Continued ➡

Student Learning ProfileName: _____________________________________________________________________________________________________________________________________________

ACHIEVEMENT TEST

Name of test:___________________________________________________________________________________________________________________________________

Year Previous Year Current Grades

Math (overall)

__________________ (subtest)

__________________ (subtest)

Science

Social Studies

Language Arts (overall)

__________________ (subtest)

__________________ (subtest)

Reading (overall)

__________________ (subtest)

__________________ (subtest)

APTITUDE AND/OR INTELLIGENCE TEST

Name of test:___________________________________________________________________________________________________________________________________

Year National Percentile Score Local Percentile Score

Verbal

Spatial

Quantitative

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From Differentiating Instruction in the Regular Classroom: How to Reach and Teach All Learners by Diane Heacox, Ed.D., copyright © 2012. Free Spirit Publishing Inc., Minneapolis, MN; 800-735-7323; www.freespirit.com. This page may be reproduced for individual, classroom, or small group work only. For other uses, contact www.freespirit.com/permissions.

GRADES

Previous Year Current Grades

Language Arts/English

Mathematics

Social Studies

Science

Other areas:

Notes on results of state assessments:

_________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________

Special learning needs or modifications (including special education recommendations):

_________________________________________________________________________________________________________________________________________________________

Interests:

_________________________________________________________________________________________________________________________________________________________

Prefers to work: q alone q with partner q in small group q in large group

Learning profile notes:

_________________________________________________________________________________________________________________________________________________________

Multiple intelligences strengths/preferences (Verbal/Linguistic, Musical, Logical/Mathematical, Interpersonal, Visual/Spatial, Intrapersonal, Bodily/Kinesthetic, Naturalist, Existential):

_________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________

Comments: ______________________________________________________________________________________________________________________________________

Student Learning Profile continued . . .

From Differentiating Instruction in the Regular Classroom: How to Reach and Teach All Learners by Diane Heacox, Ed.D., copyright © 2012. Free Spirit Publishing Inc., Minneapolis, MN; 800-735-7323; www.freespirit.com. This page may be reproduced for individual, classroom, or small group work only. For other uses, contact www.freespirit.com/permissions.

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