ࡱ> _a^b jbjb{x{x ,^ 5:::::::pt t t 8 T p "|&@,R:fffV::VVVf::VNb::::fVV::V Db3t vVV0VVVV:pp t ppt Summary of the Student s Academic Achievement Page 1 of  FORMTEXT       and Functional Performance Student s Name  FORMTEXT       Date of Summary FORMTEXT       Reason for Exit (check the one that applies):  FORMCHECKBOX  Graduated per Districts requirements/policy, and completion of California High School Exit Examination (CAHSEE) earning a regular high school diploma  FORMCHECKBOX  Reached age 22 and earned Certificate of Achievement or a Certificate of Completion and is no longer eligible for special education  FORMCHECKBOX  Certificate of Achievement/Completion SUMMARY OF THE STUDENTS ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE Strengths/Interests/Learning Preferences:  FORMTEXT      Pre-Academic / Academic / Functional Skills (Note results of any general State or district-wide assessments):  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Cognitive Abilities:  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Communication Skills:  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Motor Skills (Fine/Gross):  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Health:  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Social/Emotional/Behavioral:  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Self-Help/Adaptive:  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Pre-Vocational/Vocational:  FORMCHECKBOX  This is not an area of suspected disability at this time.  FORMCHECKBOX  Currently, student is performing within age appropriate range.  FORMCHECKBOX  Other, explain:  FORMTEXT      Agency Linkages (check agencies known to be working with the individual or could be a resource to the individual)Agency Contact Person and phone number, if known FORMCHECKBOX  Regional Center FORMTEXT       FORMCHECKBOX  California Children s Services (CCS) FORMTEXT       FORMCHECKBOX  Department of Health and Human Services FORMTEXT       FORMCHECKBOX  Mental Health Services FORMTEXT       FORMCHECKBOX  Employment Development Department FORMTEXT       FORMCHECKBOX  California Department of Rehabilitation FORMTEXT       FORMCHECKBOX  Community College/University Disabled Student Services FORMTEXT       FORMCHECKBOX  Other FORMTEXT      Other Recommendations:  FORMTEXT           Sonoma County SELPA SELPA 26A 10/09 Zz| <>RTV`bdިtlallj^hYJrUjhYJrU jhYJr5>*UmHnHu!jhYhYJr5>*U hYJr5>*jhYJr5>*U!jthYhYJr5>*U&jhYhYJr5>*UmHnHu!jhYhYJr5>*UhYhYJr5>*jhYhYJr5>*UhYJr hYJr5$d[ - f   ( gkd.$$Ifl*+ t064 l4a $IfgdYJrgdYJr|- . < = > f   f   ( * F H J 赫ti^j_hYJrUjhYJrUjwhYJrU h`hYJr&jhYhYJr5>*UmHnHu!jhYhYJr5>*UhYhYJr5>*jhYhYJr5>*U hYJr5hYJr5CJaJhYhYJr5CJaJjFhYJrUhYJrjhYJrUjhYJrU$J l n Z \ x z | @BVXZdfj.0LynjhYJrU!jhYhYJr5>*UjxhYJrUjhYJrUjhYJrUjhYJrU hYJr5 h`hYJr&jhYhYJr5>*UmHnHu!jhYhYJr5>*UhYhYJr5>*jhYhYJr5>*UhYJr(( Z hgkdG$$Ifl*+ t064 l4a $IfgdYJrhj.< $IfgdYJrgkd`$$Ifl*+ t064 l4aLNP*,.8:>tv *,.  ,.JŴϠziϠ!j hYhYJr5>*Uj hYJrUj6 hYJrUj hYJrU hYJr5&jhYhYJr5>*UmHnHu!j hYhYJr5>*UhYhYJr5>*jhYhYJr5>*UjhYJrUhYJrjhYJrUjhYJrU)<>  $IfgdYJrgkdy $$Ifl*+ t064 l4af $IfgdYJrgkd $$Ifl*+ t064 l4aJLNfh,.0HJfhjĺĕzoĺjhYJrUjhhYJrUj hYJrU hYJr5&jhYhYJr5>*UmHnHu!j7 hYhYJr5>*UhYhYJr5>*jhYhYJr5>*Uj hYJrUjO hYJrUhYJrjhYJrUj hYJrU&H $IfgdYJrgkd $$Ifl*+ t064 l4avx68:\^rtvTVrtvûȰȻȥȻȚûtȻiȻjhYJrUj&hYJrU!jihYhYJr5>*UhYhYJr5>*jhYJrUjhYJrUj hYJrUjhYJrU hYJr5hYJr&jhYhYJr5>*UmHnHujhYhYJr5>*U!jPhYhYJr5>*U)v $IfgdYJrgkd$$Ifl*+ t064 l4aTb $IfgdYJrgkd$$Ifl*+ t064 l4a:<PRT^`dFH  :<>пګ覞Ђګwfګ!j=hYhYJr5>*UjhYJrU!jhYhYJr5>*UjhYJrUh$hYJr5 hYJr5&jhYhYJr5>*UmHnHu!jhYhYJr5>*UhYhYJr5>*jhYhYJr5>*UhYJrjhYJrUjhYJrU(bdH $IfgdYJrgkd$$Ifl*+ t064 l4a{{ $IfgdYJrzkd?$$Ifl0* t064 l4a{{ $IfgdYJrzkdx$$Ifl0* t064 l4a,T{{ $IfgdYJrzkd$$Ifl0* t064 l4a,.BDFPRVXtvx>@TVXbdhj۬ѐ۬t۬ijhYJrU!jhYhYJr5>*UjvhYJrU!jhYhYJr5>*Uj;hYJrU&jhYhYJr5>*UmHnHu!jvhYhYJr5>*UhYhYJr5>*jhYhYJr5>*UjhYJrUjhYJrUhYJr)TV{{ $IfgdYJrzkd$$Ifl0* t064 l4a>f{{ $IfgdYJrzkd%$$Ifl0* t064 l4afh{{ $IfgdYJrzkd`$$Ifl0* t064 l4a &(*"NPRfhjtv׿׿׿zi!jbhYhYJr5>*U hYJr5!jhYhYJr5>*Uj'hYJrU!jbhYhYJr5>*UjhYJrUjhYJrUhYJr&jhYhYJr5>*UmHnHujhYhYJr5>*U!j'hYhYJr5>*UhYhYJr5>*&{{ $IfgdYJrzkd$$Ifl0* t064 l4a {{ $IfgdYJrzkd$$Ifl0* t064 l4a "x{ $IfgdYJrzkd$$Ifl0* t064 l4avxz|~jhYJrU hqrhYJrhYJr h$hYJr xz|gdYJrgkd$$Ifl*+ t064 l4a*1h:pYJr/ =!"#`$@%@tDText1tDText1vDM/d/yytDeCheck1tDeCheck2tDeCheck3tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+tDeCheck4tDeCheck5tDeCheck6tDText1G$$If!vh5+#v+:Vl t65+O$$If!vh55#v:Vl t65tDeCheck7tDText1O$$If!vh55#v:Vl t65tDeCheck8tDText1O$$If!vh55#v:Vl t65tDeCheck9tDText1O$$If!vh55#v:Vl t65vDeCheck10tDText1O$$If!vh55#v:Vl t65vDeCheck11tDText1O$$If!vh55#v:Vl t65vDeCheck12tDText1O$$If!vh55#v:Vl t65vDeCheck13tDText1O$$If!vh55#v:Vl t65vDeCheck14tDText1O$$If!vh55#v:Vl t65tDText1G$$If!vh5+#v+:Vl t65+@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No List4@4 YHeader  !4 @4 YFooter  !.)@. 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