Individual Distance Learning Plan

Please keep this form with you and bring to class for updates.

My
Name:

Primary
Goal:

Secondary Goal
(optional):

My Test Scores:
Date Test Form & Subject Scale Grade
Name Level Score Equivalent
TABE Reading
Math
Computation
Applied Math
Total Math

How far to reach my primary goal? Please circle what your goal is.
Site Manager will fill in your current level based on your test scores.
Subject: Subject: Subject:
My Goal Current My Goal Current My Goal Current
Level Level Level
College 11-12.9+ College Prep 11-12.9+ College Prep 11-12.9+
Prep
GED Prep 9-10.9 GED Prep 9-10.9 GED Prep 9-10.9
Pre-GED 7-8.9 Pre-GED 7-8.9 Pre-GED 7-8.9
High 6-6.9 High Middle 6-6.9 High Middle 6-6.9
Middle
Middle 5-5.9 Middle 5-5.9 Middle 5-5.9
Low Middle 4-4.9 Low Middle 4-4.9 Low Middle 4-4.9
High Basic 3-3.9 High Basic 3-3.9 High Basic 3-3.9
Basic 2-2.9 Basic 2-2.9 Basic 2-2.9
Low Basic 1-1.9 Low Basic 1-1.9 Low Basic 1-1.9
Beginner 0-0.9 Beginner 0-0.9 Beginner 0-0.9