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 Dallas Delaware Valley Dunmore East Penn Elizabeth Forward Elk Lake Erie Everett Area General McLane Hanover Lackawanna Trail Lake-Lehman Lakeland Mid Valley Montrose Mountain View North Pocono Northwest Area Old Forge Pittston Area Scranton Trinity Area Tunkhannock Valley View Wallenpaupack Area Western Wayne Wilkes-Barre Area Wyalusing Area Wyoming Area 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
