EFTA01709855.pdf

••• --._.. .P.tyar•.b= fietv: EFTA01709855 EFTA01709856  FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402305, 402.313, Florida Statutes; s 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code Fl T NAME MI M0MMYR CHILD'S SS# (optional) STATE IMMUNIZATION ID#' Directions: • Enter all appropriate doses and dates below. • Sign and date appropriate certificate (A-1, A-2, EI;.9. g 09:on7reveis:07sidtoffsm. • If the child is presenting for the 7"' grade uite.melmnnlj..and)tas previousIVfiled_ Certificate of Immunization (DH 680, Part A-I) with their current Florida school, fill inpgxe5at as below imckesimblete.grifeS0n0teisyerse side of this form. • For additional information: See Intra4bzattIokquicletineSlqi4eNAfatiZr.:Chil04Fa.CJIdiesfor information and instructions on form completion and immunization requilements. .ifielitegiare,aykarthieffrolithetest adniity herlitiz department. ; r:• .- VACCINE DTaP/DTH Td' Polio* Rib' MMR (Combined)' (Separate)* Hepatitis Iit• Varicella10 Varicella Disease 1 The state immunization IV; is an identifier py.s4 by theita erfinmatitTatien registry (optional). 2 DTP/DTaP 5 doses required. If the 4th primary doss istildriiintstere&okor after the 4th birthday a 5th dose is not required. 3 DT (pediatric) is acceptable if pertussis vaccine is medically contraindicated. (Complete Part C for pertussis contraindication.) 4 Td (Adult) vaccine is recommended for children 7 years of age or older. 5 Polio 4 doses required. If the 3i4 dose in an all OPV or all IPV series is administered on or after the 4th birthday, a 4 ih dose is not required. Polio vaccine is not required for children 18 years of age or older. 6 Hib is required for child care, family day care and preschool entry and attendance only. 7 First dose valid if given on or after l" birthday. Second dose (measles) valid if given at least I month after I" dose. A 2' dose of measles (preferably MMR) is required for students in grades K-6 and 7° grade entry and attendance effective with the 1997/1998 school year. In each subsequent year thereafter,.the next highest grades are included. 8 Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (1). • 9 Hepatitis 13 vaccine series is required for 711 grade entry and attendance effective with the 1997/1998 school year and kindergar- ten entry and attendance effective with the 1998/1999 school year. In each subsequent year thereafter, the next highest grades are included. Hepatitis B vaccine series is required for preschool entry and attendance effective with the 2001/2002 school year. 10 Varicella vaccine is required for entry and attendance in preschool and kindergarten effective with the 2001/2002 school year. In each subsequent year thereafter, the next highest grades are included. Susceptible children 13 years of age or older should receive 2 doses, given at least 4 weeks apart. Varicella vaccine is not required if child has documentation of history of varicella disease. EFTA01709857  Spring 2003 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) FCAT florid: Comp flesh.< /moment Test MATHEMATICS SUNSHINE STATE STANDARDS PERFORMANCE TASKS Student Report Grade 10 Trim report provides your results on Ine FCAT 2003 Matnematics FCAT 2CO3 performance tasks. Each performance task on FCAT requires you MATHEMATICS PERFORMANCE TASKS to respond with ether a snort response or a longer, more detailed response. Short-response tasks are scored on a 2-point rubric and extended-response tasks are scored on a 4-point rubric. Student Name One of the short-response tasks is shown below with a copy of Student Number you, answer. The number of paint5 you earned for your answer is School Name ROYAL PALM BEACH 511011 shown in the box to the rignt. School Number 2331 District Name PALM BEACH District Number 50 Alt Mathematics This Performance hedormance Task Task Response Responses Points Possible 2 16 Points Earned 1 2 The students in the senior class at Paradise island High School hac,e decided to raise money by selling graphing calculators and geometry tool kits. They have set aside 53,000 to purchase the items they need to sell. They will spend S75 for each calculator, and 520 for each tool kit. From past experience, they know that twice as many students will buy the calculators as will buy the tool kits c9,) -is( C\It The inequality and equation below can be used to determine the number of each item the sensor class should have available to sell, where c is the number of calculators and t is the number of tool tuts 75c 20(s 3,000 c = How many tool kits should the senior class purchase? Show your work -75 • q6 rsbcp "75036:Q256 22s-0 20, r5 = so G .,~ --4-- (S&L : ascSC - T4C'te,i5 kwict is u15-5a- wourctra ,unt, of roc, kits ps- Mac }.eat Cezutater5 tub- Data Run Date: 05/07/2003 PJc»:46 EFTA01709858  Spring 2003 FLORIDA COMPREHENSIVE ASSESSMENT TEST (FCAT) FCAT 1i0142 (ompre6nuive Am”nni fnl READING SUNSHINE STATE STANDARDS PERFORMANCE TASKS Student Report Grade 10 This report provides your results on the FCAT 2003 Reading FCAT 2003 performancetasks. Each performancetask on FCAT requires you READING PERFORMANCE TASKS to respond with either a short response or a longer, more detailed response. Short-response tasks are scored on a 2-point rubric and extended-response tasks are scored on a 4-polnt rubric. Student Name One of the short-response tasks is shown below with 8 copy Of Student Number your answer. The number of points you earned for your answer is School Name ROYAL PALM BEACH HIGH shown in the box to the right. School Number 2331 District Name PALM BEACH This task required you to read a passage about an American District Number 60 zoologist's attempts to rehabilitate two young gorillas in Africa. All Reading Describe how Coco and Pucker change as a result of their This Performance Performance Task Task Response Reaponags experience with Dian Fossey. Use details and information from the story to explain your answer. Points PossiDle 2 12 Points Earned 2 10 n6 ke3w0A chaniri -eck .ketka-i WriCte,) +MA eccesku. dap tn atcinXecta, and Kkektett beat at 41) ecnO (3,05 .‘errio\m itain onct (IMO ra- ax.rn V1tO aCeirkefecta erait ker trf), Ott_irrion nfr efOrspatil qdick rscannot until 4-rtisfr h2r Oats Run Data 05/07/2003 U;.".4:4.5 8)„,23(il .33 EFTA01709859 WEST MIFFLIN AREA SCHOOL DISTRICT WEST MIFFLIN AREA MIDDLE SCHOOL 15-JUN-01 NAPA GRADE REPORT ROOM SCHOOL YEAR STUDENT NO LEVEL a 2000-2001 1ST 2ND 3RD DAYS ABSENT 6. 5.! 8. TIMES TARDY I O• 0 0.0 ans 1ST 2ND 3RD 4Th no "1 t r COURSE TEACHER GR COMM CL GR COMM CL OR COMM a OR COMM et GRAM! ABS ABS ADS ABS LAND ARTS 8 Si A 04 B 04 A 0 A AM HISTORY 8 ,c, 'Y D 3 8 14 C 3 C 3 IC PRE ALO 8 C 3 0 3 D 35 D 34 D SCIENCE 8 D 35 C 3 C 3 C 3 C EXP FR LAND C 1 a B 1 B ART/MUS LAB 0 A 0 8 1 8 HOME EC 8 8 1 8 1 B PHY ED 8 A 3 Al B 1 A 0 A HEALTH 8 8 1 Al B 1 B 1 B 4TH 9WKS G P.A. IS 2.65714 SEE REVERSE SIDE FOR KEY TO GRADES AND COMMENTS STUDENT'S COPY EFTA01709860  TEST RECORD INFORMATION FLORIDA COMPREHENSIVE ASSESSMENT TEST (FLAT) SPRING 2004 SUNSHINE STATE STANDARDS STUDENT: lippliMp GRADE: 11 DISTRICT: SID: SCHOOL: HIG DOS: READING SS: NOT TESTED MATH SS: 312 PASSED READING DSS: MATH DSS: 1938 P980 0280(REV. 7115/97) FRT EFTA01709861  IRST MI DOB (mO WYR) Certificate of Immunization for K-12 Excluding 7th Grade Requirements PART A-1 (Immunizations are complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code I have reviewed the records available. and to the best of my knowledge, the above named child has been adequately immunized against diphtheria. tetanus. pertussis. polio. measles. mumps, rubella and hepatitis B (for kindergarten effective with the 1998/99 school year) and varicella, varicella vaccines not indicated if history ofdisease either physician documented or parental recall (for kindergarten effective with the 1001/1002 school year) for school attendance as documented on the reverse side of this form. Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: Date: Certificate of Immunization Supplement for 7th Grade Requirement Part A-2 (immunizations are complete for students who enter or attend the 7th grade after the beginning of the 1997/98 school year. Each subsequent year thereafter, the next highest grade will be included in the requirement.) DOE Code 8 I have reviewed the records available. and to the best ofmy knowledge. the above named child has received the following immunizations requiredfor entry andattendance in 7th grade effective with the 1997/98school;ran tetanus-diphtheria booster: hepatitis B vaccine series. and second dose ofmeasles vaccine as documented on the reverse side of thisform (boxed areas). Physician or Clinic Name: Physician or (Print or stamp) Authorized Signature: Address: Date: Temporary Medical Exemption PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who arc incomplete for immunizations in Part A-I or A-2.) Invalid without expiration date. DOE Code 2 I certify that the above named child has received the immunizations documented on ed a schedule to complete the requi Physician or Clinic days after next Immunization (Print or Stamp) appointment) Ito Physician or Add Authorized Slgnat ACES, FLORIDA 33401 Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 certift that the physical condition ofthis child is such that immunizations) as indicated in Part C above is medically contraindicated Physician or Clinic Name: (Print or stamp) Physician Signature: Address: Date: DM 630,&1000, ObtailltS tither ctlitiont (Stock Number, St40-000.0680-6) EFTA01709862  FLORIDA CERTIFICATION OF IMMUNIZATION Legal Authority: sections 232.032, 402.305, 402.313, Florida Statutes; rules 64D-3.011, 65C-22.006, 65C-20.011, Florida Administrative Code I ACT NAMF kilt\ NAMF Air DOB MO/DA/YR PARENT OR GUARDIAI•y) \ CHILD'S SS# (optional) STATE IMMUNIZATION ID#' Directio • Enter all appropriate des and dates below. • Sign and date appropriate certificate (A-I, A-2, B, or C) on reverse side of form. 680, Part A-I ) • If the child is presenting for the 71' grade requirement pnly and has previously filed a Certificate of Immunization (DH with their current Florida school, fill in boxed areas below and complete Part A-2 on the reverse side of this form. on form • For additional information: See Immunization Guidelines for School and Child Care Facilities for information and instructions completion and immunization requirements. Guidelines are available from the local county health department. VACCINE DTaP/DTP: DT' Tel' Polio` Hib• MMR (Combined)' (Separate)" Hepatitis B' Varicella'• VaS 1 The state immunization ID# is an identifier supplied by the state immunization registry (optional). is not required. 2 DTP/DTaP 5 doses required. If the 4' primary dose is administered on or after the 4* birthday a 5° dose Part C for pertussis contraindication.) 3 DT (pediatric) is acceptable if pertussis vaccine is medically contraindicated. (Complete 4 Td (Adult) vaccine is recommended for children 7 years of age or older. the 4* birthday, a 4' dose is not 5 Polio 4 doses required. If the 3° dose in an all OPV or all lPV series is administered on or after required. Polio vaccine is not required for children 18 years of age or older. 6 Hib is required for child care, family day care and preschool entry and attendance only. dose. A 2e0 dose of 7 First dose valid if given on or after I• birthday. Second dose (measles) valid if given at least I month after I° effective with the 1997/1998 measles (preferably MMR) is required for students in grades K-6 and 7° grade entry and attendance school year. In each subsequent year thereafter, the next highest grades are included. 8 Includes single measles vaccine (G), single mumps vaccine (H) or single rubella vaccine (I). 1997/1998 school year and kindergar- 9 Hepatitis B vaccine series is required for 7° grade entry and attendance effective with the year thereafter, the next highest grades are ten entry and attendance effective with the 1998/1999 school year. In each subsequent the 2001/2002 school year. included. Hepatitis B vaccine series is required for preschool entry• and attendance effective with with the 2001/2002 school year. In 10 Varicella vaccine is required for entry and attendance in preschool and kindergarten effective 13 years of age or older should each subsequent year thereafter, the next highest grades are included. Susceptible children vaccine is not required if child has documentati on of history of varicella receive 2 doses, given at least 4 weeks apart. Varicella disease. EFTA01709863  LAST NAME FIRST MI DOB (MO/DA/YR) Certificate of Immunization.lcir K-12 Excluding 7th Grade Requirements PART A-1 (Immunizations are complete for school entry and attendance grades kindergarten through 12 with the exception of the 7th grade requirement.) DOE Code 1 have reviewed the records available, and to the best of my knowledge, the above named child has been adequately immunized against diphtheria. tetanus, pertussis, polio, measles, mumps, rubella and hepatitis B (for.kindergarten effective with the 1998/99 school year) and varicella, varicella vaccines not indicated if history ofdisease either physician documented or parental recall (for kindergarten effective with the 2001/2002 schoolyear)for everse side of this form. Physician or Clinic Name: Physician or (Print or stamp) thorized Signature: Address: 11 Date: Certificate of Immunization Supplement for 7th Grade Requirement Part A-2 (Immunitations are complete for students who enter or attend the 7th grade after the beginning of the 1997/98 school year. Each subsequent year thereafter, the next highest grade will be included in the requirement.) DOE Code 8 I have reviewed the records available, and to the best ofmy knowledge; the above named child has received thefollowing immunizations requiredfor entry andattendance in 7th grade effective with the 1997/98schoolyear: tetanus-diphtheria booster; hepatitis B vaccine series, andsecond dose ofmeasla vaccine as documented on the reverse side ofthisform (boxed areas). Physician or Clinic Name: Physician or (Print or stamp) uthorized Signature: Add Date: Temporary Medica xemp on PART B (For children in child care, family day care, preschool and grades kindergarten through 12 who are incomplete for immunizations in Part A-1 or A-2.) Invalid without expiration date. DOE Code 2 cent( that the above named child has received the immunizations documented on the reverse side of thisform and has commenced a schedule to complete the required immunizations. Additional immunizations are not medically indicated at this time. Expiration Date: Physician or Clinic Name: (15 days after next immunization (Print or Stamp) appointment) hysician or Address:• mixed Signature: Date: Permanent Medical Exemption PART C For medically contraindicated immunizations, list each vaccine and state valid clinical reasoning or evidence for exemption: DOE Code 3 I certify that thephysical condition ofthis child is such that immunization(s) as indicated in Part C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) slelan Signature: Address: Date: DII 680,8/2000, obsoletes earlier e EFTA01709864 12th Gr Female (Form: 23G) SSN: NA Test Date: Nov 22, 2004 Royal Palm Beach Hs Royal Palm B FL ASVAB sum ARV RESULTS ARMED SERVICES VOCATIONAL APTITUDE BATTERY. Prht N4 0326 • 12th MILITARY CAREERS Percentile Scores ASVAB Results SteGtrillaerd Scores 12th Grade Standard Score Bands 12th Grade 1201 Grade 12111 Grade AND ENTRANCE SCORES Fimalos Maks Students 1 10 20 30 40 SO 130 70 80 90 99 Two more scores can be especially use- Career Exploration Scores ful to you. The Military Careers Score is Verbal Skills 54 66 60 63 a composite of the ASVAB verbal, math, Math Skills 45 mechanical, and electronics tests. The 34 25 30 Military Careen Score provides a link Science and Technical Skills 60 65 34 50 to occupations described in Military Careers:You will be able to see how well ASVAB Tests _ _ your skills, abilities, and career interests match those of Service personnel cur- General Science (GS) 52 69 50 59 rently working in military occupations. Arithmetic Reasoning (AR) 44 30 22 26 Afilithry Csreers provides you with a Word Knowledge (WK) 48 dear image of what workers do in these 48 37 42 occupations, as well as other useful in- Paragraph Comprehension (PC) 60 87 83 85 formation about the occupations. Mathematics Knowledge (MK) 46 -----— ----- --- ----- 35 28 32 The Military Entrance Score (also called Electronics Informations (El) 53 . 85 49 67 AFQT, which stands for the Armed Auto and Shop Information (AS) 46 ---- --••• Forces Qualification Test) is the score - 60 24 42 used to determine your qualifications Mechanical Comprehension NCI 45 37 22 29 for entry into any branch of the United States Armed Forces or the Coast Guard. The Military Entrance Score predicts in Military Careers Score 3 a general way how wellyou might do in 10 20 30 40 SO GO 70 80 DO 89 training and on the job in military occu- Military Entrance Score (AFQT) 40 pations. Your score reflects your stand- ing compared to American men and women 1$ to 23 years of age. EXPLANATION OF YOUR the same orbetter than 65out °revery100 females lion test. Taking a count or obtaining a part- ASVAB STANDARD SCORES in the 11th grade. time job in this area would increase your knowl- USE OF INFORMATION edge and improve your score if you were to Personal identity information (name, so- Your ASVAB results arereported asstandard scores For purposes of career planning, knowing your take it again. cial security number,street addre- s, and in the above graph. Your score on each test is relafive standing in these comparison groups is telephone number) and test scores will identified by the "c in the corresponding bar important. Being male or female does not limit USING ASVAB RESULTS IN not be released to any agency outside of graph.You should view these scores as estimatesof your career or educational choices. There are CAREER EXPLORATION kt ienF: dpartment of Defense (DoD), the your true skill level in that area. If you took the test noticeable differences in how men and women Forces, the Coast Guard, and a gaAn, you probably would receive a somewhat score in some areas. Viewing your scores in light Your career and educational plans may change your school. Your school or local school different score. Many things, such as how you were of your relative standing both to men and women over time as you gain more experience and system can determine any further re- feeling during testing, conblbute to this difference. may encourage you to explore areas that you learn more about your interests. Exploring Ca- lease of information. The Doti will use This difference is shown with gray score bands in might otherwise overlook. reers. The ASVAB Career Exploration Guide your scores for recruiting and research the graph of your results. Your standard scores are You can use the Career Exploration Scores to world can help you learn more aboutyounelf and the purposes for up to two years. After that based on thels$VAB tests andtornposites based on of work, to identify and explore potential evaluate your knowledge and skills in three gen- goals, and the information will be used by the DoD your grade level. eral areas (Verbal, Math, and Science and Techni- izeyourgoab.develop an effective strategy to real- for research purposes only. The score bands provide a way to identify some of cal Skills). You can use the ASVAB Test Scores to occupations inThe Guldewill help you Identify line with your interests and your strengths. -Overlapping score bands mean gather information on specific skill areas. To- skills. As you explore your true skill level is similar in both areas, so the gether, mese scores provide a snapshot of your careers, you will developpotentially satisfying real difference between specific scores might not be current knowledge and skills. This information tion and planning skills. your career explora- meaningful. If the score bands do not overlap, you will help you develop and review your career Visit: www.asvabprogram.com probab4r are stronger in the area that has the higher goals and plans. Meanwhile, your ASVAB results can help you score band. The ASVAB is an aptitude test. It is neither an in making well-informed choices about future Use Access Code: 2813N YOUR ASVAB PERCENTILE SCORES absolute measure ofyour skills and abilities nor a high school courses. perfect predictor of your success or failure. A We encourage you to discuss your ASVAB Your ASVAB results are reported as percentile high score does not guarantee success, and a low results with a teacher, counselor, parent family Access code expires: July 1st scores in the three columns to the right of the graph. score does not guarantee failure, in a future edu- member or other interested adult. These indi- Percentile scores show how you compare to other cational program or occupation. For example, if viduals can help you to view your ASVAB students - males and females, and for all students - you have never worked with shop equipment or results in light of other important information, in your grade. For example, a percentile score of 65 cats, you may not be familiar with the tams and such as your interests, school.grades, motiva- SEE YOUR COUNSELOR FOR for an 11th grade female would mean she scored concepts assessed by the Auto and Shop Informa- tion, and personal goals. FURTHER INFORMATION EFTA01709865  ASVAB SCORE AND TEST DESCRIPTIONS Verbal Skills is a general measure of language and reading skills which Paragraph Comprehension tests the ability to obtain information from combines the Word Knowledge and Paragraph Comprehension tests. People written material. Students read different types of passages of varying lengths with high scores tend to do well in tasks that require good language or and respond to questions based on information presented in each passage. reading skills, while people with low scores have more difficulty with such Concepts include identifying stated and reworded facts, determining a tasks. sequence of events, drawing conclusions, identifying main ideas, determin- ing the author's purpose and tone, and identifying style and technique. Math Skills is a general measure of mathematics skills which combines the Mathematics Knowledge and Arithmetic Reasoning tests. People with high Mathematics Knowledge tests the ability to solve problems by applying scores tend to do well in tasks that require a knowledge of mathematics, knowledge of mathematical concepts and applications. The problems focus while people with low scores have more difficulty with these kinds of tasks. on concepts and algorithms and involve number theory, numeration, alge- braic operations and equations, geometry and measurement, and probabil- ity. Mathematics knowledge is one factor that characterizes mathematics Science and Technical Skills is a general measure of science and technical comprehension; it also assesses logical thinking. skills which combines the General Science, Electronics Information, and Mechanical Comprehension tests. People with high scores tend to do well in tasks that requirescientific thinking or technical , while people with low Electronics Information tests understanding of electrical current, circuits, scores have more difficulty with such tasks. devices, and systems. Electronics information topics include electrical cir- cuits, electrical and electronic systems, electrical currents, electrical tools, symbols, devices, and materials. General Science tests the ability to answer question on a variety of science topics drawn from bourses taught inmost ' schools. The life science items cover botany, zoology, anatomy and physiology, and ecology. The earth and Auto and Shop Information tests aptitude for automotive maintenance and space science items are based on astronomy, geology, meteorology, and repair and wood and metal shop practices. The test covers several areas oceanography. The physical science items measure force and motion me- commonly included in most high school auto and shop courses such as chanics, energy, fluids, atomic structure, and chemistry. automotive components, automotive systems, automotive tools, trouble- shooting and repair, shop tools, building materials, and building and con- struction procedures. Arithmetic Reasoning tests the ability to solve basic arithmetic problems one encounters in everyday life. One-step and multi-step word problems require addition, subtraction, multiplication, and division, and choosing the Mechanical Comprehension tests understanding of the principles of me- correct order of operations when more than one step is necessary. The items chanical devices, structural support, and properties of materials. Mechanical include operations with whole numbers, operations with rational numbers, comprehension topics include simple machines, compound machines, me- ratio and proportion, interest and percentage, and measurement. Arithmetic chanical motion, and fluid dynamics. reasoning is one factor that helps characterize mathematics comprehension and it also assesses logical thinking. Military Careers Score is a composite of the verbal, math, Mechanical Comprehension, and Electronics Information tests. It compares your slciRsfrn Word Knowledge tests the ability to understand the meaning of words these areas to the skills of military personnel currently employed in a number through synonynis - words having the same or nearly the same meaning as of occupations. Thescore is used with the publication MilltaryCareerswhich other words. The test is a measure of one component of reading comprehen- highlights and describes a number of military occupations. sion since vocabulary is one of many factors that characterize reading comprehension. Military Entrance Score (AFQT) is the score used if an individual decides to enter any of the armed services. See your local recruiter for details. * U.S. GOVERNMENT PRINTING OFFICE: 2002-752-083 EFTA01709866  Spring 2004