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Education-Legal PartnershipFoster Youth Academy Education Evaluation
Biographical DataName: DOB: Case #:
Education Rights Holder: Relationship: Address: Phone:
Caregiver: Relationship: Address: Phone:
Minor’s Attorney: Phone: Social Worker: Phone:
School Name: School Type (Public, Charter, NPS): District: Grade:
General EducationGraduation Planning Current School Year
Credits: Attempted: Earned: In Progress: Attendance Excused Absences: Additional Period Absences:
On Track for Graduation? Yes ☐ No ☐ Credits Behind: Discipline
Suspensions Yes ☐ (Total # of Days ) No ☐ Expulsions Yes ☐ No ☐
State Graduation Exam Results:
English Passed ☐ Failed ☐ State Standardized Testing Results: Most Recent Year Results (Grade)
Math Passed ☐ Failed ☐ English Language Arts: Math:
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School HistorySchool Year/ Grade
School/District Classes/Grades/Credits State StandardizedTest Results
Attendance/Behavior/Discipline Special EducationEligibility/Placement/Services
Year (Kindergarten)Year(1st Grade)Year(2nd Grade)Year(3rd Grade)Year(4th Grade)Year(5th Grade)Year(6th Grade)Year(7th Grade)Year(8th Grade)Year(9th Grade)Year (10th Grade)Year(11th Grade)Year(12th Grade)
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Graduation CheckOn Track to Complete School District Graduation Requirements? Yes ☐ No ☐School District Class Requirements1 Classes Completed/Credits Earned
(include school, year, semester)Classes/Credits Needed Additional Credits Needed for
State College AdmissionsSocial Studies
World History A & B (10 credits) US History A & B (10 credits) US Government (5 credits) Economics (5 Credits)
English English 9 A & B (10 credits) English 10 A & B (10 credits) 11th grade American Lit (5 credits) 11th grade Contem Composition (5
credits) 12th grade Composition (5 credits) English Literature Elective (5 credits)
Math Algebra 1 & 2 (10 credits) Geometry (5 credits) Algebra 2 or higher (5 credits)
Science Biology (10 credits) Physical Science (10 credits)
Visual/Performing Arts (10 credits)
PE (20 credits)
Applied Technology (10 credits)
Life Skills (5 credits)
Electives (70 Credits)STATE GRADUATION EXAM RESULTS Attempted: Math ☐ English ☐ Passed: Math ☐ English ☐
1 The graduation requirements listed are specific to Los Angeles Unified School District. Please update this column to conform to the graduation requirements of the student’s current school district.
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Alliance for Children’s Rights High School Recommendations:
Education Rights Holder:
General Education Academic Supports:
Special Education Assessment:
Special Education-IEP:
Graduation: