Initial Academic Assessment

Student Information

Nombre del Alumno: Date of Entry:

Students Age: Evaluator’s Name: Date of Exam:

Country of Origin:
Guatemala
El Salvador
Honduras
Other: _______________
Language Arts Score: ______
Mathematics Score: ______
Additional Comments:
Years of education in country of origin: _____________ Favorite subject:
________________________
Does student have formal education in US? YES / NO ________________________
________________________
________________________
Primary Language: __________________________
Assessment Summary
Level Placement: 1 (0-25) 2 (26-37) 3 (38-46) 4 (47-51)
Reading Score: C = 0 errors B = 2 errors A = 3 or more errors

Lectura V. IX.
1. ______________________ 1.
2. ______________________ 2.
3. ______________________ 3.
4. ______________________ 4.
5. ______________________ X.
Lenguaje ______________________ 1.
I. ______________________ 2.
1. ______________________ 3.
2. ______________________ 4.
3. ______________________ 5.
4. ______________________ XI.
5. 1.
II. VI. 2.
1. 1. 3.
2. 2. 4.
3. 3. XII.
4. 4. 1.
5. VII. 2.
III. 1. 3.
1. 2. XIII.
2. 3. 1.
3. 4. 2.
IV. VIII. 3.
1. 1. 4.
2. 2.
3. 3.
Matemáticas 10.
100
I. -
1. 90
II. -
1. 80
2. -
3. 70
III. -
1. 60
2. -
3. 50
IV. -
1. 40
2. -
3. 30
V. -
1. 20
2. -
3. 10
VI.
1.
África América Asia Europa Oceanía Antártica
2. 23 17 72 101 3 0
VII.
1.
2.
3. XI.
4. 1.
VIII. 2.
1. ________________ 3.
2. ________________ 4.
3. ________________ 5.
4. ________________ 6.
5. ________________ 7.
IX. 8.
1. 9.
2. 10.
3. 11.
4. 12.
5. 13.
X. 14.
1.
2.
3.
4.
5.
6.
7.
8.
9.