EWC Outreach Site:________________________ Instructor:____________________
Name of Student:_________________________________________
TABE 9
Pre-test Scores: _______________
Number of in-seat hours logged by student:________________
Primary Goal(s): (check all that apply)
Earn a HSEC Get a Job Retain Job Enter Post-Secondary
Has student met this goal? Has student met this goal? Has student been accepted?
Date met:____________________ Date met:____________________ Where?________________________
Where Employed? Where Employed?
______________________ ______________________
Justification for post-testing before 60 hours:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
________________________________
Approved
Date:________________ __________________________________________
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