1. Student Name: First Last A value is required. A value is required.
2. Student Number A value is required.
3. School Name District A value is required.A value is required.
In which (if any) areas has the student shown improvement?
4. Grades: Low Grades Average Grades Above Average Grades Please make a selection.
5. Attendance Missed more than 10 days Missed between 5-9 days Missed 0-4 days Please make a selection.
6. Behavior Poor behavior Fair Behavior Good Behavior Great Behavior Please make a selection.
6. State Testing Scores Poor behavior Fair Behavior Good Behavior Great Behavior Please make a selection.
SOCIAL COMPETENCES:
7. Responsiveness Poor Fair Good Excellent Please make a selection.
8. Ability to adapt to and get along with different cultures Poor Fair Good Excellent Please make a selection.
9. Empathy Poor Fair Good Excellent Please make a selection.
10. Caring Poor Fair Good Excellent Please make a selection.
11. Communication skills Poor Fair Good Excellent Please make a selection.
12. Sense of humor Poor Fair Good Excellent Please make a selection.
13. Friendship Poor Fair Good Excellent Please make a selection.
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