"Summary of Performance" - Georgia (United States)

Summary of Performance is a legal document that was released by the Georgia Department of Education - a government authority operating within Georgia (United States).

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  • Released on July 1, 2007;
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[LOCAL SCHOOL SYSTEM INFORMATION]
Summary of Performance
Part 1: Student Information
Student Name:
Date of Birth:
Year of Graduation:
Address:
Telephone Number:
Primary Language:
Current School:
Area of Disability:
Date of Most Recent
Date of Eligibility
IEP:
determination/redetermination:
Date of Last
Course of Study:
Psychological
Evaluation:
(Attach Psychological
evaluation)
Please check off and include a copy of the assessment reports that identify the student’s disability that will assist in postsecondary planning:
 Psychological
 Response to
 Medical/Physical
 Reading Assessment
 GHSGT Results
Report
Intervention
 EOCT Results
 Adaptive Behavior
 Behavioral Analysis
 CBVI Resume
 Self Determination
 Transcripts
 Career Assessment
 Assistive Technology
 Transition Checklist
 OT/PT Plan
 IEP/Transition Plan
 Other:_____________________________________________________________
Part 2: Student’s Desired Postsecondary Goals (
Consideration should be given to education, employment, independent living and community access)
1.
2.
3.
Georgia Department of Education
Revised July 2007 Page 1 of 5
[LOCAL SCHOOL SYSTEM INFORMATION]
Summary of Performance
Part 1: Student Information
Student Name:
Date of Birth:
Year of Graduation:
Address:
Telephone Number:
Primary Language:
Current School:
Area of Disability:
Date of Most Recent
Date of Eligibility
IEP:
determination/redetermination:
Date of Last
Course of Study:
Psychological
Evaluation:
(Attach Psychological
evaluation)
Please check off and include a copy of the assessment reports that identify the student’s disability that will assist in postsecondary planning:
 Psychological
 Response to
 Medical/Physical
 Reading Assessment
 GHSGT Results
Report
Intervention
 EOCT Results
 Adaptive Behavior
 Behavioral Analysis
 CBVI Resume
 Self Determination
 Transcripts
 Career Assessment
 Assistive Technology
 Transition Checklist
 OT/PT Plan
 IEP/Transition Plan
 Other:_____________________________________________________________
Part 2: Student’s Desired Postsecondary Goals (
Consideration should be given to education, employment, independent living and community access)
1.
2.
3.
Georgia Department of Education
Revised July 2007 Page 1 of 5
[LOCAL SCHOOL SYSTEM INFORMATION]
Summary of Performance
Part 3: Present Levels of Performance Summary
ACADEMIC AREAS
PRESENT LEVEL OF
ACCOMMODATIONS
ACCOMMODATIONS
PERFORMANCE
(Include accommodations,
RATIONALE
modifications, assistive technology or
(Strengths, Needs)
(Explanation of impact of disability and the
other supports used in high school)
need for listed accommodations)
Reading (
Basic Reading, Decoding,
Comprehension, Reading Speed)
Math
(Calculation, Reasoning , Speed)
Written Language
(Written Expression, Skills in
Composition, Speed)
Learning Skills (
Class participation,
Note taking, Keyboarding, Organization,
Test taking, Study skills)
FUNCTIONAL AREAS
Social Skills and Behavior (
Interactions with
teachers/peers, Level of initiation in asking for assistance,
Confidence and Persistence as a learner)
Communication
(Oral expression, Listening
comprehension, Pragmatics)
Georgia Department of Education
Revised July 2007 Page 2 of 5
[LOCAL SCHOOL SYSTEM INFORMATION]
Summary of Performance
ACADEMIC AREAS
PRESENT LEVEL OF
ACCOMMODATIONS
ACCOMMODATIONS
PERFORMANCE
(Include accommodations,
RATIONALE
modifications, assistive technology or
(Strengths, Needs)
(Explanation of impact of disability and the
other supports used in high school)
need for listed accommodations)
Independent Living Skills
(Self-care, Leisure skills, Banking)
Environmental Access
(Assistive Tech, Mobility, Transportation)
Self Determination/Self Advocacy Skills
( Ability to explain disability and ask for assistance)
Career/Vocational
(Career interests, Job training)
Medical/Family Concerns
Part 4: Recommendations to Assist Student in Meeting Postsecondary Outcomes
What are the recommended accommodations, modifications, assistive technology, or general areas of need? If none are needed, must explain why not.
Higher Education or Career
Technical Education:
Employment:
Independent Living:
Georgia Department of Education
Revised July 2007 Page 3 of 5
[LOCAL SCHOOL SYSTEM INFORMATION]
Summary of Performance
Community Participation:
Part 5: Student Perspective
A. How does your disability affect your schoolwork and school activities? (Think about grades, relationships, assignments, tests, communication,
extra-curricular activities.)
B. In the past, what supports have been tried by teachers to assist you in being successful in school?
C. Which of these accommodations and supports worked best for you? Why did they work?
D. What strengths should others know about you as you begin college or work?
E.
What has been most difficult for you in school?
Georgia Department of Education
Revised July 2007 Page 4 of 5
[LOCAL SCHOOL SYSTEM INFORMATION]
Summary of Performance
Part 6: Post-Secondary Community Agency Contacts, Team Members and Supports
(Contact Information for adult services for daily living skills, independent living, financial assistance, employment, transportation, etc.)
AGENCY
CONTACT PERSON
SERVICES PROVIDED
CONTACT INFORMATION
Community or local resource
Name and title of person student should
Services the agency might provide after graduation
Phone number, address, email
the student is likely to contact
contact
High School Team
Health and Family
Services
Employment Agency
Independent Living
Agency
Institute of Higher
Education
Disability Services
Provider
Other (specify):
Student Signature: ________________________________________
Date: ________________
Georgia Department of Education
Revised July 2007 Page 5 of 5
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