The response to this question contains personally identifiable information about students which may be disclosed, for limited purposes, under the Family Educational Rights and Privacy Act (FERPA).

Appendix 3

Question 5: What is John de Ia Howe's proposal for tracking academic and behavioral progress of students who attend either LS Brice or McCormick High School, after they return to their home schools?

16 I Page

SURVEY OF STUDENT WHO FORMERLY ATIENDED THE

JOHN de Ia HOWE SCHOOL

192 Getty's Road, McCormick, S.C. 29835, Telephone: 864-391-0414

Sixty Day Follow-up Report The following student was discharged from the John de Ia Howe School on

-----J 20 ' Name of Student ___________________ _

Name of School now Attending, ______________ _ Address of School now Attending ________ Current Grade_

Grade of Student upon leaving John de Ia Howe _________ _

Address of Student ___ -'-----------------

Student Identification Number----------------Name of Parent(s) ___________________ _

Telephone Contact __________________ _

How has the student performed since leaving John de Ia Howe?

Less than average_ Average_ Above Average__ Excellent __

Please Explain ____________________ _

Since returning to school, his/her behavior:

Has Not Improved_ Remains the Same __ Has Improved __

Please Explain ____________________ _

Name of Person Completing this Form ____________ _

Title of Person Completing this Form ____________ _ Date ___________ _