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Site:
Person Completing:
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Date:Phone:
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Literacy Assessment
Use the combined percentage score for word recognition and retelling for both the pretest and posttest.
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Math AssessmentReport the percentage correct for both the pretest and posttest.
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Comments:
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Student Name*Grade in schoolAssess. grade if differentPFS
Y/N
Literacy Pretest score (%)Literacy Posttest score (%)Math Pretest Score (%)Math Posttest Score (%)Notes
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9
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10
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11
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12
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100