Special Education Progress Report Form
CODE: IHBAJ-R
Maine School Administrative District No. 31
PROGRESS REPORT FORM
Date: High School:
Student’s Town Responsible
Name: for Student:
Address: Send to Attention of:
Fill Out Relevant Portion
A. January Progress June Progress
No concerns at this point
The following concerns (academic/special) exist:
Please attach a copy of this semester’s rank card.
B. Concerns with the student:
Transferred to another high school. Date:
Moved to another town. Date:
Has been absent for more than 10 school days. Dates of absence:
Has been removed for disciplinary reasons. Date:
Referred to an alternative program.
Referred to Student Assistance Team.
Has been referred by staff or parent/guardian for consideration as a
possible special needs student.
Other
Summary of action to be taken in response to concerns:
Reviewed: 08/20/2003