Does this student have any physical, intellectual, behavioral or emotional needs which would impact our ability to provide an appropriate educational program?
Has this student been provided with an Individual Program Plan (IPP) or Individual Education Plan (IEP)?
Has this student been diagnosed as learning disabled or gifted?
Has this student recently been in a special educational program?
Has the student received any of the following accommodations?
Extra time for exams?
Quiet place to write exams?
Resource room help?
Speech language services?
Testing from an educational specialist/psychologist?
Does this student have a serious hearing problem?
Does this student have a serious vision problem?
Has this student ever been retained in a grade?
Does this student's age not match their grade level?
If you answered ‘yes’ to any of the above questions, please provide details below:
Describe any other factors (disabilities, illnesses, location, family concern, etc.) that may affect the student's progress in their studies.