Fillable Summary of Performance (Palm Beach Schools)

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Summary of Performance (Palm Beach Schools)

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AREAS OF ELIGIBILITIES:
THE SCHOOL DISTRICT OF PALM BEACH COUNTY
EXCEPTIONAL STUDENT EDUCATION (ESE)
Summary of Performance
Diploma Option:
Standard
Special Option I Special Option II
SUMMARY OF ACADEMIC ACHIEVEMENT
SUMMARY OF FUNCTIONAL PERFORMANCE
The following information is a summary of functional performance (i.e., life skills, community access skills and vocational
skills).
Initial Date: Current IEP Date:
POST SECONDARY GOALS
At the time of graduation, the student intends to pursue the following goals after high school as identified on the transition
IEP. (If employment is the primary goal, consider including top three job interests.)
Page 1 of 2PBSD 2208 (Rev. 6/20/2019) ORIGINAL - Exceptional Student Education Student Folder COPY - Student
GPA: FSA: FSAA:
The following information is a summary of academic achievement that may include data from transcripts, report cards, reports
of standardized test results, and reports of progress toward meeting IEP (Individual Education Plan) goals. Include information
on strengths, needs and accommodations.
Academic Strengths
Academic Needs
Essential academic accommodations utilized in high school and why needed
Strengths
Needs
Essential functional performance accommodations utilized in high school and why needed
Current SchoolGrade
Birth DateLast NameMIFirst NameStudent ID
Current Date
Algebra I EOC/Access EOC
Accessing independent living
Accessing recreational opportunities
Seeking eligibility of agency services and/or assistive technology
Signature of Person Completing Summary Date
Print Name of Person Completing Summary
PBSD 2208 (Rev. 6/20/2019) ORIGINAL - Exceptional Student Education Student Folder COPY - Student
Student will continue to reside with family
Student and/or family will arrange for independent living
Referral for group home
Referral for supported living
Student can access recreational opportunities independently
Contact Parks and Recreation, Special Populations Department
Other
Other
Student has declined agency service
Student has been referred to (agency/agencies)
Student is a client of (agency/agencies)
Student uses assistive technology devices supplied by
Other
Accessing employment
Student is currently employed without supports
Student will be pursuing post secondary education
Referral to (agency/agencies for employment services)
Referral to (agency/agencies for Adult Day Training)
Other
Summary of Performance
continued
Page 2 of 2
Referral to Palm Tran connections
Student input
RECOMMENDATIONS FOR MEETING POST SECONDARY GOALS
The following is a list of recommendations for the student to do that are essential for the student to successfully achieve
current post-secondary goals.
Accessing post secondary education
Contact a university college, Office of Disability Support Services
Check school district adult and community education programs
Check Palm Beach State College, Post Secondary Adult Vocational programs
Contact vocational-technical schools
Other
How does your disability affect your schoolwork and school activities (such as grades, time on tests, communication, mobility)?
Current Date
Last NameFirst NameStudent ID
In the past, what supports and accommodations have worked best to help you succeed in school?
Signature of Student Date
Print Name of Student
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Completed 17 November 2020

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