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:

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)

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.

Alliance for Children’s Rights High School Recommendations:

Education Rights Holder:

General Education Academic Supports:

Special Education Assessment:

Special Education-IEP:

Graduation: