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Educational School Report

Educational School Report

This form is to be completed by school staff; this is not a request for transfer. Glenwood Academy 500 W. 187th Street Glenwood IL 60425 [email protected] 708-756-6111

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School Address(Required)
Max. file size: 50 MB.
Has this student ever been retained?(Required)
Will this student be promoted at his present level of achievement?(Required)
Does/has this student receive or require any form of modified lessons?(Required)
If yes, indicate all modifications
Does this student receive/require Special Education Services?(Required)
Does this student receive/require Speech Therapy Services?(Required)
Does this student have an Individualized Education Program (IEP)?(Required)
Does this student have an Intervention Plan in place?(Required)
Has the student been recommended for a case study?(Required)
Has the student been recommended for an educational evaluation?(Required)
Has it been determined that the child has a learning disability?(Required)
Has it been determined that the child has a behavior disorder?(Required)
Has it been determined that the child has Attention Deficit Disorder?(Required)
Does the child require remedial mathematics?(Required)
Does the child require remedial reading?(Required)
Does/did the child attend Title I Classes?(Required)
Has a psychological evaluation ever been recommended?(Required)
Has a psychological evaluation ever been given?(Required)
Does/has student ever receive(d) counseling?(Required)
Effort(Required)
Has this student ever received a Vision referral?(Required)
Corrective lenses?(Required)
Is the student resistant or compliant with wearing his/her eye glasses in class?
Has this student ever received a hearing referral?(Required)
Hearing Aid?(Required)
Has this student been suspended?(Required)
Has this student been expelled?(Required)
Does the student display inappropriate behaviors in the classroo(Required)
Are leadership qualities displayed?(Required)
Peer Relationships(Required)
Acceptance of consequences/criticism(Required)
Max. file size: 50 MB.
In your opinion, are these scores indicative of the student's ability?(Required)
Max. file size: 50 MB.
I give my permission to the school listed on this form to exchange with Glenwood Academy. The following information: mutual oral and written communication regarding this student's academic performance and conduct. In signing this form, I understand the following: I am under no obligation to sign. I have the right to revoke this consent at any time. Refusal to sign this form will result in no communication (oral or written) between your child's school and Glenwood Academy.
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Student smiling at Gala
Glenwood makes it feel like anything is possible.
John5th Grade