Page Unified School District Exceptional Student Services

PRESENT LEVEL OF EDUCATIONAL PERFORMANCE REPORT

latisha Sampson

STUDENT: L.S. Teacher: Chelsea Zlomke Percentage grade: 72%

Provider:       Subject: health/PE Excessive absences? 5
Grade
Date: 10/8/20 : 9 Period: 4A Excessive tardies?      

Please check the appropriate boxes. Please respond to the items.

Student’s strengths:
Satisfactor Needs
Social: y 76- Improveme Unsatisfacto LS has been to class early (sometimes first)
100% nt 51-75% ry <50%

Peer Interaction ☐ ☐ ☒
and will talk and show her face prior to class
Teacher Interaction ☐ ☒ ☒

Satisfactor Needs
y 76- Improveme Unsatisfacto
Academic: 100% nt 51-75% ry <50%

Preparation for class ☐ ☐ ☐

Student’s weaknesses:
Ability to follow directions ☐ ☐ ☐
Student does not participate during activities.
Verbal ☐ ☐ ☐ Student is missing substantial amount of work.
Written ☐ ☐ ☐ Possibly start providing paper documents?.
Task completion ☐ ☐ ☐
Class work ☐ ☐ ☐
Home work ☐ ☐ ☐

Needs
What accommodations / modifications work
Satisfactor Improveme Unsatisfacto
y nt ry for the student’s success?
Communication: 76-100% 51-75% <50%
Accommodations:
☐ ☐ ☒
1. Seat student near someone who will be helpful (6
feet away)
Needs
Satisfactor
y
Improveme
nt
Unsatisfacto
ry
2. Make certain the student understands the
Behavioral: 76-100% 51-75% <50% directions.
On task behavior ☐ ☐ ☐ 3. Read aloud to students. LS is currently reading at
Tolerance for frustration ☐ ☐ ☐ a 1st grade level.
Complies with classroom rules ☒ ☐ ☐ 4. Allow more time to complete written assignments.
5. Keep expectations consistent with ability level.
6. Give oral directions slowly, keep it simple.

Modifications:
1. Assignments and Assessments will be modified
(reduced, simplified, and/or alternative assignments
will be provided based on level of difficulty.)
 Responds to correction ☐ ☐ ☐
How does the student’s disability affect his or
her performance in the general curriculum?
Student’s functional level in your class: LS is struggling to turn in work due to reading
Far Below Below Above At
Expected Expected At Expected Expected Exceptional and comprehension difficulties.
Level Level Level Level Level

Math ☐ ☐ ☐ ☐ ☐
Reading ☐ ☐ ☐ ☐ ☐
Writing ☐ ☐ ☐ ☐ ☐

Rev 03/09