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AppleWorks Document  |  1986-05-15  |  2KB  |  48 lines
  1. O=====|====|====|====|====|====|====|====|====|====|====|====|====|====|====|===
  2. STUDENT 3 MONTH EVALUATION
  3. >STUDENT'S NAME________________________________________        
  4. DATE_____________________?
  5. =NAMES OF STAFF PRESENT________________________________       
  6. _________________________@
  7. >                      ________________________________        
  8. _________________________@
  9. >LEVEL______________________WEEK___________TOTAL TIME WITH NEW 
  10. HORIZONS__________________B
  11. @SCHOOL PROGRESS:  Units Completed_______________ Units Ahead or 
  12. Behind_______________8
  13. THERAPUTIC STAGE______________________________________B
  14. MAJOR PROBLEMS DURING LAST 3 MONTHS, EVALUATION, RECOMMENDATION:O
  15. M_____________________________________________________________________________
  16. __________O
  17. M_____________________________________________________________________________
  18. __________O
  19. M_____________________________________________________________________________
  20. __________O
  21. M_____________________________________________________________________________
  22. _________8
  23. STUDENT'S CLOSEST FRIEND______________________________8
  24. STUDENT'S BOY/GIRLFRIEND (if any)_____________________O
  25. MHOUSEFATHER________________________________HOUSEMOTHER_______________________
  26. __________7
  27. 5GROUP LEADER_______________________________HOME ROOM $
  28. TEACHER___________________________
  29. RECOMMENDATIONS:
  30. A.  Home Readiness
  31. B.  Transfer in New Horizons
  32. C.  Termination
  33. OTHER O
  34. MNOTES________________________________________________________________________
  35. ____O
  36. M_____________________________________________________________________________
  37. __________O
  38. M_____________________________________________________________________________
  39. __________O
  40. M_____________________________________________________________________________
  41. __________O
  42. M_____________________________________________________________________________
  43. __________O
  44. M_____________________________________________________________________________
  45. __________O
  46. M_____________________________________________________________________________
  47. __________
  48.