Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of

Information on transition needs and/or self-determination is included here as appropriate. Present Level of Academic Achievement and Functional Performance

Describe the strengths of the student.Domain / Transition Service:

Describe the levels of achievement and functioning based on classroom data, including observations, work samples, and age appropriate transition assessments (if appropriate).

Describe how the student's disability affects the student's involvement and progress in the general curriculum.

Annual Goals and Short-Term Objectives or BenchmarksGoal:

Mastery Criteria:

Assessment Procedures:

Progress Reports will be sent every:

% Accuracy; ofFor minutes(s); opportunities; Other:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Short-term Objective or Benchmark:

Student:

PEER Downloadable Form (Rev. 8/13)

Graded Work SampleTeacher Developed Checklist or Chart

Test(s): Teacher and/or Standardized

Student Work Product

Interview with:

Curriculum Based Assessments

Documented Observation

Other:

Goal Page: of