Special Education Progress Report Form


Maine School Administrative District No. 31


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.


Summary of action to be taken in response to concerns:

Reviewed: 08/20/2003