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Data for Student: ____________________________

Reading levels:
BOY_________

MOY_________

Target Tests:
Reading 1:_________ (
1:___________( / )
Reading 2:_________ (
2:___________( / )
Reading 3:_________ (
3:___________( / )

EOY_________

/ )

Math

/ )

Math

/ )

Math
Math 4:___________( /

)
Benchmark:________(
/ )
Benchmark:________( / )
STAAR Reading: _____( / )
_______( / )

STAAR Math:

Modifications needed:
________________________________________________
IEPS:
______________________________________________________________

Concerns:________________________________________________
__
Strengths/Progress:
__________________________________________
_____________________________________________________________________________________

Six
Weeks
Subject
Reading

English
Spelling
Math
Social
Stud
Science
Citizensh
ip
Grades:

Speech: Y/N Concerns:


__________________________________________________________________
Other:
_______________________________________________________________________________
_____________________________________________________________________________________

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