CMS-07-021/023 - Los Angeles County Department of Children and ...

Name of School:
Address of School:
Los Angeles County Probation Department
Placement Quarterly Report
Education
Grade: Attendance: GPA:
Credits
Reading Level: Math Level:
Earned:
Total Credits:
Anticipated High School Graduation (GED)
Date:
Credit check w/ completed credits
& required credits for graduation attached.
Most recent report card attached / or
Most recent grades
are:
Referred to Special
Ed
Vocational Training:
Strengths and
Weaknesses:
Name of
Doctor:
Addres
s:
Telephon
e:
Rev. 02/26/2004 Page 2 of 7
1 month Prior to 19 th B-Day Yes No
Copy of transcripts attached.
IEP: Yes
No Most recent attached Date:
School Behavior Academic Progress
Post High School Plan / Alternative
College Military
Vocational Training Other:
Medical / Physical Information
Name of
Dentist:
Address:
Telephon
e: