNEL ARE UNABLE TO CONTACT YOU N CASE OF Ill NE SS OR ACCIDENT, ILAY WE HAVE YOUR PERMISSION TO CALL YOUR
DOCTOR OR EMERGENCY SERVICES 19111 FOR TRANSPORT TO THE HOSPITAL,
'as 0 wo
( 71 F DOCTOR 40) PHONE HUREER 1447 ROSiUAL PREFERENCE
.9 d) ,... a-t C CS? e‘ S•ct (
(50) LIST YOUR CHAD S BONUSES. ALLERGIES OR OTHER PHYSICAL LPArATONS
I) 47 A.L.
YOUR CHILDREN IN OTHER PALM BEACH COUNTY SCHOOLS:
C•40Ct ATTENDRIG STUCE 4 NO (OPTIONAL) GRAN • :. . .
4n
We ( I Intkon etmorl4cA
SCHOCt, ATTERVERG STUDENT NO. (OPTIONAL/ GRADE
LOP4kovcido tAkrttle_
14-‘n
SCHOOL ATTE
etta
Loy.cmakevee ery Gr Vet
STUDENT NO. (OPTIONAL/ GRA
tCHOCI. ATTENDING STUDENT NO 1011 AO GRADE
IBS) NAME OF CHID 5010“ ATTENDING STUDENT NO 'OPTIONAL) ORAOE IIRTI1 DATE
1661 I VERIFY THAT THE INFGRNATION GIVEN IS TRUE
AND ACCURATE TO THE BE ST OF MT ENGEMDU
5's_ OO
OA TI
FOR OFFICE USE ONLY: -
5671 SCHOOL NO. (It 4TUDEN7 WImaiIi 1541 s3U011it AN AlAtf FIN (C0. 2611 TOOL 7 I TR( OS if 463) SAC CODE
64) 414(11T 611.1401AN 14.111,3461 1461 GRA 7k 14.11 IFS) CALENDAR %II TEACHER NO.
HI REA SSIGNME 7 CODE 1571 TRANSPORTATION 701 SERIF IC A TIEN Cf BUM' II) IRS I 72) DEICUNIDITATION tMCNLIST (ClllCS AND DATE WN18 titY401
IDEATE HAmuNIZAT:066 0 CATE WMFICAT.044 0 ,
44148 RECORDS
CIF.M 9 us 0 NO
nSEaugI
M.PAAG 0 I I 3 4 S 6 ) 3 4 5 6 7 S 9 7 A E Z Oo*TF inAi gar TY 0 CA TT PHySICAL BRANS
11110 Sy °ATE
EFTA01710171
71ploot.:p;.\
Ixt - ) t PALM BEACH COUNTY PUBLIC SCHOOLS
}-4 PALM BEACH COUNTY, FLORIDA,
St KINDERGARTEN REPORT CARD
t: c: 31 9,
KINDERGARTEN CHECKLIST
MARKING CODES
El formal instruction has not yet begun
' student receiving formal Instruction to meet specific needs and ex-
R periencIng difficulty with skill
El student receiving formal instruction and making satisfactory progress
IN student consistently performs skill accurately end efficiently
The asterisks (*) indicate critical skills required prior to the
student being considorod for promotion.
Saga ler-> // t e e,t C/ E/1-1 'ail
CENTRAL PROCESSING LANGUAGE
tad 3rd 4th or .1•4 ore
BODY IMAGE LISTENING
Imitates Body Movements Recalls IV ormation 9
Identifies Body Parts 1. Predicts Outcome 9
Principal: - Lt-) iS
Assembles Body Parts t. ' Betels Story 9
GROSS MOTOR SPEAKING
Craps 2 ' Stales Full Name
Runs 'ascribes Common Objects 1
The areas listed on the checklist as well as music, :es Complete Sentences with
art and physical education are included Proper Speech Patterns '
kindergarten curriculum. The checklist is corn 1EREADING
of skills that are essential for students to ma wets Pictures tt
they are to be successful in the primary grad( ognizes Labels 11
activities provided in kindergarten lead towar 4nties Own Name 11
attainment of these skills. The teacher determin€ Vales Story II
appropriate time for the student to begin k owes Letters 11
instruction in each skill. An explanation of
program is attached at the end of the first mai WRITING
period. Beginning with the second marking pe. Mimics Mastery of
e Motor Skulls 12
the checklist is used to report student progress.
-Reproduces First Name 12
MARKING CODES FINE MOTOR/EYE NA
E - Excellent S - Satisfactory Strings Beads
VS - Very Satisfactory N - Needs Improvement Assembles Funk
Copes Shapes
Miklos Pried ENVIRONMENTAL AWARENESS
klatthes/Pactres Shapec
HABITS AND ATTITUDES
I 2nd 4th Cuts Circle 2nd 3rd am
Colas Objects Observes Accurately 13 1
Demonstrates self-control
Sequences Fingers Makes Comparisons 13.2
Respects the rights of others Predicts Outcomes 13.3
VISUAL DISCRIMINATI
Respects the property of others Sons by Coor Phrases Siginticant
Questions 13 4
Sorts by Shape
Demonstrates good listening habits
Sort by Size
Follows directions Matches Pictures
*Identities Likeness&Ditter-
Demonstrates consistent effort enon of Numbers
'Identifies Objects by
Completes assignments Pelatonships MATHEMATICS
Identifies Likenesses/Dalai
Works well independently ences of Letters
NUMERATION
2nd 3rif 4th
Identifies Sire Pelabonmips 14.1
Participates well In group activities 'remits One-to-One
VISUAL MEMORY ' games Numerals 0-10 14.2
Takes care of and uses materials properly *Recalls Colors ' Matches Sets and
Numerals to 10 11.3
Seqsences Shapes
ATTENDANCE identifies Ordinal Position 14 4
Regular attendance and punctuality 'Sequences Numbers
are essential for quality education. 'Sequences letters FRACTIONS
Identities One Half '5 1
AUDITORY
Days Present DISCRIMINATION GEOMETRY
Names Sounds Identifies Shapes 161
Days Absent Identifies Likenesses/Dittor-
aces of Words MEASUREMENT
Days Tardy
Identifies Hymn° Words Compares Objects /l
INFORMATION INCLUDED Identities Licenesses/Ditlet- 'Orders Objets 'i
aces of Sounds
nientilies Use of
TEACHER REQUESTS CONFERENCE Measuement Tools 73
AUDITORY MEMORY
Repeats Sound Pattern Measures Objects 1/.4
*PLACENl
i tIT
Repeats Sentence SPECIAL TOPICS
Grade Summer School Program 'Secuences Numerals Identifies Coins 18.1
'Fathers Oirecticns States Values of Coins 82
'If summer school program Is Indicated, grade placement
will be determined by the home school. 'Searences Letters .oinsrSeparates Sets 83
I FIISO 0767 (FY 90 aevlslerfl Goldenrod/tat Period PInk/2nd Period yellow/3rd Period GreenbIth Period White/Moe Copy CC 364t4
EFTA01710172
MIDDLE SCHOOL OF THE ARTS
RECORDS REQUEST FORM
Date h
10}k
irthdate Grade Level
1-O)(C_AVCAC.k..e. 17"-zlernesAc-6
Previous School Attended Student Number (if known)
C te_sf U3 o OO1 vYYjcile. sc.koc-)
Palm Beach County Middle School you were scheduled to attend
ESE PROGRAMS: EP IEP 504 Plan LEP Plan
EFTA01710173
/0,/,0,,,,
Middle School of the Arts
---
>,-
EFTA01710174
Verification of Receipt
right Future [This is not the Student Authorization FormJ
SCHOLARSHIP PROGRAM
Iverify that I have received and read the initial eligibility requirements of
Please return the Florida Bright Futures Scholarship Program for the year 2001.
to your high
school guidance NAME [please I fin
counselor. SIGNATUR
DATE II/ 13/O0
EFTA01710175
I verify that I have received and read the initial eligibility requirements of the
Florida Bright Futures Scholarship Program for the year 2003.
Please return to your high school guidance counselor
EFTA01710176
Student Name Teacher
7
I hereby give perm' at school. I understand that the fingerprint
card will be sent h
Parent Signature
EFTA01710177
NARRATIVE RECORD
Notations by educators, nurses and other designated personnel should be dated and signed. Narration section should include information
concerning referrals, follow-up and special consideration to be given students in classroom as a result of screening, as well as teachers'
observations, parent conferences, home visitations and services rendered. Educators need orly record information concerning teacher
observation and educational decisions made for students in the classroom as a result of screening and other health informaticn.
VA IL
Oppi t a.A. 17C. .1.1v
9.a_ be_
6-91
4fr iatc--zil-A1 --4--- rod --64a-ttat. -"at
orm 3041, MAY 80 (31
EFTA01710178
STATE OF FLORIDA
DEPARTMENT OF HEALTH & REHABIUTATIVE SERVICES
LTH EXAMINATIONS Date
9/
C • Sexes
Prone
pi parent or Guardian
Birthclate
bum —
A. HEALTH EXAMINATION
N antlingnrA rmal irnirgriFi r
(I) Normal-N; Abnormal-A
1. Amen:ice
2. Skin/Nose
tC1/
3. Head /SC*
L.)
4. Eyes 42
5 Visual Acuity (R a Ll
8. Ears t../
7. Auditory Aciity (R a L)
8. Nose / Throat
9. Mouth, Teeth and Gums ...j,
...
10. Chest / Lungs
11. Head r...-*/
12. AtOornen c.-"/
13 Genitals and Anus ,../
14. Musculo-Skeletal ..-/
IS. Neurological
16. Alertness
...2 y ,
17. Emotional / Mental/ AV-
IN:they:or Prob.) %
18. Handicap. Physical/
other (SPecity)
19. Activity Restrictions
(SPecily)
20. Abuse. substance/ ....-/
PhYSical / enbtional
21. Nutrition .-/,
c
22. Other C " 7
B. HEALTH HISTORY (swim* messes urturiet expiai
(attach narratke il additional space needed)
C. LABORATORY (as indicated)
Hemogbbin/Hemalocrit ) Steel (0 6 P)
Tuberculin test
aim
(- Mu i Mauna
T Sickle Cell
TITLE:
ADDRESS:
(Pleas* Print)
LAKE WORTH, FLORIDA 334
NRS—I4 form 3040, Apr 87 (Replaces Aug ee edition n may be (Over)
Islock Humber. 6744.000.3040.2)
EFTA01710179
1 E MUNIZATION (HAS 680 - PART
A)
Le 704 F Nap TS LS,: Mc • Ns CND
MM. ai 4;1M'. Sinn LW" IGO Ii
PH 5 Mils KOMI
I -4 F)500 Faux:0 DO% OF on
DT FTICTATACI vgaTE 6 ACCEPT***ti PERTUSS6 'Kat 6 11ECOLLY
Anti! VACOM 0A SE W S OF COTIWITICATE0
D C PAM C FDA 059
• •
TAPI fT711- 1 •
114 TKO eftlally DTSE or Iry ACRATASTMED Ogg OR Af ItM
FIXO ATTCCITTE 6 OAT TEO FROM De WOWED PMURIZATTX IN fapiTH WIDOAY A FORTH 005E * ROT KOINE°
OF OILMEN 18 *OS CF lames CR TER
litr. An QUA I MST IMO
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OR LATER :RECCRATA FTetn AT IS la04,
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Olt ARA • AEC05.44 NON AT 15 M(15 04••
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akitA - t DOSE Al I? home OF la OR OWER
ALL APP4OPRATF tOSES MO OAFS ACED OFt0d)Art 0.451
tit Milt40 110
TIE 04.010 AT TEED spa
I Vat KMIEC ME ATOMS AVAAAEtE MO TO TIE
BEST
00u0. 0EA5E8.1yV6 NO MAU* Milne) Ft ROCA Of in KTATWIEDGE INF
LAW FOR SOUZA ATTE
4.J RICHMOND. M.D. & I MARCAUS. M.D P A
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CATI Of MTN
I t I
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la) Ca n PAPSO CM maxima
-NM°. Ar II of Ns X01 MONO It 'Multi 0305 IrVIT I PUT l
REAM COMPtill M11 M 510 C PS UMGMIAM ac WI 110 OM
.. ,,
TEMPORARY MEDICAL EXEMPTION (HAS 680 - (PART 8)
I Celtic THAT Tot Afar•-.Kam:L040
ong__*t PECE ,44 055 wmun 010Jis .6 TED &TLC?*
ATTAN24106 AN TAIT WOULD' TWA INS T14 Od) lAS TOTATTOCTO A SO4Cull 10 :OWE* 04 if OWED
APASZAD016 AW70“, ,
.."--..„.......
7 OE uAtCP1 OATE*54t5:. rult iiin OA ‘4, bit *0.05.01, *It ATO.Citn DATE A0260/*
DTP
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AT
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ion MIR i ni
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'.ST MO a ,5 OmS AFTER 5411 AMOMWA •
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Fwv*Dai Olt MAMA MrNAFUM °Mt
PERMANENT MEDICAL EXEMPTION IHRS 680 - (PAR
* GATIFY THAT 14 IMYSCM 0:40101. * IleS 040 6 SDI frA' MANZATIONSI 6 11(4.5:.t.
ion I Ulna trhrAiNVA7(0 MIT *CMOs. PM ILO Cilia ISMS DI HOC
‘,.
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CA75
EFTA01710180
STATE OF FLORIDA
DEPARTMENT OF Note/ * inn ___N_
Health & Rehabilitative Services
DISTRICT NINE PALM PEACH COUNTY DEPARTMENT OF
I HVISSY CERTIFY THIS TO K A TPA COPY PUBLIC HEALTH
OF THE LOCAL Pr2r:.:23TRAR'S MitC000
9O1 LWR40.14. ST.
\Mamoru; %VW PALS VLACH, R. 33401
;Not vela unless the Seed
SEAL • aasi of trio Bureau of VW
Matsfics S affixed.)
I rm.(
•
ant T
Vitt MICORC.L' vfalT hl
W
nEoOF UVE RTH
CERTIFICAT
TYPE
OR MINT manure r i • w BI
POWST
X
011.0a
••• t do OP IM1r1 IIt. 0. el
MACIINC
female 3b11:18 RA
PKIMITAI—MME (N rot In Otp l.i pn SPIV MC stn067 Y. TOWN OR CCATOT Of 5111 EMT
O. e
Bethesda Memorial Hospital, Inc. Bo nton Beach 4, Pal m Beach
lowlife Wt IM 1111W olor MM( IMO MI( OF ATIEkkusT ATMAINE OTTER
TM
5. mrrxwe) ►
CERXXER—MME Al III 0 No C4I tw lost Sine bpi
so Mildred Correll Record Tech.
SIM sealry)
&SOOT —STATE COIAITT e, 10,01 INN 0llY
UNITS Onal
in Florida eb Palm Beach Sc Del ray Beath
100111ERS MMLIIG ACI0RESS— (I ism al stet ructio C001idyl
IT b. c
33444
FA R-14AblE AM STATEOf MIRTH(if sot IT USA twin malty)
er IM Octal
20 Florida
I ffrltly tMl OA personal am soot'. ECN11Y swistft
KALX tnf 011T
EFTA01710181
Stude
N
LTH EXAMINATI S sex_
hone
Address irthdal0
Name of Parent or Guardian
A. HEALTH EXAMINATION • -t
Heigh
(I)NormeleN; AbnOrrnal=A N A COMMENT: Abnormal Findings, by number
1. Appearance C
< r.
2. Skin/Nose
../
3. Head/Scalp
/
4. Eyes
5. Visual Acuity IR & Ll . /
6. Ears
/
7. Auditory Acuity (R & L) /
8. Nose / Throat
/
9. Mouth. Teeth and Gums /,.."
10. Chest / Lungs
/
11. Heart
/
12. Abdomen / 4".
13. Genitals and Anus /
14. Muscio-Skeletal
16. Neurological
V "
16. Alertness
/
17. Emotional / Mental/
Behavior Prob.) 4.
18. Handicap, physical/
other (Specify) /
19. Activity Restrictions
(Specify)
20. Abuse, substance/ /
phytical / emotional
21. Nutrition
/
22. Other
B. HEALTH HISTORY (Serious Illnesses Injuries: explain)
(attach narrative if additional
C. LABORATORY
Hemogbin/liemac Stool (O a P)
Tuberculin test:
Lead Sickle Cell re
T r PEDIATIM CENTER, P.A.
(Please Print)
gnature Date
OH 3040, 10/96 (Riotous HRS.), Form 3040 which may Do used)
(Stook tiumbor. 5744-0004040-2)
EFTA01710182
SS_ _NM
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 knowledge, the above named child has been adequately immunized against
diphtheria, tetanus, pertussis, polio, measles, mumps, rubella and hepatitis 8 (for kindergarten effective with the 1998/99 school year) for
school attendance as documented on the reverie side of thisfain.
Physician or Clinic Name: Physician or
(Print or stamp) Authorized Signature:
Address:
Date:
Certificate of Immunization Supplement for 7th Grade Requirement
PART A-2 (Immunizations are complete for students who enter or attend the 7th grade after the beginning of the 1997/98
school year. Each subsequent year thereafter, the next highest grade will be included in the requirement.) DOE Code 8
I have reviewed the records available, and to the best of my knowledge, the above named child has received the following immunizations
requiredfor entry and attendance in 7th grade effective with the 1997/98 school year: tetanus-diphtheria boaster, hepatitis B vaccine series,
and second dose ofmearles vaccine as documented on the reverse side ofthisfonn (bared
Physician or Clinic Name: Physidan or
(Print or stamp) THE PEDIATRIC CENTER, P Signature:
Address:
WELLINGTON, FLORIDA 33414
Date: a Ss
Temporary Medical Exemption
PART B (For preschool children, children in day care and school children who are incomplete for immunizations in Part A-I
or A-2.) Invalid without expiration date. DOE Code 2
1 certify that the above named childhas received the immunizations documented on the reverse side ofthisform and has commenced a schedule to
complete the required immunizations. Additional immunizations are not medically indicated at this time.
Physician or Clinic Name:
xpirAtion ate
(Print or stamp) osaasiltroexibmigilitkitiir
Physician or
Address: Authorized Signature:
Date:
Permanent Medical Exemption
PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for
exemption: DOE Code 3
I cent& that thephysical condition of this child is such that immunization(s) as indicated inPart C above is medically contraindicated.
Physician or Clinic Name:
(Print or stamp) Physician Signature:
Address:
Date:
LH M. 1196, obsolete earlier editions (Stock Number: 5740.0))4680-6)
EFTA01710183
A
FLORIDA CERTIFICATION OF IMMUNIZATION
TATUTES 232.032, s. 10D-3.088, F.A.C. and s. 10M-12, F.A.C.
FIRST 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-1, A-2, B, or C) on reverse side of form.
• If the child is presenting for the 7th grade requirerneikhthiihailaipreviously filed a Certificate of Immunization (680.
or 680A-1) with their current Florida schsnKfilifiboted areas bel0W•aililannplete Part A-2 on the reverse side of this
form.
• For additional information: See.lciniurilZatiencOOMCIiiteSifor4bliObraittEChijdtire Facilities for information and
instructions on form completiorcand iibmpliiiatioiLreqUireinents.:Gnidelineirtie updated annually and are available
from the local county health dinartnient.:.:7:-.. • • \:\
<4;14— • • ..< • -
VACCINE &Gel? . ;' '`.,Dose Dose 5
/DAIYR- ' O/DA/YR MO/DA/YR
DTaP/DTP2
DT' s.
Polies 4Iya
HIB6
MMR (Combined)' P:\
(Separate): G,
Hepatitis B9
i The state immunization ID# is an identifiersupplied by the siateimmunizationiegistry (optional).
2 DI? 5 doses required. If the fourth primary dose is admihisteretorforifter 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.
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.
i 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 are included.
s 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 are included.
EFTA01710184
fcg • At
STATE OF FLORIDA Special Health
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES Problems • See
CUMULATIVE SCHOOL HEALTH RECORD Narrative
(This form is not intended for physician's use)
IA) Sex' School 44P>I CWee •Cser-4-4:kr
Address ather's Name
Mother's Name
Date of Birth of Birth Bni in-ion Bch. Birth Recorded: NoO
Immunization Certification: NoO
Special Immunization Programs
A NARRATIVE NOTE IS REQUIRED FOR REFERRAL AND OUTCOME ENTRIES
K 1
Screening and
cce m Screening
[ Outcome
Screening
Outcome Outcome
Assessment 15
Referral
I' ?o
Grades 8 ,, 0 au 0,
K-3 Date a)
cc
D
0 cc
c. Date "
cc6
ou
Vision
Hearing
Height, Weight
& Graphing
Nutrition
Dental Health
Mental Health
Communicable Disease
Records Review
Physical Assessment
Other
Other
4 5 6 7 8
Screening and
Screening Screening
Outcome Outcome Outcome Outcome
Screening Screening Screening 7_
Outcome Referral
Assessment Tr ro
- 7.
Grades 0
•- ... •
16 0
..
Date
..- 4.
rn
Date
•iii 0
4.8 Date
er
CC Date a)
CC Date CC CC
Vision N 4,
I
Hearing
Height, Weight •
& Graphing
Nutrition
Dental Health'
Mental Health
Communicable Disease
Records Review
Physical Assessment
Scoliosis
Other
Other
HRS-H Form 3041, MAY 80(Replaces previous editions an
EFTA01710185
Student Name:
Florida Writing Assessment
Student I.D. No.:
Grade 4 School: ATCHEE GROVES ELEM •
Spring 1996 District: PALM BEACH COUNTY •
Florida
Writing STUDENT REPORT
Assessment TYPE OF WRITING TESTED: WRITING TO TELL A STORY
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 writinnocuses 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 arc 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
organizational pattern is evident, but lapses may occur. Some supporting ideas contain test. A description of each possible score is printed on the left side of
specifics and details, but others are not developed. Word choice is adequate. Sentences vary this report.
somewhat in structure, though many are 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
or examples may not be developed. Word choice is adequate. Sentences vary somewhat in teacher should consider the score on this test along with all of your
structure, though many are simple. Punctuation and capitalization are sometimes incorrect, but student's other writing when planning activities to continue developing
most commonly used words are 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 1 by one reader and a 2 by the other reader. Students were asked to write a story about what
happens after they walk through an open door.
1.0: The writing may only minimally address the topic because there is little or no development of
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.
50-19014300000403
The writing is unrelated to the assigned topic orcannot be read, or there is no response.
EFTA01710186
TEST RECORD INFORMATION
READ' EMT TOTL lir MATH
TAD,'CONP OCA MATH CEA COMP
- 17-747-
GRAM . SIM
AGE 8- 7 NMW
.CTBS/4ANGN
LEVEL 12 FORMA
stallETYFt
NAAlt COMP CEA
Ort*Oe
AGE 9- 6
MMEMOMATM
CTBS/4 LEVEL 13 FORM A
KANE
CRAM
ME 10 6
OTHER INECMATIM
CTBS/4 LEVEL 14 FORM A • • y
NAME SCORE Mil !Kt/upturn TLF•Lt• LANG LANG:
GRAM
NG!MECH EXPR
AGE 11 - 6 wmpit
MERVIN:M=OE
1119
C765/4 LEVEL 15 FORM B NW SCORE • t:
am • ••• • • Ie. •••••.. a. . 'bile e Abel mmi
NAME scan OIL 'READ READ. TOT! MATH!MATH
MADE
AGE NAIL
OTSCR GibWrA710,17 PUPIL14°
CTBS/4 LEVEL 16 FORM A
NAME
scomwm TOTL k NG HANGSCI— SOC
LEAH LANaIMPirk FYPR • FhlrF
COMP' rEA
CUMW AIM
AGE
13-
6 PUPIL NO Nat
O11MR nfOWATON
CTBS/4 LEVEL 17 FORM A . .........- • _........: _
L
TRIATO4 GRADE TEIsiSTAD4T(34 irrE
12
SAT Program
The College Board
=MS SAT Program
The College Board
PBSD0280 WI 01-9330
EFTA01710187
FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2001
Student Number
SUNSHINE STATE STANDARDS and Number
Student Report 2331 - ROYAL PALM BEACH HIGH
Grade 09 District Name and Number
Florian Comprehensive 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
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 Suninine State Standards. A Level 4 student
answers most of the questions correctly but may have only some success with questions thatrellect 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 otthe 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
Student Comparison: Points Points Comparison:
Thirds Possible Earned Thirds
Achievement
Level Highest
Reading Lowest Middle Highest
Reading
Words/Phrases •
Mathematics Main Idea/Purpose •
Sunshine State Standards Reading and Mathematics Scale Scores range from 100 to 500. Comparisons ■
If you took the test again, your scores might be slightly higher or lower than the scores on Reference/Research •
this report. However, your scores would probably fall within a certain range. For reading,
your scale score should be between 323 and 357. For mathematics, your scale score should Mathematics •
be between 286 and 310. Number Sense ■
Measurement ■
The check marks (1 ) show If you scored in the lowest, middle, or highest third of grade 09
Rorlda students who took this test.
Geometry •
Algebraic Thinking ■
Data Analysis ■
The Content chart shows the number of points possible and the number of points earned
for each category. Each question was worth 1 point.
"TEID: To Be Determined
Run Date: 04/28/2001 0334681
.. •
EFTA01710188
PALM BEACH COUNTY COMPUTERIZED CURRICULUM MANAGEMENT
CO. eta C23 c3a cgto g63 <63 C73 cep C92 ... e
`v —
1
AO eta c23 ca. 043 c61 c63 c73 clo 492 811
awl WM%
STUD
n CO2 Ha c2a c33 ea c63 c6a c73 c63 cep IA LO.
Z
:remota
,..- 4 WRITE
O UPDATE FORM 14AT UPCATE
CM IIII CC. NM CF. CO. CIO c I a ea 0(3 aa COOT
NM
CODA HOPE MATHS
NAPE 4 GRADE
te• student *beganeHATItl. -
e Student tetoptiteit•HkritrZ
TEST - ate "'ROOM/nal — —
tow:7 —V7-1
HAP. -2 3
AP;
clAa AMAlegC6 cA3 • ASIgred <pa
EFTA01710189
PARI 6101 COUNTY
TESTED ibLICCTIVES feat WOE 1 MANDIATICS
CIMPTIII 1
1.2 Identify Se antral, 0-10, that represents the timber of given objects.
1.5 Ideatlfy *Sett that are to specific cedinal positions, first throe. Seventh.
1.7 identify the gnat« or lesser of too sobers throat 1CO.
OPPTII2
2.2 A0d basic facts, urn to 12, ghee In horizontal end vertical wetter,.
2.5 Identify the addition sentence for a slaty prallen.
2.6 Solve rebus problems In.olving addition.
DINTS 1
3.2 Subtract belle facet. minuends to 12. given in horizontal as vertical notation.
3.5 Identify the subtraction sentence for a story problem.
3.6 Solve rebut and word problems involving subtraction and/er addition.
aura 4
2.2 ads basic facts, suns to [2, glees in horizontal and vertical notation.
3.2 Subtract basic feats, *linel. to 12. Oren is horizontal and vertical notation.
12.1 Reed end interpret tittles to solve problems.
11.3 Identify punter sentences for story problems.
SAM* S
2.2 Add baste facts. sons to l2, given In horizontal and vertical station.
3.2 Subtract bopc faets, aliments to 12, given In horizontal and vertical notation.
1.4 ?Webpairsof related addition ved sebtrection matinees.
OUPTEA 6
LI Cowl orally. read, wile, mad rear carats to 100.
1.7 Identify the greeter er letter of two nanbtr$ throtiitb 100.
IS Count by ores, twos, floes, and tent to 100.
1.10 Count picturedobjectsWien groused Insets of tens and ses (objects to 1001.
ClIAPTS
8.1 Tell tine oa the hour and half.howr.
9.2 identify the wales of a col leak. of colas.
5-6 CmiPmb velvet of groups of otnniel. nlctets. and dines.
OUTER 8
2.2 Add basic ruts, tal to 11, given In horizontal end vertical notation.
2.2 subtract basic facts, sivuends to 12. given la horizontal end vertical notation.
3.4 Match of related addition end srbtraction tintieres.
3.6 Solve rebus and word problems Involving interaction a4/or addition.
13.3 Identify nurober sentences for sap Problems.
0(1110 9
IS identify silting numerals or objects In repeating pattern televnet.
6.1 Identify pictures Set show equal parts.
6.2 Identify halves. thirds, end fourths a reglenO.
10.2 Identify plane ~stele floats (circle, square, triangle. rectangle/.
10.4 Ketch «ninon% figtres.
OSPIER to
2.4 Add I- and 2-digit ~news to 2-digit meters, without regrouping.
3.3 Subtract 1-digit toters and 2-digit arbors free 2-digit ~es, without
rt7m0PI^9•
3.6 Solve robas and heed problems Involving subtraction ved/er nddition.
9.5 add end subtract say to 99t.
Oldfa 11
8.4 Mavere length In ~le milts nth., iactet, centimeters, and non.itanderd units.
8.5 ~are liquid measures wiling elms. Pints. quirt, , mid littra-
DINTS a
lbere Is ea Plastery lest for Cheater 12 at this level.
EFTA01710190
• Huth MeItenatits CONNECTIONS — GRADE 2
In - In progress k5Ii - completed
aorta 1 • sumrs4maw a turas. man a anent nooat
ern I. 20 Son SS IS SYS*. a in le Whin el SW In
wn •• womb oa AM. 2fre emir m 4 4 •• 14ept seta.
Can.. es wrath a Se BP 0 Ss Ail MIS ISM
Cain lonsl seel trail • St MIPS 241. Mkt
Si. NISI wpm rain Naiµ le/Er pals Si slat mass
US Illoil almnyb le -
ales a Ina SS law I. sea • ea
YM ._s__ •••0 I.060 sea •U in Ms el Ss IS
Olarttl ••MM. in SISTRACTINI PM ISSN ailna •UNIT NM SOS
LH es • Ilse I 400 Afters wt% 0505 ': I. Keret Midi el ottrti
me snow tan.t Ric:0)•It ltIntetit 0 50> Ipun.
Seel MOM. Tall Ilvo•9k ll Ili•lreee APP el owls e, Ir. r Se in •-• 05 else
Cagle •Mkil••00 Namt ins Us on Ines Ise see sem N • s••• sot
5aiee Seoul Fells • ran. ulte, Us anus Sias* sem N • e
Wes •• calm wed MetalsOW corr.' SSW Sal Pita* it slue miss
Use nlineebeei ten I ;CM to why follan. *As sea as tun
MR* I Pan SIN 711110111 IN in Sits At
Cam Sects ••• sew S. as IOUS set issue ow tees r es trios
law e re we ts Ite• • Mem as awn. • 5•5• tag tOCO tat
Can.. es madmen • le 10° •••• C. ) Oe an I. anstis imolitililiir
Wel II Sea* ants sp it KO le vlor SsIesna
arty was a SI a aa. Screen ape et Eves at am ma ode, el Is or Ss
ISM Saloons ty Sir SS a USW • I- se Ids isle la • Hill MSS
UM to —a an impa. Wawa .1. •44. MI, ~ Is • 240 sal MPS
Wire ass. • es *tin all ens — Wool sibs i mils sass
ise •••• a see I •••• It soke Intim Des Pact Sam
inn Apteullti fretsia • rases&
I Ira IS SIVILUITIOUM IMMIIII V au solos a l0GC celemise.
Sets ewe 5.9. 20 MAPTIIILII-Sa
Sol Os Wet we an le Z dare d• Sya el se merit two a ea SW
Wee runs /: male X. Sims •• sets a St sass •le. at • at Ss
• IS
Caller. ae•-ge w It no set Sin
Ca. apses ••••• • ay on
Its Sri OrSirewoolalc
---. -....iii i.
than Is i.0 5. a so mei • manes AS
Ralik 5/. let
t— awls of Nets earn. 5 is tat elopt • mon
Td Sp Ins • wag •••• tau Ist
as sass •••• SS mei nom • taw rap
Ka Si met el Os 5••• leen Si as sissustiss —
Can minis etas ern son Se • FIMS• a.
US ail Fla it /SS saps
MSS Slim owl siesse• a
Um aim • Pena lima
Wee Sallog 0 la a • pith. sop Snap.
WMminis
50
EFTA01710191
MOM ii•MITININMIN WM. Ran
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EFTA01710192
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EFTA01710193
CHAPTER II PEIVEL.1 •
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EFTA01710194
PALM BEACH COUNTY COMPUTERIZED CURRICULUM MANAGEMENT
0 1 2 3 r. r. 7 A
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0 I ) 3 c 5 6 / 6 9, LO I.D.
.
__j STUDENT I D N
, 0 1 1 3 4 5 0 7 0 I!_sBL .___BB
UPDATE FORM es MINTE
I= 8 IIIII 0 MO E G H I J Cl> W "A
me:
In C017
uni
COX 110W
--• GRADE 1
—
to student began READING 117,_ /
II ate student ccapieted READING rjr../n/ij
TEST DATE RETEST DATE(S)
LEVEL
LEVEL 5 / /
!Ara 6 / /
LEVEL / / v
LEVEL 8 /
LEVEL 9
LEVEL 10
EFTA01710195
Me NMI COUNTY
TESTED OILXITIVIS (OM GU« I COMMAICA1101, 54131.5
MINIM! tint 4
4. I. I V Reed [welt voftbrisay words.
4. 2. 1 Y ynderstand em use [nix vocabulary wires.
LEVEL S
4. I. I w 4144 Mtn( wee4Sulavy toads.
4. 2. I v uodeettand MO ace ball( some:platy wards.
Len I
4. 1. I Y Rea basic vocaPriory owes.
4. 2. I Y Lindwilland ead ese basic exatelary «net.
S. I. I C Identity the ash, idea 0! the pictere(1).
5. 2. 1 C [Kali 014111 lee. Met. ~re. Near ireith. ho.).
5. 3. I C Salute(' *feet 41, 64 itictufei
8. I. IC ~steel . tttttt tic wiedioe.
10. I. I S 144emate the lettera a the alphabet.
MIN(' LIVE 7
4. I. 1 V Rod basic vocebulary morel.
4. 2. IV ileitrileid fed ate basic ,Ktlulri wards.
4. 2. I V Uodevstied ån4 .14 01.041 44.4% 444", is t 4"
S. I. 1 C UMW, the mein 1414 of the oictuvelt).
S. 2. 1 C Miceli det4lis tone. neat. Mere. MM. Skid.. M.2.
O. I. I C ~sire a reelittic selection.
14. 1. 1 t tech a decIsr4the sentence .lth 4 capital letter and eon with 4
Mri00.
MIMI Lein 0
4. 1. I V Readbasic aau1Np words.
4. 2. 1 Y U•OrritiA4 M4 ute basic .:‹4b.lary opt".
4. 2. 2 Y Identify &tiniest of netkrowa words hs using ptetest clues.
5. 3. 2 C SeQueste and ndeesln4 tee use of Nest/let and before/.flex.
6. I. 1 C Identify a pareffiwas4W MITI 1604.
5. 1. 2C Uoderatend . fantaay selection.
Id. 3. 2 L Sepia an Interrogative teotent4 with a capital letter 4nS of with a
eiestio• red,.
FIRS: 4[10(R LULL 9
4. I. I V Rea Wife{ veCa>,Icry ~4%.
4. 2. 1 Y Under$146.4 ind Ne 44%1C Neatelary words.
4. 2.
5. I. 2C 144•011 the te.lf.te Mat erOwistes the mal• ides of a pwasree.
S. 3. 2 C Sequence and Ndrrttand the use of firti/latl ant, tefore/after.
6. I. 2 C
8. 1. 1 C Viderst.nd 4 realistic %Neste».
10. I. 3 5 (into', Wes by categories.
10. 2. 15 Interret a weiti .5th airier, sypols.
11. I. 15 Ceesiete å fore .pusling mew and ope.
14. 2. I L Ioentif2 ads that net people. pleelir ard
FIRST 4110(1 Still 10
4. I. IV lead basic vocabulary an.
4. 2. 1 a Ilpertln0 4,4flete4sit 'Nebular, weds.
4. 2. 5 e U60avtlihnd ad ese contraction.
6. 2. 1 C OI6tyalsh Pets«. rtidity ael fantasi.
6. 3. 1 C (Maw a C06<lø$4,1 fro. Reim facts.
6. 3. 2 C Predict the tetra of . si tttttoft.
8. I. 3( ippett444 . !tethai selection.
ID. 1. ?S Alohabelife Net to the first, setae. ✓d third letters
14. I. 2 L identify a[tiO, words.
Id. 2. I L I4.11fy•PP,4 ,14te ditcrIbing wards.
EFTA01710196
PALM REACH COUNTY Student
OBJECTIVES - GRADE 2 READING Teacher
These :anguage arts Unified Curriculum skills are to he taught in grade 2 Fill in the
date when, in your judgement. the student has consistently demonstrated the skill. The
skill may be demonstrated through observaton. informal assessments, or formal
assessments
2' READS
DATE UNIFIED CURRICULUM SKILL
I ilq / 9Y 4. 1. 1 Read basic vocabulary words
/ f /_ 4. 1. 2 Spell basic vocabulary words
I I 4. 2. 1 Understand and use basic vocabulary words.
/ 4. 2. 3 Understand and use plural nouns ending in s or es.
I I 4. 2. 9 Determine the meaning of sentences that contain
negative words.
/ / 5. 2. 1 Recall details (who, what, whore, when, which, how).
I / 5. 3. 1 Sequence events using pctures.
I / 5. 3. 3 Sequence sentences that describe the events in a
picture story.
/ / 6. 2. 2 Distinguish between real and unreal actions or
events.
I I 6. 3. 1 Draw a conclusion from given facts.
/ / 8. 3. 3 Identify clues leading to a conclusion.
I / 8. 1. 1 Understand a realistic selection
/ / B. 1. 2 Understand a fantasy selection.
/ / 10. 1. 2 Alphabetize words to the first second, and third
letters.
/ 10. 1. 3 Classify items by categories. •
/ 10. 3. 1 follow one-, two-, and three-step directions
I I 14. 1. 1 Match sentence parts :o form complete sentences
/ / 14. 1. 3 Write a declarative sentence about a picture.
/ /_ 14. 3. 3 Use a period or a question mark to punctuate a
declarative or an interrogative sentence
/ / 14. 3. 4 Capitalize the first lette' of the first word of a
sentence, the pronoun I. and the first letter in the
name of a person.
EFTA01710197
2. READER
DATE UNIFIED CURRICULUM SKILL
4. 1. 1 Read basic vocabulary words.
/ 4. 1. 2 Spell basic vocabulary words
4. 2. 1 Understand and use basic vocabulary words
4. 2. 6 Understand the use of inflectional endings s. es, ed.
and ing
4. 2. 7 Identify words that describe people. animals, and
things.
4 2.10 Recognize that words can have more than one
meaning.
1 1 4 2.11 Identify antonyms for given words.
1 1 4. 2.12 Identify synonyms for given words.
1 1 5. 1. 2 Identify the sentence that expresses the main idea of
a paragraph
/ 5. 2. 2 Identify details supporting the main idea
1 1 5. 3. 4 Identify the sequence of events when signal words
are stated
/ f 1 5. 4. 1 Identify the cause of a given event when signal words
(because. so) are slated
/ 1 5. 4. 2 Identify the cause of a given event.
1 / 6. 5. 1 Complete simple analogies
/ 6. 6. 1 Identify paraphrases for given sentences.
8. 1. 3 Understand a folk tale
/ 8. 3. 1 Understand a play.
/ 1 10. 2. 1 Interpret a map with picture symbols
/ / 10. 2. 2 Read and interpret pictographs
1 14. 1. 4 Write an interrogative sentence about a picture
/ I 14. 2 4 Determine whether a sentence needs a singular or
plural noun
11 1 14. 2. 5 Use the verb form that agrees with the subject noun
in a sentence
/ I 14. 2. 6 Use the correct verb form in the present and past
tense.
14. 2. 7 Use appropriate describing words to complete
sentences
Il / I 15. 1. 0 Write legibly using manuscript letter and numeral
forms
STUDENT TRANSFER
in order to assist the student's new teacher with planning for the student's continuing language
arts instruction. nase provide a brief description of the language arts materials the student has
been using in your classroom If possible. include the name of books or basal levels that the
student has completed
EFTA01710198
FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) 2000
FLAT
hler;aa Calutpraminnhre å $$$$$mat hail
SUNSHINE STATE
Student Report
Grade 08
STANDARDS
2611 . ',DOLE Sa1004. OF 4435
(Tara Wawa owli hwy.
60 - PALM Wes
This report shows your results from the FCAT Sunshine State Standards Test.
The FCAT Sunshine State Standards Test measutes your performance pi sekstal benerniens n reading asd matremeties as defned by the Sundial?. Stete
Standards Scores en this test are cne rick -4~ of yner achievement of the challenging content hat "lada students ate expected to know. On the FCAT, you can
attain one of fve possible achievement levels. The table beau shows the scale score ranges lor each Studer' Achievement Level.
Student Achievement Level Descriptions
FCAT Student LEVELS. Per /orate I«r.s semi indicates fra: the mudent Men sceceriS with tre most ~Ion^ COnfalnl of tie &Mahn, SOO 5tanaa,as. A Level 5
Achievement Levels infant answers rant or Ire test Ocentims correctly, rnouchne Me most enfilionferNifoninlime-
Scale Score Ranges LtVtL•: Performance al sn] reeer mouton last .lie Waler4 ren sm......ms we, tre isnierne canard st tine Surname State Startle/Os A Level a alueent
kewlino Vedta naus an:Mars most Of Vie QJOhtons correctly NA may have coy some %Wen with dueStiOns that felted the Most chmensing Coolest.
Level 5. 394-5W 3/1490 LEVEL 3: GleflOWNInCe at Ins Meer indicates 'Nat the Student has parbal suaassaMr ila racearene content of ion Surdun State Standen?) tel
Lapel ♦. MO.») 341-S70 ~again° a muse. stem A Laval 3 .1~ answers neny of tie Wheaton, op/redly WA e 9✓remerY Man nmominci wahl1WWWW, mal v.
Lama 3: 310-349 316344 moat chafenpreL
Level 2. 2)1.309 280-3a
LEVEL 2: PertternanCe at ins level indicates Mat !NI student has line« fume's with the cha tenorng roman( et the Sttaa.a. SUM Staneerør
Lama 4 lems70
LEVEL 1: 'aberrance at ths leper indicates Mat the student run nNa success with lee cframentm, cotton of the Sum-Tyne State SlalOarn
Your scores are shown below
SUBJECT SCORES CONTENT SCORES
State Nu ober of Number of Stato
Sement
Ccmponson Points Points Comparison:
hirOS Earned Thirds
Achienenlif nt Sc:. Possible
Lerel SCO'C wwml Middle Nyry;.
Reading Lowest Middle
Reading
intimation
Mathematics Literature
Malnematics
yout001 tre test /wan. art saxes mynt oe shontw rirqner ot icrwor Mir , the %OW, ua
Ne moon Hemmer, your 300/el would ot Wadi fall within ace am range. For re40, 0- Narnbel sense
yak« mete scoie siesild be ~moan 351 are 389 For mathematics. you scab score sr.:, ~cement
w WWWOW $19 0.J 315.
~nary
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Apnea 'Manta Who Ica Vas Iast Data Anaryfra
'Ihe Content Omit stows tr. Mane« Of >NM% polimee and Me nurnbei Or pCk nth earned
tic eat, c.iewiy. emir question was worth from 14 prams. The cargnat teste) is
deSetilMO or, The Creek of I es report
firm Pale 00/21r2O00 0271551
EFTA01710199
RØ Contusa Fintad / °rodea Contenido de le Prueba de Letnus Orado 8
FCAT Readrn osen ~me« of the &ostia* Sta Standards in madtg The La pruebe de Lectura FCAT es la pruebe cale edens las Norms alocas Encentar" ce
Literata cohen oree condes campes su& as hacina, etmas. poems and loor teles Lectura del estado de la Florida (Sunshme Stat. Slanderds) La mecen de Literatura
The trildmatices contare ame ~teme Destapes such as mapaane and nevespaper incenie leeos de ltee n poemas y euertai kddoncos La sección de trylormacein
arbcles abad anos hittory oc orner topes FCAT Reading amemos Me tened indino artista ide rentase d y lodos seta ~Cele nstona u otros temas
~as La prueba de Lectura de FLAT edshis lo mosto
merenar the menor d In ban on flød eres • andar les sordeacks de un testo viendo Menean <Len
•
•
arens% ~ dd est ~wing conclurione nip tern amt had stadium • analizar pareas y ',dos. Indpar a conclunn ose ~menos Naves del tea/ y
dum and rerg vi l orponinbonal perlens de la ~urs de palabras y reconoce patrona ',paz aceras
or ~bed mim don crt sund menage, • SOMOS be idea pandeaba. raudas o en etla. o et mensaje mee
•
s:a
det libi ~a purre« aixtror pon t d VeN importanle de im ledo
•
Cht03fig ben) , and eracy of ~ten trom research tincluhno eng • dentecar el «Denlo yro el punto de mita del aria
Dal end OginOnli. NM% week arguments. and the influens of an a.Åhore • remar dpuuse la vvedamarrete de revnbpacrones ima vine y nasa 00 Out relee
pasfoil tast On lod) Ls Kb ladón de heces y opinan y Winnentos amnantee Y secundara, Y
MCOnarb the Isa d CainniOn end ntrast venten la mastererse que las «monee personal«, de un aula Lene en un redel
itlimPler *møres d tand neludng padl nynne, agning, chetaere,
=F oxids. and leanen
urdeatantend Isave character and red a..kaamd. pant d va t ard tone ate
•
reconocer el iza de la comporscadi y el cortroste en un len
reamar las elementos complots di un ledo lo dar incluye la trama el lamine
lb», donde ocurre is atoren, el desarma° de los pelsormes su coniliet0 Y el
used in 'sut selectrtint °Menee,
recopniongi n« and siTad • comprender lea Mata manen en que se usen el desarrollo de los personales
comparro arear centrado duesolen, sertince and wonis as ptesented y de la trena, el punto de sota y el tono en latentes Untos
vens teds • reconocer el uso de causa y efecto
naniana and interpretinp valen seannon for a vestg d purposes • comprender las semetarusts y ~ronces este los ~nafta N lugar donde
senge venety Orreleresida notende bang index« enen. nemmes, Mire b len y be aCantearraentOe Ud como se presentan en Oferente. Mitos
and pas's. to Wild rrtcnnation for a vanety of aromen • ubicar. apencar y ansiar intormsciOn menta pera referentes uso*
sYntheerand and sederalind collected information ato utal ~doners. LØ a • murar nfonnecdri de ~ tuertas de ~e teles cono han, renda* y
yanety d lechnemes perstdicos. para diferentes usos
• sentar y dedicar en in orden dedeo d ~macen reunida ~ando eso de
~entes tecnecio
Contenido de la Prueba de Matentiticas / Orado
Mathematkil COnbitnt 'Usted !Grade 8 La pnrebe de MaternbtiCaS FCAT los la pruebe orla eallia las Nana BIS=
FCAT Mathematics m an amanere al die Sabe* Sta Standards in nathemses Educatmss de Naternation del estigio de La Manda (San. hne Stat. Stardards) Esta
FCAT badenes manee Øer frorn the INIcuand ateas Nudo ~era be bandea rapante,
Rumsar Son& Concepts. and Operations Comprensión numérica. conceptos y operaciones
• denthring Operan (•• -. x •t ard tne enecis ot nenas • dentereoón de °perennes e. •, Y, 4) y Ittie rectos de has mismas
• determinar tarmle • cremación de resultados
• irno.nrio has enes are represerted end sed • cama« oorro estén representada los Manero* y su tao
Irteasurement «Mitin
• reapnunne measurements ard unes ol memoren« • recabarme° de medidas y de unidades de ~idas
• cromparing °cerastro and convertir« measuremerts • comparación y conminaron che medidas
Geometry end Surel Senas ~menta y conminen, espaciales
• abarrn9. traen° nentltYlrg. ard analynno n.o and three-ciimensional shas" • ir,: ont nr GapnenthomtAn y anáñsm 0: orae Oe non y be. ~monee
• 'inmolar° and ibis:rateo changos in al pes • ch.yylkra, Cc: e : cabe': em de CambiOS en la orn
• using ccordnee peomeny • k, be. Je {leer-44,a yyyedmedd
Alpebak nilnkIng Razonamiento algebraico
• desalo% analltrg. une Odnetallang partem,* velaron*. ano fundan • oct.: lop tinh anclen y itenenizacetin de patrona relaciones y funciones
• vait nor aro usng exotismo/1s. «mahón irle:tunee grapra. and lamidas • ese. t t:..d y ugy de e Y ;Y mactia. •DLISC•dnalå &apandados grifas y Mandas
Data Analysis and PM:Bah" Analista d date y probabilidades
nat Orpenumg. ard «optan° data • icsnasco gr nuaceón • interpneleteCn 0,3 Clata
aneo"
turorme and rnalong presidas. inlerences. ard valed cceolustans de patrones de COnduCte y haciendo preoic~. ntederenCise Y
• se to ard *tatas omakeelones ~
• vende prObablediklei y eetadlebraa
La Prueba be EaliluaCitel Continnana del Emde La FlenCla (Yen') mide el rendimiento de: ebt u0 ante segur atienes especifico. en ~de lectura y maternales.. be cuales están
eepecrécados en las NO!~ 8~ Echada del Estado de la Monda (Sumieres Staros Standards) Debe normas establecen N ~Ida conocenierrta ore los estudiantes del estado de La
fl orida daten tener y aber arar El estudiad puede alcanzar uro de los cinco rumbas de lendenent0 POS4Yen. en balara° caleciecOn total El ~arde pues» alcanzar una caltlasción entre
103y 5W en Cada bree de MIrd0
rebl5 Yele ~de yeranelb nace ont el Mane re lilanted) Oda reglad emir de <0•4Cenenbe eVetreC30 en Nomas Blanca Ettlecene dal iban» de Le nena Une/aula 01114441 nlantene • b trewela de
be pegånlintereCtweeerile ~yendola me cenpicean
1~4 Esa nvel Ce nirtinelo che el ~den* seeneend lalnlacknamerle ed mal de ccrocentelos ene:~ en le eirnis ton» Rtetrabea del Efte:00 de le aman Un adenia del HM 4 respo-air • e
mole do les breguen earreneinere pene roan:~ leartednes ~le • elgsnes~ in negree% . 44 Conekånre
Mel] EL, ~4 de naden" enea pa el pesen re aleen:~ de ae miren. panteenerl• setereebni renl hatiocereentee ~oda fe tes Nones allece• Erra del (~00 O* La nace ~ab rx,
~enenet Un ~no bi Nivel) responsamos...de SS Pagian Pi" en ~S- ." cene er~ reines ente bel nene
Mee En mol e»nirdirmet ~a tia MILOAINI• tri meren breen he acedo ~ir el ~1 cercanenr» essisociar ea ha ~mes 6,4•Kin Ensayes del Elido de Le nenes
eAl Ene TM de rerdereento ingle CIS eadirl• ~e cae esto en ~Ver al ~do Contna ~do eles ~a Beticas bayredhet EMPO fle up ron»
EFTA01710200
FLORIDA COMPREHENSIVE ASSESSMENT TEST (FLAT) 2000
Eir
FIAT
I kal. (ser rItergra Als!~ Tul
NORM-REFERENCED TEST
Student Report
Grade 08
e— Naam rea Maat
WI • MOOIE SCHOOL Of MITS
pad r.. al Nats
tp-MAIy KAM
This report shows your results from the FCAT Nationa: Norm-Relerenced Test.
was pioen to a national sample OT students Your norrn.reierenced scores in
The FCAT Norm-Relerenced Test rreasures your achievoment on a test thai namn.
describe your perlormance in relation lo tro performance of etudonls throughoul th°
Reading Comprehension ana In Mathematica Pokten, Solving
Voor scores are showt" below
CONTENT SCORES
SUBJECT SCORES
N intbor Ni, rnber 'Jambe,
Nat onal
of Po rits ot Points of Questeons
Scale Percentile
Stanine Possiblo Earned Attempted
Score Rank
Reading Comprehension
Reading Nubal Unctersianong
Comprehension trimpretabon
Ontval Altai«,,.
Mathematics btraregitio
Problem Solving
Mathematica Problem Solving
The USO Score altpreneS your partema ce and aLows contfarelOnt hart yxar Ic year. Menuremert
amiong COnaerenSign Scala Scores rang* non 51010 624. lidatnernatics Protsten sovina EStrnabon
sta mam fonts horn Sfs m aY
PrOCettM gelang
Ine Nataal Percerrile Hand, and Mantra> alfa° ytor relativa »anor g Ii fonts« aa to Om NtItaber RalatiOnnarn
Nataal rearen provo. gaan., Percenbe Ranks range trom 110 stanines langs Wem 110
Nomina Sytakens
pan•Wns & Randen
If 100k tre lest again, your gatend, Portable Rare mirt be tlattly NOV Or bar Man Naba
statte nare. Nalever. yOur Nataal Rareellite Kan WIM prowoly al witten a gaten tango-
Statistici
Fel/ amant) rarorrtnenson, your Nataal Percentite Rank anould be between OS and ta Fa
itathermucs Pim*" Sotung. vox Nekpa Pettere Rank leid te ~men 30 anoSti Protettity
Geonatry
I »FA
The contant halm Is descieee on the bark of tras report E•sh gaston was worm
OCMW
Run Cate owainoco
EFTA01710201
Grades 5, 6, 7, and 8 Grados 5, 6, 7, y 8
The FCAT NRT Reading Comprehension Test assesses La Prueba de Comprensión de Lectura FCAT NRT evalúa
the following objectives: los siguientes objetivos:
• Insta! Understanceng • Demonstrate tho ability lo cornprehend explicitly • EMamantona> - Demostrar su habilidad para comprender
statal folabonships in a vanety of reading ~bono eyplicatamente ol contando y la relación entro si dentro do una variedad de
• Interpretaran • Domonstrato thc ability to kim an interpretation of a varrety selecciones de lectura
of reading selectons basad on explot and imitad information m tho • Interpretación - Dementar su capacidad interpretativa dentro do una
seloetions variedad de selecciones de lectura. basándose en infamación oxplkrta o
• Cnacal Anetyso • Demonstrate the ability to synthesao and evaluato imanada en dichas selecciones
explica and implica informaban in a vanoty of reading soleaban% • Andaos critico - Demostrar la habilidad para sintetizar y evaluar
• Strabgas • Demonstrato Vio ability b ~izo and apply toa lactas and información emplkita o maliota en una variedad de selecciones d• Natura.
reading strategies n a vanety of reading ~tono • Estrategias • Demostrar habilidad para reconocer y aplicar el contenido dial
texto y estrategias utilizadas en una variedad de selecciones de lectura.
Tilo aboyo °bocines are measured within the following contad:
Los obetivos anteriores so ovaban on loa contextos siguientes
• Rotterdam*/ • material typicaily read loe enioyment
• Textual- material baca), hond in grade-appropriate textbooks and other • Recreativo - material utilizado para entretenimiento
10IMC05 ditlf0101.12,011 • Textual • matenal utilizado en hace de leido del grado apropiado y en
• Funcbonal - material typically oncountored in ovoryday Ido 'guasona otras ~dios informativo
• Funcione/ - material ublirado en te vida diana
The FCAT NRT Mathematics Problem Solving Test La Prueba para Resolver Problemas de Matemáticas
assesses the following objectives: FCAT NRT evalúa los siguientes objetivos:
• Measurement - Demonstrate an undentanding of thé principios of • Medran • Demostrar sus conocimientos de los principios de medir
measureinent • Estimación • Detemenar cuan razonados son los resultados y aplicar la
• Estmanon • Determine rho reasonablenoss of rascas and apply estimaban estimación en la solución de problemas
in probbm solving • E3171k3Qi03 pare resonar problemas - Demostrar comprensión de/
• Problem Solving SU:negara - Domonstrate an undorstanding of ITIO bocas, proceso de resolver problemas convencionales y fuera de lo canon.
of sobrina convenbonal and non-routine agobian, • Números y relaciones entre rameras - Representar y usar llamaos en
• Number and Number ROICI7P7ShIp3 Represen, and use numbers in formas equivalentes en problemas do matemática y de la vida duna. y
equivalent forrns in real•world and mat.mabcal problema, and 0.mi:ostral° demostrar senado para las fracciones, los decimales y los numero, enteros,
number sonsa kg wad* numbers, tractors. decimal,. and int fiers posan,» y negativos
• Number Syslems arad Number Theory Demonstrate an undrymancling of • Sistemas y borla de bs numeros Demostrar conocimiento numérico de
relationships arrima arlarnetc aportan' and apply concopts of numbor las relaciones entre las operaciones de aritmética y aplicar conceptos do la
tneory ca panes. teclees. and mulbples in real-world and rnathemahcal tea la de Nº numeres tales como mineros primos, factores y multiplos en
problema problemas de matemilbca y de la vida diana
• P•MOrrIS and Funchons • 'denles), numerad and geometric parten,' and • Reina y 'tocones • klentifkar bribones y pautas numéricas y usarlos
hinebons and use bonito sobe probetas. para resolver problemas
• Algebra • Demonstrate me ability lo ~ate exiXOSsiOns and sobe linear • Algebra - Demostrar la capacidad para evaluar expresiones algebraica, y
aquations resolver ecuaciones lineales
• Statstics • Delfilatlabal0 an understancing data relabonshipc in data sets • Estadistica • Demostrar ~comento en procesamiento de date
• Probigiáty • ~pm:Arate en ~andina bine taren gamma chanco • Probalatrcled - Demostrar conocimiento de las leyes que gobeman el azar.
• GaIne • Oamonstraloanundagalinthng off Oaxnetric enmieles • ~molde • Demostrar conocimiento de los ~cipos de geometrb
&a SdAdIss• TM Sea ama talaCsaYiallmobad
EFTA01710202
FRS TO- FLORIDA CERTIFICATE OF IMMUNIZATION (HAS 680 - PART A) (11 Rpm, Mahon 232032,
MPLETED ALL REOURED IMMUNIZATIONS
SS*
:OCIDI PMT A OF IRS FN116 BB ONIT IF 'HE ORO IM RECU40 ALL MAID 0046/A11011 IOU MON I NIT. SIT NAME St/
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OTP - 5 MD ROXIO IA1 •
IF THE F)uRli PRIMARY OCISE CF DTP IS APANISTERED ON OR AFTER THE WIRTH RAMAT A FIFTH DOSE LS NUT REOLMEO
CT FEDATMO YAWN/ 6 ACCEPTABLE F PERTuSSIS YACCNE 6 MEXALLY CONTRAMMATE0 COI.M.CTE PART C FOR PERTUSSTS CarTRANOCATEN 1 03'T
TO (ANATI %GCSE IA SEFIES OF 3 00451 6 ACCEPTABLE APO RECOMMENDED FOR MORN 7 YEARS OF ME OR OLDER. (C)
MIA (VT) - 4 DWI KOMI° 111 •I
MO OA YR MU VA III MU Lak Tx MU LM
I THE Nolo pRNART DOTE OF OPV 6 ADANRSTEREO ON CR AFTER THE FOURTH ormiDAY. A WITH DOSE 6 NOT REOLN1E0
FV 6 AN ACCEPTABLE ALTERNATIVE f CPI/ IS IC Remo
POW WOK 6 CAACTECIFROU DE REM/TED IMMINZATENS OF OILMEN IS YEARS OF AGE BI CLOEk
REMUS at 40 ItIMU -
Falai% RWEUA
MR MINED - Isl005E AT 12 MONTHS CF ACE CF OLDER (iECCIAMEN0E0 AT 15 NONOCI
aro DOSE REOLNE0 Filai TO KICERGNITEn ENTRANCE
(VALID IF OWN AT LEAST 30 DAYS AFTER Ist 00%)
-OR-
MMUS SSW - 1sT DOSE AT 12 /MATHS Or ACC CD CEDER ,RECOMNENIXD AT IS BOERS) (4•I
MO DA YR
2ncl D)SE REOURED NCR TO KIKERCARTIN ENTRANCE
OrAir IF GIVEN AT LEAST 30 DAYS AFTER Is! DOSE)
MAWS SDOSLE - 1 DOSE AT 12 1A0616 OF AGE OR CLOD KT
RuSELLA, SuCCET ECCANICAT i2 NOOKS VAC Ca CT-CUT
raCTITCV: •
ALL APPROPRAIN Ce6ESHAND oars INCT BOITTOATE MUST BE ENTERED. AND THE CERTIFICATE SIGNED BELOW BY A PHYSICIAN OR AUTHORIZED
PERSCN ONO DATED IN ORDER FIR nit CHT..0 TO ATTEND SCACX
I HAVE REVIEWED THE REMOMISAMALABLE ANC TO THE BEST OF MY KNOWLEDGE THE ABOVE NAMED CHILDH0413EEN ADEQUATELY P.IMUNIZED AGAINST
DIPHTHERIA. TETANUS PLWSS040. MEASLES. MUMPS. AND RUBELLA AS araulTrellgrri MAN. Fnig SCHnn mT AIDANCE
PAMNO.
Vg
.,PRONE079004 re JUL 2 '6 1498
Prr64AN OR O$ NAME otEATE Fara; ITh OR ADPMint SENATuTTE
tleik-as ONE
DOE AUTOMATED STUDENT DATA BASE CODES: • IMMUNIZATION STATUS CURE / • VACCINATION COOS
EFTA01710203
DATE OF RRTH
DELOS NAME iHNOEU SS* m0 DA YR PARENT OR GUARDIAN
DOCTOR. THE CHILD HAS NOT RECEIVED THE REQUIRED DOSES LISTED IN PART A PLEASE COMPLETE PART B OR PART C. AS APPROPRIATE, AND SIGN AND DATE
TEMPORARY MEDICAL EXEMPTION (HRS 680 - PART RI (2')
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 REOUIRED
IMMUNIZATIONS ACCATIONAL IMMUNIZATIONS ARE NOT MEDICALLY INDICATED AT THIS TIME
AZ /3 *4 es
TYPE MACRE EMS' DATE HIBOANR) DATED/DMA/YR! DATE IIADAIVER) DATE IMONTATERT DATE (M0f0A/VR)
OTP A
OT 8
IC C
POLO D
HO E
WAR F
ANGELA (MEASLES) G
IMAM MI (MOBAJYR)
MOWS H ISICIAD BE *DAYS WIER NEXT APPENDANT)
RUBELLA I
EWSIDIAN OR AUTHORIZED SIGNATURE DATE
PERMANENT MEDICAL EXEMPTION (HRS 680 - PART CI (31
I CERTIFY THAT THE PHYSICAL CONDITION OF THIS CHILD IS SUCH THAT IMMUNIZATIONIST IS MEOCALLV CONTRAINDICATED LIST VACCINE(S) AND STATE VALID
CLINICAL REASONING OR EVIDENCE FOR EXEMPTION FOR EACH VACCINE.
PHYSIDAN CR CLINIC NAME (PLEASE CIINTI PHYSCIAYS SGNAID4E DATE
mum, (.50 J 93 CP410Coli Ma, 0 I diet ...Kb t* uSeCtl
ISocck Pores $)40-0O3-0610.6)
EFTA01710204
eksocada(51The VERIFICATION FOR SEW/RETURNING STUDENTS
School District of Palm Bead Courty
TO THE PARENTS OR GUARDIANS:
NEW/RETURNING STUDENTS
REGISTRATION new SrupeNtS - Conpwe a ncr, - svo ied Merl
FET1.41MNG STUCENTS, Pens tuna* taro `°e"" to.
00ifeetta444 of IKAP3 atormanon Øtoicv. ad on the
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incorrnt Olen.
SIRS 507 COtreCI It by Careful., and Is/3103 CrollsoC out the snecniict
aeisse 4/15/90 STOT: 18642421
atconasut ard 'ants to CrreCt intornatiCti above IL
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NEW STUDENTS TO. PAM BEACH COUNTY: 113ME LANGUAGE SURVEY
i2as ems' Imr.a4c1 It HWY Ili CT "it tATIQM.1.1 IS SI•011. fa. OCI a WI/ CI
111 Merl ST Or /Mr be III Ile KM tar Tel in re Eta
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EFTA01710205
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EFTA01710206
S1UDE SEX II/SAL/ETHNIC GROUP 0 Hisponk STUDENT NUMBER
rV/hia. Noe ENSNamic 0 Ain/Irian Indian/Nein. Alaskan
LOOM
p 0 tack. Not Hinank 0 Asion/Pocilm Wonder
..111.1 PHONE NUMBS
BIRTHOME Vor bed try 13, rin e ow 0-Yos
IF Not What Type Commamt on/
NAME OF PARENT(5) OR LEGAL GUAROMN OR OTHER RESPONSIBLE ADULT AT HOME p
0 OA
BIRTNKACE,
Bomn+on Beach , Pt.
CURRENT SCHOOL: Iwo until in t 's spow. IMO (mil
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Sliest
Cate Fiat Entered This Daria Withdrowal Cat. Withthsval Cato Withdrawal Due
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SCIENCE one SCIENCE And
sERAVOR CODE IHAVIOR COOS ENAMOR CODE BEHAVIOR COGE
• RAP R Mali.
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PmenNo (E) Prcarall•IPI
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FLORIDA PERMANENT RECORD CARD
Rotau,
4Tfar.-• ^ c.c. Tarry Grey School OWN SCAXM Owl, Scrod: Sc Gm&
LARrabil010e. IbRitta tlii
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Oefocpm Ores tern , Goys ninon: Data Matt Oen Malta DmAblest Days haunt Orabb.rabtal: ORIRPOra•Pb DMHARM
CATEGORY A • Education Records
Subtod TWINY ,. SAAONA Twit*. Met SYStea TralitItst Milk roabor tart Srabiltt %Woe Mark
tatilra Hata morn rmICS MAINPMANCS r i A41=AIICS VAINMAAMY'S
REACNNO REAOING ADAM URGING
ANOVArE LANGUAGE LANOVAGE LANGUAGE LANGUAGE
<SILL PM SPURNS RM.RCS Mauna APELONG
HANDWRIPPIG ItAROPCOVT1NO mAROPeRtlitta Nomowritosi raIRROVolraftiNG
SOCIAL SWOP'S SOCIAL STUDIES NOOAL STOCKS SOCIAL twcc SOCIAL MOMS
GRADES K.5
SOENCE ire SCIENCE NS SCIENCE sad SORP.C.1 and SOUK: end
PERON ' ,CRISP PrAtTP HEM Tl. t4PAITP
OVIAtton COLDS OtiamOn CON oCHAVIOR COOL senAvioncooe sownos CODE
MEN AS% WAAGE AVIRACE "EMC. AVIPACt
Inept Up Indicate: Praf.carar %Scum train.
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ESS00032
EFTA01710207
STUDENT NAME: SEX RACIAL/ETHNIC GROUP O HiSpOCOC STUDENT NUMBER
0 White. Not Hispanic 0 American InSan/Nalma Abstall
0 Black. Not Hispanic 0 Asian/Pacific Islander
CURRENT SCH00L: (use pencil In this space. until rival) OIRTHOATE
Nano.
Siteet
City
SubNci TolChor 114A Sines Gras: Swint, Toochor Mark
Scheot Clads
SPFI (RIO SPILLING
ANCMTVOTING HAiioweiliNG
SHCTEL.StUDIES social ttutelS
School —49— SCI.01 Ye. 19 --I —
SOltitt and SCIENCE and
OttA1114 Ores botany. Ocos MIMIC HEALTH
Coms PME011t Otlyll Meant
BEHAVIOR BEHAVIOR
COOE *WAAGE root AVERAGE
Schicel Timber Wet SWJect TeliChtd Mart endows
IN:C.It•.
THATTENtolia Promale (P) MATHEMATICS PHT•o101h)
IWAMOTO Amain (P) PEAOHG R0414 IR)
Soorner SchoolMST LANGUAGE Summer School ISS)
LANGUAGE_
EFTA01710208
Pl.P.tmall.P.E„aInt.oprrcArk)
CATION OF IMMUNIZATION
2.032 5.61D-3.011 -.LC and s. 65C-22.086, F.A.C.
PARENTORGUARDIAN Child's S.Stt (optional) STATEDDIUNIZATION104P
Directions:
• Enter all appropriate doses and dates below.
• Sign and date appropriate certificate (A-I, A-2, B, or C) on reverse side of form.
• If the child is presenting for the 7th grade requirement oily 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 . Dos I 2 Do 3 . Dosed tom 5
CODE.
DraPIDTP1 A
DV B
Td' C
Polio' D a
isal•ii
IMP E
KKR (Combined)1 F
(SeparatO G.H.I
Measles (dose Afeada(icve 2) Rabat,
Hepatitis B'
The state immunization WO is an identifier supplied by the stain 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 dnc.c ofDM
DT (pediatric) is acceptable if ?Metals vaccine is medically contraindicated. (Complete Pan C for Pertussis
contraindication.)
s Td (Adult) Vaccine is recommended for children 7 years of age or older.
Polio 4 doses required. If the third dose is administered on or after the fourth birthday, a fourth dose is net
requited. WV 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.
tat dose valid if given on or after 1st birthday. Second dose (measles) valid if given at least 1 month after 1stdose.
A second dose of measles (preferably WAR) 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 are included.
Includes single measles vaccine (O), single mumps vaccine (H) or single rubella vaccine (I).
Hepatitis B vaccine mries is required for seventh grade entry and attendance effective with the 1997-98 school year and kinder-
garten entry and attendance effective with the 1998.99 school year. In each subsequent year thereafter. the next highest grasics
are included.
EFTA01710209
LAST NAME FIRST MI DOB tmonamYtt)
Certificate of Immunization for K-12 Excluding7th 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 1
Ihave reviewed the records available. and to the best ofmy knowledge. the above named child has been adequately inutuonsed against
diphtheria. tetanus, penussis, polio, measles, mumps, rubella and kepands II (for kindergarten effective with she 1998199 school year)for
school attendance as documented on the revere side of this fomt
Physician or Clinic Name: Physician or
(Print or stamp) Authorized Signature.
Address:
Date.
Certificate of Immunization Supplement for 7th Grade Requirement
Part A-2 (tmmuni rations are complete for students mho 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 requitement.) DOE Code 8
1have reviewed the records available, and a the bnt ofmy knotsieclge, the above named childhat received the following immunizations
mauledfor entry and attendance in 7th grade effective with the 199708 school year: tear.uPdiplithetio booster hepatitis It vaccine penes.
and second dose of wades vaccine as docrimented on the reverse side of this form (boxed areas).
Physician or Clinic Name: Physician or
(Print or stamp) thorized Signatu
Date.Nan
Temporary Medical Exemption
PART B (For preschool children, children in day care and school children who are incomplete for immunizations in Part A-1
or A.2.) Invalid without expiration date. DOE Code 2
I ern* that the above named child has received the immunisations donimented an the averse side of thitinnt and has commenced a schedule so
complete :he required immunisations. deldmonal barn:natation ore net medically indicated at this nine.
Physician or Clinic Name: Expiration Date:
(Print or Stamp) (I 5 days after next Inuounixation appointment)
Physician or
Address: Authorized Sig attire -
Date.
Permanent Medical Exemption
PART C For medically contraindicated immunizations, list each vaccine and stale valid clinical masoning or evidence for
exemption: DOE. Cede 3
I cent that he physical condition ofthis child is such that inwunizationWas indicated In Pan Cable is medically eantraindiened.
Physician or Clinic Name:
(Print or stamp) Physician Signature:
Address:
Date.
DK 6$0, TM, opine euklicr calf. &ea Sta.en: 57.04:40-44144)
EFTA01710210
Mairdge SAT STUDENT SCORE REPORT
REPORT DATE: 4/08/04
( HIGH SCHOOL COPY - 101493 )
YOUR SCORES
Test Date: MARCH 2004
• PAAseMng
rry
velay
Pri llf=1 LOXAHARTCHEE FL, 33470
I
Math:.
WHAT DOES YOUR SCORE RANGE MEAWI WHAT'S THE AVERAGE VERBAL OR MATH SCORE?
For codepeesound scram In the CUISS 012003, re.•
No single 'tome/Nat score can end% rePresecd yaw
reasoning skills. If you had taken ctlferer4 *Sons of the test the aserfge verbal :are was 507 and the average
Math score WaS 519.
E
within a that period of time. your partormance would probably
vary somewhat on the 200 to TOO thole.
WILL YOUR SCORES CHANGE
HOW DO YOU COMPARE WITH COLLEOE.BOUND SENIORS? n
IF YOU TAKE THE TEST AGAIN?
PercenOks ingrate what or tentage of lest taken earned a If you lase the test again. especially it you study between
scan lower than Wars. The natlanal Percentile for you verbal non and then. your stores IneY 00 UP. (.0
seas a 400 Is 38 . indinding Tel did Leer than 38 'A of the et
national gimp or collegrehounl seniors. The nadong Among Medea with verbal stars of 480, 56% soma higher
percentile for your math score of 4t0 N 16. indIcallno you did on a seccnd warn, 13% score OW, and 9% receive the
0
ert
boner than *6% of U.. national pro,* of e011efle0 OUnel SOMOrS• same score. On average, a person with a verbal score of 480
gains 13 pangs) on a second taring. 0.
DID YOU DO BETTER NI VERBAL OR MATH?
Your scores Inc:scale that you performed hetes on the verbal Among StunallIS with math scored 01 410, 65% ecore O
test than on trio main test hither on a second testing, 27% score lower. and 7%
racche the sense wee. On aver090, a versos keth a math
SONO of 410 gab! At pangs) one second bang.
HOW DID YOU DO ON EACH TYPE OF QUESTION? O
0
AnWetie AM
' -4
,RWW41.94teeionet9
-a
GteSleDIS gejednIng 0
as Can Compare you peelernletICO lo conope.bound seniors
Tow responses to seen c types of Winans se presented aro whO to* this test. Iris percentile la an estknato of the per.
numb+, right. metro* wrong, art/ menet omitted. Raw scores
based on the specific eth lOn a the tad that you 100k. centege Of CO•egmbemd seniors who earned a raw score 3
You cannot compare raw math en dIderent editions of the test cr lower than yours on each type of question.
across different types o4 questions. For each type a Question, you
0.
0
SUMMARY OF SCORES
SAT e Reaseelef Teal SAT II: Suekei Tars 0
•" . • •• erg,* iii UsleniellV
” eel • 1 0
• • •
:.a el, 1.
... . ,..1 ril• 3
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1
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IID
Per 04111 41Id 410
3
lise alum hoe ensure.
3
0
ID INFORMATION
To We saddle:id tests you Can rerthitste by Malt Or by phone (see above). To send more score repents you se; I nets 100
and use visa. MasterCard. Arntrk n EXPreSS. DOCOyer. or JCS. bsslitutiews 4.Cgtt Cara. See the back of this report for
You will need M registration number below and the test due IMMIX/Jona On IOW to request three settees.
“. !: s. .
• 4 , i ' . 4 SeepitiSPOIelti iltfareilibitie Tem.ommee
* , — ' .. , 'Afikaii7.4V '". lit . e• •
. • theritef- 0 04 00:1404144 .47 . :.
. 1 d7. PIN STARth :
ROYAL PAIN BEACH COMMAIETY HS 101493
F 10740
EFTA01710211
1
• • •
*i %.:11:IIMAcilill11143$13,1thOU1013.133031iRECEIV111-A SC0030II104144,.&4
SID A .V.1004;i00I ll eallh‘' A41.30 W1•361C0III.030.101
oUs ! 019111, ,Ilr'44 31, .
t' 7‘ A.T.." ..,Calo
"n tritiuroilfirost iocthof.
2eti ne " onrgr ilY .r4;‘ :
No information about colleges or scholarship
programs is provided here because you did not ask
binciatheel tr C•1101•3
us to report your scores. Many students have not
yet decided to which colleges they will apply. If
P0/110
Coed
you need help making that decision, try some of
the following:
is gii4aertitfrt
ilai UMW : IlnOeclaaa
• talk with a guidance counselor at your high school
gets*.. tarp °Its
In state
. . . • talk with your parents or other adults whose
opinions you value
i 00/mIly el
0111Innift
Ft re•lilent
Cltlien
-R. 'Chili lathe • talk with your teachers
g
a
00 'wales plans
• talk with your friends, especially older ones that
Vila Iliselnet• Newt may be further along in the process or have even
., . and odds
been through it before
glad: ..,int • -' g
Awr•s•
• look at college guidebooks (we publish our own,
• the College Handbook) found in your library or
Jilin School 10 guidance office
1.1 04eiriet
in ' tallish . • Cnillni
,g: 00.4igning. ' 2 Facelift lift,.
• ask whether your school has computer software
that will identify colleges that meet the criteria
g 11.0. . 3 Seth
ilsivratklinal 3 ltetutel $01. you select
u. -.Sochi Salute 4 Satlal Silence
..s" Ani.nieila . Out*. knit
0 :iegmessi
'Cowles.
uldfsio•
Cdiede
.•Xi/MAW
ri Repel
f.r1•s• Deadline
.• • ., .
.Stank GSM*
i a • te% /cad - :
SE: FresnmiA.
,SUniU•lowSi4
1 ' Akfulus
..E:einkrip, !
O
. Sales AAAAby
.:twensti • .
1.00iein4i140,
1 .iimmthi..14).1
Ho o Is IntormoUon you provided:
Ulm tursuago. a glish only Raiigico:
Telephone: 561.753-5472 want Seastli SUNOS: YES
EFTA01710212
IOTA MIDDLE oust: 06 OAT( OF TESTING; 4/20/98
TEST: CTBS/4 LEVEL 16 FORM A STOUT SUMER:
SCORIUMAS
OMN AVERAGI MOUT
MOMMUF
TESTS RAMS LW MGM
TOTAL READING
READING COMPREHENSION
READING VOCABULARY
TOTAL MATHEMATICS
MATH CONCEPTS & APPLICATION
MATH COMPUTATION
NMASOF thN
1-25 MHO MMS
PROMMI
MOCOUU MOSUL! PUOMMI NOMMUF
MOM
Dear Parent/Guardian:
This spring, Nicole was given the Comprehensive Tests of Basic Skills/Fourth
Edition (CTBS/4). This report explains Nicole's test results.
When compared with students across the nation, Nicole scored in the highest
range on Reading Comprehension. Nicole's scores were in the high-average
range on Math Concepts 6 Application.
Additional information about these tests can be found on the back of this
page. If you would like more information about Nicole's test scores, please
contact our school.
Sincerely,
Principal
ScMOOD:AGOF.
EFTA01710213
SCHOOL: SOTA MIDDLE mwm, 07 WTEOFTESIDG: 4/13/99
MT: CTBS/4 LEVEL 17 FORM A STANT
KOMOWALS ANIMIT
UMW ATCRAGE
MAIMO,LE
TESTS mats Um mm
READING COMPREHENSION
MATH CONCEPTS & APPLICATIONS
TOTAL LANGUAGE
LANGUAGE MECHANICS
LANGUAGE EXPRESSION
SCIENCE
SOCIAL STUDIES
MMISOF 74-m
1-25 34-50 514s
MKomil KRUKTME MMInnE
rmamac KKOrTat
Rams
Dear Parent/Guardian:
This spring, Nicole was given the Comprehensive Tests of Basic Skills/Fourth
Edition (CTBS/4). This report explains Nicole's test results.
When compared with students across the nation, Nicole scored in the highest
range on Reading Comprehension. Nicole's scores were in the high-average
range on Math Concepts & Applications.
Additional information about these tests can be found on the back of this
page. If you would like more information about Nicole's test scores, please
contact our school.
Sincerely,
Principal
lisi4ptg44
EFTA01710214
tai DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES
EALTH EXAMINATIONS Dale 4/3o/ 97
ales
Ftfl Phone Race Stur
Addeo Binhfare
Name or Pore or Corcoran
A. HEALTH EXAM NATION Roo. &cod Pressure
(/)Hormalceb AbnonnelcA N A : • norm. I Findings, by number
1. A0PearMIO
cc'
2. Skit/aka.
a mead/Scab
4. Eyes
V
0. Visual Assay U .7
B. Ems
7. AmIllery Artily (12 a 1)
8. Nom Twat
9. Mae. Toth and Gams .7
10. Ovate / Lunge
11. Heart
12 Abdomen
ra EOM. and Ann
14.tiuscaloaeletal
16.Naurraoskrel
10. Marinoss
17.Emolional / Wenral/
%Iwo( Rob)
18. Hencraux plokal/
01-
other ISoreelly)
19. whey Rostectiona
ISoebly) Nit
20 Mane. *Amnon
claysoml/ errobteral iv*
21. MA/Mon
22. Other
B. HEALTH HISTORY Iwo= WICSOM
Wadi narrathe a acklabnal scow needed]
ShMI(0 am
7uberculb lett
SON CO
NAME:
1111E:
ADDRE
(Please Prim)
ed Si,nalure / / Dare
irdS•X Form 3040, Mar 91 (Crateletes previous editions)
(Stock ember: 5744-0))-3040.2)
EFTA01710215
Loxahatchee broves
20 Oldc0100cenol. sucrose!). PrOf101. PonConol
analChee. FL 33470 M.Y2ie Jo Young. .S tan! Principal
7954061 Judy HeSSe40n. ASSslanl Pro10024
(407279:4318 Elementary
interim Report of
:45aris(accory Progress
School: 1 me:ha4c_hee Date: 9 ',CI -C14) Grade: 5
to the parent or guardian of
This report is co advise you chat your child Ls making unsatisfactory
progress in:
( ) Mathematics ( ) Handwriting■
( ) Reading ( ) Social Studies
C ) Leagues ( ) Science/Health
C ) Spellin
III ) Behavior
In order to improve, your child needs to:
( ) ascend school regularly
( ) bring the necessary supplies and materials co class
( ) listen carefully and follow directions
( ) complete classroom assignments
( ) complete homework assignments
( ) work independently
( ) develop better study habits
( ) Improve class behavior
( ) other:
We need co work together. Please discuss this report with your child.
Please sign and return the portion below the dotted line.
Student's Signature Dace
- Parent's Signature Parent's Phone Number(s)
EFTA01710216
?'total. Weadi C01111111117ity High Scfioof
stir
Records Request Form OCT 2 9 nen
Wontegkpmlmall
Dab! OO
Itequod:
Second Itudiest
M .. Ad/ A_ 3,Ao I
Proviona School Alleaded
School Address
Siudad t Date ofIllrat
ilds above named modem has availed in ow school. Please tend the following to Records et your
earliest CANIVUliCAICC.
Treitscaint ofray& grades MINI/CUM
liate of enrollitteca and withdrawal
SEND WITHDRAWAL. GRADES
__Taal eunmidive atom= for year to dale
Grades to dale of withdrawal
_ Garai !emends (linmunizations)
____Intratreedion of yam marking system
_Achievement Test Scram
_ Copy of Strada MCI'
Graduation recirammerds, if senior
jitydratogical Itepart ((fart hem i ['kinglet Ildilation %dont)
Pracra Signature
Staid IlAticalion.
PATNII SitItAllliC
Think you for your (^titration in this miner. Federal law 99.21 Slabs: "No pans& eignalwo is requirrat
for oduratiOnal records rail In trantlict allati(111111 agency?
106011 Okralinfort Onsifroan‘ RoyalPafin Meade, grotitia 334.1.7
Tionste: (5611 7S:3-4000 Ya.c.f061)7S.4-4015
EFTA01710217
TH EXAMINAT1 osectiOD
Sesta
RA Name Raeie-- Sex
Arkhael--- t2o3
Name of Penal or Ouardbn Scheer
A. HEALTH EXAM NATION Heinle °bed Pr.r
1:614ermal4N; AboormaleA COMMENT: Mumma! Findings. be number
1. &Omens
2. Skin/New
elead/Sorto
4. Ewe
5. MRS Amity IS &I.)
S. Ears 7 /
7. AuStery Molly iR a L)
r/ -
&Now / *Rook
9. Mouth. Teeth and Gums
10. Chest I Lungs
12. Oixboon
13. derails and Anus
14.1ArsodoCkeklal
/7
IS. Nourdoeical
0. MarInest
17. Emodocul / Mental/
Belovere Prob
Nenoexp: rthyse.k/
0"&"11Seeem
10 Act,nty Pastnctceas
(Specify)
-anal
ovnical/ emc4o
21 moisen
22. Ober
B. HEALTH HISTORY (Wks Mama Nutlet euvraln)
II
Colleen narratke a ad6Omal sox. Deeded)
C. LABORATORY
H)croglobin/Hemslocri SloolIO &
Tutercut4 test.
NAME:
Lea] Stlk Col
L
TITLE:
ADORES
(Please Print)
A horized Signature
0141040. 16/94 laneKnr 145141.1inn 3040sen, nor M non
ISInk Mann 514400P11.4.21
EFTA01710218