Parent Mentoring Student Data Profile

Student(s) Name(s): _____________________________________

_____________________________________
_____________________________________
Parent Names: _______________________________
_______________________________

Past Rate of
Progress

Previous Regression
Patterns (Please
provide specific data
i.e. Bedrock words,
fluency, DRA 2
scores)
Student Attendance
Data

Parent participation
in Conferences

Discipline Data

Title One/Reading
Recovery
Iowa Assessment
Data

Date: ______________

Date: ______________

Date: ______________

Slow when compared to peers

Slow when compared to peers

Slow when compared to peers

Average when compared to peers

Average when compared to peers

Average when compared to peers

Advanced when compared to peers

Advanced when compared to peers

Advanced when compared to peers

Little

Little

Little

Some

Significant

Some

Significant

Some

Significant

# of unexcused ______________

# of unexcused ______________

# of unexcused ______________

# of excused ________________

# of excused ________________

# of excused ________________

# of tardy __________________

# of tardy __________________

# of tardy __________________

Av attendance rate last year ______

Av attendance rate this year ______

Av attendance rate this year ______

Parent Led
Yes
No
Fall
Yes
No
Spring
Yes
No
Home Visit
Yes
No
# minors ______________
# majors ______________
# of in school suspension
incidences ______ days ______
# of out of school suspensions
incidences _____ days _______
Received services:
Title _____ RR ______
Reading NSS ___________
Math NSS _____________
Science NSS ____________

Parent Led
Yes
No
Fall
Yes
No
Spring
Yes
No
Home Visit
Yes
No
# minors ______________
# majors ______________
# of in school suspension
incidences ______ days ______
# of out of school suspensions
incidences _____ days _______
Received services:
Title _____ RR ______
Reading NSS ___________
Math NSS _____________
Science NSS ____________

Parent Led
Yes
No
Fall
Yes
No
Spring
Yes
No
Home Visit
Yes
No
# minors ______________
# majors ______________
# of in school suspension
incidences ______ days ______
# of out of school suspensions
incidences _____ days _______
Received services:
Title _____ RR ______
Reading NSS ___________
Math NSS _____________
Science NSS ____________