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and new -

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. THIS STUDENT IS: :3 NOT ENROLLEE IN EsoL PROGRAM

Fag-Lox- amd Mame/a mm WM .

SCHOOL BOARD OF ST. LUCIE-COUNTY ?hj??he elm -.
STUDENT REFERRAL T0 - -

each/II? DATE:  0 1/ 
SCHOOL: iad/i GRADE: '7
Law? #64535?

523??-
PERSON MG REFERRAL IS: mama:
. El PARENT

Mae 

r3 ADMINISTRATOR --  a:

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-  LAM @L?ac?fx,

EJ CURRENTLY ENROLLEDINESOL PROGRAM rm - r' . - 

Cl FORMERLY ENROLL 1N ESOL PROGRAM 0m 52d 9% 

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I Please respond to each applicable area regarding the identified-shim and include additional docummtatiun


as needed. Attach this farm and supporting documentation to the 

 

OBSERVAHON OF STUDENT RMAN Ma 7% 71723 45'; gt" 45.5.; 5 S?g/wyCal; 

 

 

 

2. GR UCATIO XPERIEN ESISTUDENT
'We. 23% 1.2 

 

 

 

3. STUDENTS LEVEL OF MASTER-Y OF BASIC COMPETENCIES IN ENGLISH Rom: LANGUAGE: 

?nish L?g: 'xzaf 563% - -- - am Jam? 
If 9" I: a? .6 6341?19 "'5?ch 
Mfg.- - k. 7 gin-care #3 Mead/iv?; . .
4. mm's REPORT CARD GRADES FOR CURRENT ANDJOR PREvIous YEAR: .
Sea, @125 grade card ?hof 
J- .- - 

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. 5. STUDENTS TEST RESULTS IN AREAS OTHER THAN LISTENING, SPEAKING, 12131371?; AND WIRING:

amm- If} GE gl/m/ as
a Manf- ahdf  

        

 

DISTRIBUTION: CUMULATIVE FOLDER (WHITE) GUIDANCE (YELLOW) 

FORM 

 

 

Southan Middle School
2420 SE Momiugside 
Port St Lucie, FL 34952
April 23, 1999

MLMaleenS

Port St Lucie. FL 34953

Dear ML Seddique:




l9, l999'mwhinhl
outlined Omar's alumina mnfimm
presently


classmomcreum distractiom 3m become amainsomoe him.
Fixthamom,it'0mcanimpmvebis 
among: hispcets and "ms gain selfiwnfidmcc. 1min Easter pwhibiting Omar fiom

lo class/school rules. Monom, I have found that Omar does little work in my unlws

mninded Omarto 
that he is insnhoolto work Mm: Ioplay andfiml around. It wouldbe veryhelpfill if
you discussed will-1 him fiequemly that school is a place to wurk and apply himself
Wally. 01112: has gm! diflicuhy fucusing on his classwork since 11:
oflen seeksthe attention of his classmatgs through some sort afmisc, disrupfiou, or
dimminm This ultimately lads 01m: (0 be disciplined, loose valuable ill-clam time to
complete his assigumem, and easily impmimt and restless whmhe "s unable to complete

Mr. 
reminderslhatapositivz atfilude 
improst nbilitylo perform excellem academic work. Inadditiun, if
Omarfocmmore 


habits.

STUDENT STUDY TEAM REFERRAL

Studen; 1 My all Seddl'gyg, Grad. 

Teacher Sign Date of 
Fuentes Name Ln. 0 00? 0
5i Luc'gg 

Father's Hark fiddly" Maw/u Hark phone 
Mather's Hark Mafia: Hark phone--

Acadamic stars of goncem:  "Shh/m 

1%
Wflij/MW 07% "01/1" OWL 14? 7% ad mm' 
Wow :Wxi/Lw/

Behavioral erl'I-Iof cunt-tn: VV  aiifijgeby7?XI 

abuou;( 0V4
 .Mnd V/o Mfeg/

ave you had any purent conferences? 65 . 

Manic-l 
glasses: Hearing Aid


Plans: list any serious medical conditinns a: medicatiens:

Has this child been :eferrea Par Student study Team or testing In

th: past?

Has this Child bun retained?