a l b u q u e r q u e p u b l i c s c h o o l s（q l b u问u e r u e p b l i c s c h o o l s）（8页）.docVIP

ALBUQUERQUE PUBLIC SCHOOLS Academic Level II Plan Please print legibly. ___________________________________ Student name: Student ID number Grade Home School ? father ? mother ? other ___________________ Parent name: Last First Specify relationship Daytime phone Student Information: Student’s attendance is: _ Excellent _ Good _ Fair _ Poor Number of absences/tardies to date: absences tardies Student’s behavior in class: _ Excellent _ Good _Fair _ Poor Explain: _____________________________________________ ____________________________________________________________________________________________________________________ Present Levels of Performance (Attach documentation):_______________________________________________________________________ ___________________________________________________________________________________________________________________ Student currently receives Special Education Services: Reading ? Yes ? No Math ?Yes ? No (If “Yes” student is not eligible for an AIP in that area) Student is PHLOTE: ? Yes ? No LAS Scores: LAS Oral LAS Reading/Writing If yes, student receives: ? Bilingual services ? ESL services ? Sheltered Instruction/ELD ?No language services Please attac