ࡱ> Z\[ <bjbjVV MP<< 2 ''''';;;8sT;!jcc.lllE!G!G!G!G!G!G! #%G!'lllllG!''\!dddl''E!dlE!dd R;1!r!0!:&:&:&'plldlllllG!G!lll!llll:&lllllllll : [District Name] Public Schools SUMMARY OF PERFORMANCE Date: _______________________ Student Name: __________________________________________________ Birthdate: _____________________________ Students Eligibility Category: __________________________________ Date of Graduation/Exit: _____________________ Students Postsecondary Goal(s) ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ Present Levels of Academic Achievement and Functional Performance (Can include, but is not limited to: How the students disability has affected his or her involvement and progress in the general education curriculum; other educational needs that result from the students disability; academic/functional levels and other evaluative information; strengths, interests and preferences; and, effective supports and accommodations used during high school.)  The student has been determined eligible to receive services from the following agencies: (check all that apply) ( NJDVRS ( NJCBVI ( NJ Transit Access Link ( County Paratransit System ( NJDYFS ( Social Security ( NJDDD The student is on the following DDD waiting lists: ( Residential ( Day Services Only ( Other ________________________ ( Community Mental Health Agency ( Center for Independent Living ( Other ___________________________________ Recommendations to assist the student in meeting postsecondary goals in the areas of Postsecondary Education, Employment, Independent Living, and Community Participation.  Recommended Resources (Check all that apply) AgencyPhoneWeb Site( NJ Division of Disability ServicesFor Information and Referral Assistance1-888-285-3036www.state.nj.us/humanservices/dds ( NJ Division of Vocational Rehab. Services609-292-5987http://lwd.dol.state.nj.us/labor/dvrs/disabled/Transition.html( NJ Transit Access Link1-800-955-2321www.njtransit.com/tm/tm_servlet.srv?hdnPageAction=AccessLinkTo( County Paratransit Systemwww.njtransit.com/tm/tm_servlet.srv?hdnPageAction=ParaTransitTo( NJ Comm. for the Blind and Visually Impaired973-648-3333www.state.nj.us/humanservices/cbvi/home ( The Family Support Center1-800-FSC-NJ10http://www.fscnj.org( NJ Division of Youth and Family Services1-800-331-3937www.nj.us/dcf/divisions/dyfs( Community Mental Health Agency1-800-382-6717www.state.nj.us/humanservices/dmhs/news/publications/mhs/index.html( Center for Independent Living609-581-4500www.njsilc.org( Social Security Administration1-800-772-1213www.ssa.gov/disability( NJ Division of Developmental Disabilities1-800-832-9173www.state.nj.us/humanservices/ddd/home/index.html I have reviewed this Summary of Performance and have received a copy. 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