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  • Pbdaapplication

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    This document is a processing form for a student's application to the Performance Based Diploma Academy (PBDA). It collects information about the student's name, current grade and credits earned, current academy, and the reason for applying to PBDA. It also has sections to note student concerns and strengths, input/data sources like grades, credits, behavior, test scores, and attendance. There is a section to note if the student has an IEP or 504 plan. The form concludes by noting if any grades need to be transferred for students applying outside the regular grading windows.

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    This document is a processing form for a student's application to the Performance Based Diploma Academy (PBDA). It collects information about the student's name, current grade and credits earned, current academy, and the reason for applying to PBDA. It also has sections to note student concerns and strengths, input/data sources like grades, credits, behavior, test scores, and attendance. There is a section to note if the student has an IEP or 504 plan. The form concludes by noting if any grades need to be transferred for students applying outside the regular grading windows.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    19 views2 pages

    Pbdaapplication

    Uploaded by

    api-349203222
    This document is a processing form for a student's application to the Performance Based Diploma Academy (PBDA). It collects information about the student's name, current grade and credits earned, current academy, and the reason for applying to PBDA. It also has sections to note student concerns and strengths, input/data sources like grades, credits, behavior, test scores, and attendance. There is a section to note if the student has an IEP or 504 plan. The form concludes by noting if any grades need to be transferred for students applying outside the regular grading windows.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    PBDA Application

    Processing Document

    Student Name: ______________________________________________ Grade: ___________

    Current Credits Earned: ________ Credit Recovery (Yes/No & specific class)
    _______________

    Current Academy: Counselor __________________ Administrator _______________________

    Reason for PBDA: Student Interest OR Staff Referral (circle one) Core Diploma: ___________

    Review Process for Acceptance into the Performance Based Diploma Academy

    Student Concerns Student Strengths Input/Data


    Sources
    Academic
    Grades
    Credits

    Behavior
    Referrals

    Reading Level
    Stanford
    Iowa Assessments

    Attendance
    Morning
    Afternoon

    1. Does this student have an IEP or 504 Plan?


    Goal Areas:

    Accommodations:

    Roster Teacher:

    **If student is being considered for PBDA OUTSIDE of the grading windows, then the current

    counselor must communicate with administration on current grades for student (W, WF, F) or
    grade transfer must occur at this time through online courses.
    PBDA Application
    Processing Document
    ___________ Grades Transferred ___________ Parent Contacted and
    affirmed acceptance to PBDA

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