WOODLAND MEADOWS

YEAR-END CHECKOUT
2016-2017
CA-60 COMPLETION PROCEDURES CHECKOUT SHEET

I. Cumulative Record Folder

A. Attendance summary (inside back cover).
B. Student photo (Office will do this.)
C. On front cover add name to teacher list.

II. Elementary and Jr. High Data - Yellow Tab Card

A. Scholastic Data Side
1. Date (i.e. 16-17) where it says term ending
2. Promotion (P), Retention (R), or Placed (PL) where it says promoted.
Use placed if parent refused retention or child is far below grade level
but team determined the next grade was in childs best interest. You
MUST notify parent that you PLACED not PROMOTED the student.
3. Teacher signature (in vertical area next to CODE).
4. You do NOT have to fill in attendance or name on this side of the card.
B. Family Data Side
1. All information on top half of card should be filled in with current
information. Update if necessary.

III. School Health Record - White Tab Card

A. Front Side #1-16
1. Fill out name (other info can be found elsewhere in CA-60).
2. Record any pertinent health diseases (#10) that occurred this year.
3. Use bottom 1/3 of card for conference info: parent/teacher, I-Team, etc.
List dates of conferences. Record who attended conference, any pertinent
comments, and your initials.
B. Back Side #23-33
1. #23 Check to see that immunization data has been recorded.
2. #26 Vision Screening. If you received a Health Department referral on a
student, staple the referral to the white health card; otherwise, do nothing.
3. #30 Hearing Testing. If you received a Health Department referral on a
student, staple the referral to the white health card; otherwise, do nothing.

IV. Test Record - Dark Pink Tab Card

A. Front Side (#1-14)
1. Fill out name.
2. Place End-of-Year Assessments Summary Sheet in CA-60.
3. NWEA report placed in CA-60.

V. Special Help - Light Pink or Red Tab Card

This card is necessary for those who have been seen by speech, social worker,
special education teacher, literacy tutor, math tutor, etc. This card should be filled
out by the specialist who provided the service.

VI. Attendance back inside cover

A. Record current year attendance
 B. Place attendance report in file

VII. ALSO INCLUDE:

A. End of the year report cards
B. Health Appraisal Form
C. Student Information Record
D. Assessment Summary Sheet
E. Any other PERTINENT pieces of information.

VIII. Other information about CA 60 folders

A. Special Education Information Copy of referral forms and IEPC forms do
NOT belong in CA-60s. These are kept in the Special Ed files in the office.
A note can be placed in the CA-60 indicating that a Special Ed file exists.
B. WRITING PORTFOLIO for ease of travel to next years teacher, place in
CA-60
C. QUICK-WORD BOOKLET for ease of travel to next years teacher, place
in CA-60.

Please sign and return this form to the office. Thank you and have a great
summer!

Signature Date