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psbck) (optional) Lo4Jt 22. HematocnwHemoglobin GM (optional) ,* --- ,...._ VISION: Right Eye
ds. LEVEL 1: Performance at this level indicates that the student has little success with the challenging content of the Sunshine State Standards. The Total Mathematics Score of 336 indicates that who took FCAT Mathematics in 1999. Achievement Level Total Score Mathematics 3 336 scored in the highest third of grad
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RMISSION FOR MY OVID TO & GAN HEALTH SCREENINGS. THESE. TESTS MAY BE GIVEN INCIYIOUALLY OR IN GROUPS. gi YES YES I NO (251 SODIELA FLUORIDE: I GM PERMISSION FOR MT CHILD TO PARTICIPATE IN THE SOCIUM FLUORIDE PROGRAM 6if YES TO FREVENT DENTAL MCAT. PERMISSION IS VALID THROUGH GRAM SIX. YES
the student's level of achievement on FCAT Mathematics. The Total Score that a student could achieve ranges from 100 to 500. Total Score • • - The Total Mathematics Score of 330 indicates that ored in the highest third of grade 5 students who took FCAT a ema ics n Subscores The Subscores indicate the student's leve
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cates the student's level of achievement on FCAT Mathematics. The Total Score that a student could achieve ranges from 100 to 500. Total Score — The Total Mathematics Score of 290 Indicates that scored in the • middle third of grade 5 students who took FCAT Mathematics in 1998. Subscores The Subscores indicate the s
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SHOULD SE AWARE OF, PLEASE LIST YOUR:.CIELDAENANIOINER latitEACH4gOUNTMSCHOOILSWSVSEKS•M-r: Sig,(4.:?ofp:n:w, ',/4M<Iti .;:fgft.tMita•c)fl . we4 (GM MAYEISI OF OAD0CNI (CS) SCHOOL ATTENDING (7C) STUDENT NO. (OPTIONAL) (711 GRADE O21 BIRTH DATE EFTA01710376 4 .14 - OOL Di's, \ 41 VERIFICATI
Total Score Indicates the student's level of achievement on FCAT Mathematics. The Total Score that a student could achieve ranges from 100 to 500. The Total Mathematics Score of 297 indicates that scored in the middle third of grade 5 students who took FCAT Mathematics in 1998. The Subscores indicate the student's level
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