MVCS AIP Cover Sheet
Student First Name:
Student Last Name:
Student ID:
ES Name:
ES Email:
ES Phone:
Student Test Scores:
STAR:
English/LA
Math
NWEA:
Reading
Language Usage
Math
CAHSEE Pass Date:
L/A
Math
Reason for AIP Team Meeting Referral:
Student's Strengths and Interests:
Broad Domains or Strands of Math and/or L/A in which student has difficulty:
Brief statement of any known factors which may hinder Student achieving targeted goals:
What Math Curriculum are you using at this time? Please include any intervention you are currently utilizing.
What LA Curriculum are you currently using?
I would like to schedule a meeting on this day and this time: