Courses With End-Of-Course (Eoc) Tests Review Committee Documentation Form - Warren County Schools, Grades 9-12

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Warren County Schools
Review Committee Documentation Form
(9-12) Courses with End-of-Course (EOC) Tests
School_______________________________ Student___________________________ Grade________
Principal_____________________________ Teacher___________________________ Date________
Special Area (Complete if applicable)
Limited English Proficient
Previous Promotional Waiver
English Proficiency Level –
Approved(date)_________________
Listening_________ Speaking_________
Reading__________ Writing__________
Academically Intellectually Gifted
Exceptional Children(Specify Exceptionality)
Level of Services:
Area:
Regular______ Resource______ Self-Contained____
Language Arts____
Math____ Written Lang_____
Other:_______________________________________
504: Yes____ No____
____________________________________________
Number of Previous Retakes:
None____ One____ Two____ Three ____
____________________________________________
Courses:___________________________
Reason for
Review__________________________________________________________________________
End of Course results for the current year.
Course___________
Course___________
Course___________
Course___________
Course___________
Regular
Retest
Regular
Retest
Regular
Retest
Regular
Retest
Regular
Retest
Subject
Benchmark 1
Benchmark II
Benchmark III
Benchmark IV
Performance Criteria: Final Grade Averages:
Course Name
Grade
___________________________________________________
___________________________
___________________________________________________
___________________________
___________________________________________________
___________________________
___________________________________________________
___________________________
WCS Testing Department
Review Committee Documentation
ATS-104, page 1
08/27/10

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