Did you watch the “how to” video? If not, click here before completing the Evaluation Checklist. Web Site Parent's or Legal Guardian's name * Your email address * Student Name * Grade Level * K 1 2 3 4 5 6 7 8 9 10 11 12 School District * Abington Heights Bedford Area Blue Ridge Carbondale Area Carlisle Area Dallas Daniel Boone Area Delaware Valley Dunmore East Penn East Stroudsburg Elizabeth Forward Elk Lake Erie Everett Area General McLane Hanover Area Lackawanna Trail Lake-Lehman Lakeland Mid Valley Montrose Mountain View North Pocono Northwest Area Old Forge Pittston Area Scranton Susquehanna Community Trinity Area Tunkhannock Area Upper Perkiomen Valley View Wallenpaupack Area Western Wayne Wilkes-Barre Area Wyalusing Area Wyoming Area Wyoming Valley West Scheduled Evaluation Date Medical Records Yes, I have medical records on file at home School Year Highlights I will bring the following to my evaluation: Bring List 1 Portfolio with log and samples Proof of 180 Days or 900/990 hours Standardized test results (Grades 3, 5, 8 only) List materials or methods used this year: Spelling - Grades K-6 only Language/Grammar Reading/Literature Speech - Grades 9-12 only Writing/Composition History Geography Civics/Government/Community Service Mathematics Science Health/Physiology Fire Safety Music Art Physical Education Field Trips/Concerts/Church Activities Additional subjects not listed above
