__________________________________________________________

Prioritized Student Tracking Worksheet

For School Year 2004-2005

Student Information:

Student Name: ___________________________________

?

Student ID: _______________________

?

Student Grade Level: _______________

?

2003-2004 Student Mean Reading Score (FCAT SSS): ___________

?

2003-2004 Student Mean Mathematics Score (FCAT SSS): ________

?

Choice Option Provided:

_____ Choice with transportation

•

 

School in Need of Improvement ____________________________

•

Receiving school ___________________________

_____ Choice within a school

•

Quality instructors

?

Reading: ___________________________

?

Mathematics: ________________________

•

 

Research-based Choice program

________________________________________________________

_____ State Provider Supplemental Educational Services

•

Program

_____ District Provider Supplemental Educational Services

•

Research-Based Program: ________________________________

•

Quality instructor:

______________________________________