Effective: November 17, 2003
Revised: September 5, 2003
PRINT LEGEND The following special symbols are used on the automated student permanent record and category B print charts: $ - Not printed if the information does not apply When a '$' appears to the left of a field, it denotes that the information would not be printed if it does not apply. Data printed below may be moved up the appropriate number of lines. + - VOLUNTARY for all students grades 9 - 12 % - OPTIONAL for all students grades 9 - 12 & - VOLUNTARY for all adult students When an '&' appears to the left of a field, it denotes that the information is VOLUNTARY for all adult students (Adult Basic and High School and Postsecondary Adult Vocational Preparatory students). @ - REQUIRED for Adult Secondary Education Students VOLUNTARY for Adult Basic and Postsecondary Adult Vocational Preparatory Students When an '@' appears to the left of a field, it denotes that the information is VOLUNTARY for Adult Basic and Post Secondary Adult Vocational Preparatory students but is required for Secondary Education students. # - Printed if sender is a FASTER institution ! - Printed if sender is a SPEEDE/ExPRESS institutionNOTE: The first line of this sample transcript facilitates processing for optical scanners and appears only if the controlling parameter is set (see Appendix W). The content of the line is the first nine bytes of Student Number Identifier, Florida (where this field is the social security number), Last Name, First Name, Middle Name or Initial, the first eight bytes of Post Date, Time, Sequence Number, and, if there is no social security number, the ten byte Student Number Identifier, Florida (where it is the district assigned student identifier), as these fields are defined in the Header Record.
SSN999999LAST NAME XXXXXXXFIRST NAMEXXMIDDLE XXXCCYYMMDDFL STU ID9
$THIS IS A TEST TRANSCRIPT
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX DEMOGRAPHIC INFORMATION FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
MAILING X------------25---------X X---10---X X----(school address) 33 -------X
ADDRESS: X---(city) 18--X st 9zip9-9999 X----(school address) 32 ------X
$DISTRICT STUDENT ID: 9----12----9 FL STUDENT ID-ALIAS: 9999999999 $MIGRANT STUDENT ID: 99999999XXX
PARENT/GUARDIAN (NAME/CODE): RACIAL/ETHNIC CATEGORY: X SEX: X
X-----------25----------X X-----------27------------X BIRTH DATE: MM/DD/CCYY BIRTH VERIFICATION: X
$X-----------------------X X-------------------------X BIRTHPLACE: X-------18-------X
$911 MEDICAL ALERT: X X-------------------45----------------------X
IMMUNIZATION STATUS: X--------------------------------------80--------------------------------------X
VACCINE STATUS, DATE- VACCINE CERTIFICATE EXPIRATION DATE: MM/DD/CCYY
TYPE DOSE DATE DOSE DATE DOSE DATE DOSE DATE DOSE DATE
X---10---X X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY
$X---10---X X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY
$X---10---X X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY
$X---10---X X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY
$X---10---X X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY
$X---10---X X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY X MM/DD/CCYY
------------------------------------------ COURSE INFORMATION ------------------------------------------
DISTRICT: 99 SCHOOL: 9999 X----------25-----------X DISTRICT: 99 SCHOOL: 9999 X---------25------------X
YEAR: CCYY-CCYY GRADE LEVEL: 99 YEAR: CCYY-CCYY GRADE LEVEL: 99
SUBJECT CRSE CREDIT SUBJECT CRSE CREDIT
T COURSE# COURSE TITLE AREA FLAG GRD ATT./EARN T COURSE# COURSE TITLE AREA FLAG GRD ATT./EARN
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
CREDIT: 9.99 9.99 CREDIT: 9.99 9.99
% GPA QTY PTS GPA QTY PTS % GPA QTY PTS GPA QTY PTS
%DISTRICT-TERM: 999999 999999 CUM: 999999 999999 %DISTRICT-TERM: 999999 999999 CUM: 999999 999999
%STATE-TERM: 9.9999 99.99 CUM: 9.9999 999.99 %STATE-TERM: 9.9999 99.99 CUM: 9.9999 999.99
CCYY-CCYY ANNUAL DAYS-PRESENT: 999 ABSENT: 999 CCYY-CCYY ANNUAL DAYS-PRESENT: 999 ABSENT: 999
SUMMER TERMS DAYS-PRESENT: 999 ABSENT: 999 SUMMER TERMS DAYS-PRESENT: 999 ABSENT: 999
X------- 50 (grade promotion status) ------------X X------- 50 (grade promotion status) ------------X
ESE 964: Student Records Transfer Category A Print Chart Page 1 for students in grades PK - 12 and Adult
NOTES: a. The student name may be compressed
b. Additional vaccine and course lines may be used
c. Course Grade Field = XXX for students in grades PK - 8 and _XX for students in grades 9 - 12 and adult
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX COURSE INFORMATION FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
DISTRICT: 99 SCHOOL: 9999 X----------25-----------X DISTRICT: 99 SCHOOL: 9999 X---------25------------X
YEAR: CCYY-CCYY GRADE LEVEL: 99 YEAR: CCYY-CCYY GRADE LEVEL: 99
!BEGIN: MM/DD/CCYY END: MM/DD/CCYY XXXXXXXXXXXXXXXXX BEGIN: MM/DD/CCYY END: MM/DD/CCYY XXXXXXXXXXXXXXXXX
!CODE: 99 999999999999 XXXXXXXXXXXXXXXXXXXXXXXXXXX CODE: 99 999999999999 XXXXXXXXXXXXXXXXXXXXXXXXXXX
SUBJECT CRSE CREDIT SUBJECT CRSE CREDIT
T COURSE# COURSE TITLE AREA FLAG GRD ATT./EARN T COURSE# COURSE TITLE AREA FLAG GRD ATT./EARN
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99 X X--7--X X--------20--------X XX XXXX XXX 9.99 9.99
CREDIT: 9.99 9.99 CREDIT: 9.99 9.99
% GPA QTY PTS GPA QTY PTS % GPA QTY PTS GPA QTY PTS
%DISTRICT-TERM: 999999 999999 CUM: 999999 999999 %DISTRICT-TERM: 999999 999999 CUM: 999999 999999
%STATE-TERM: 9.9999 99.99 CUM: 9.9999 999.99 %STATE-TERM: 9.9999 99.99 CUM: 9.9999 999.99
CCYY-CCYY ANNUAL DAYS-PRESENT: 999 ABSENT: 999 CCYY-CCYY ANNUAL DAYS-PRESENT: 999 ABSENT: 999
SUMMER TERMS DAYS-PRESENT: 999 ABSENT: 999 SUMMER TERMS DAYS-PRESENT: 999 ABSENT: 999
X------- 50 (grade promotion status) ------------X X------- 50 (grade promotion status) ------------X
ESE 964: Student Records Transfer Category A Print Chart Page 2 for students in grades PK - 12 and Adult
NOTES: a. The student name may be compressed
b. Additional course lines may be used
c. Course Grade Field = XXX for students in grades PK - 8
XX for students in grades 9 - 12 and adult
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX COURSE IN PROGRESS FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
$COURSE IN PROGRESS - DISTRICT: 99 SCHOOL: 9999 X-----------25----------X YEAR: CCYY-CCYY GRADE LVL: 99
NUMBER OF WEEKS IN EACH GRADING PERIOD: xx
-1ST GRADING BLOCK- -2ND GRADING BLOCK-
1ST 2ND 3RD 1ST 2ND 3RD
SUBJECT CRSE CREDIT CRSE COURSE xx xx xx EXM CUM xx xx xx EXM CUM
T COURSE# COURSE TITLE AREA FLAG ATT./EARN HRS ABSENCE WKS WKS WKS GRD GRD WKS WKS WKS GRD GRD
X X--7--X X--------20--------X XX XXXX 9.99 9.99 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$ -3RD GRADING BLOCK -4TH GRADING BLOCK-
$ XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$ -5TH GRADING BLOCK- -6TH GRADING BLOCK-
$ XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$X X--7--X X--------20--------X XX XXXX 9.99 9.99 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$X X--7--X X--------20--------X XX XXXX 9.99 9.99 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$X X--7--X X--------20--------X XX XXXX 9.99 9.99 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$X X--7--X X--------20--------X XX XXXX 9.99 9.99 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
$X X--7--X X--------20--------X XX XXXX 9.99 9.99 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
ESE 965: Student Records Transfer Category B Print Chart Page 2 for students in grades PK - 12 and Adult
NOTES: a. The student's name may be compressed
b. xx = Item 23 on the Student Course Information Format
. Any fields in the grading block information on the Student Course Information Format will be
blank on the printed report (all column headings will be printed)
. If xx = 09 there may be information in the 1st and 2nd 09 week grades
"xx" in the 3rd/xx/wks column and the associated fields will always be blank
c. Students in grades PK - 8
. The course hours and course absences fields will be blank for all students in grades PK - 8
. The subject area, credit attempted and credit earned fields will only contain data if the
student is to be awarded high school credit for the course
d. The FIRN print program will print Course in Progress information page between the last courses
completed page and the graduation page
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX GRADUATION SUMMARY FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
****** C U M U L A T I V E S U M M A R Y ******* $DIPLOMA-DATE: MM/DD/CCYY
* AS OF: MM/DD/CCYY * TYPE: X---------------34---------------X
* %GRADUATION REQUIREMENT BASIS: XX * $X-----DIFFERENTIATED DIPLOMA-----X
* GRADUATION OPTION: X-----------27-----------X * $COLLEGE READY DIPLOMA: X $INTRNATL BACCALAUREATE: X
* - - - - CREDITS - - - - * $EARLY COLLEGE ADMISSION: X $ADDITIONAL SCHOOL YEAR: X
* SUBJECT TOTAL TOTAL TOTAL * $ADV INTL CERTIFICATE: X $TECH PREP PARTICIPANT: X
* AREA TO DATE NEEDED REMAINING *
* ENGLISH (EN) 99.99 99.99 99.99 * $CERTIFICATE OF COMPLETION-
* MATHEMATICS (MA) 99.99 99.99 99.99 * DATE: MM/DD/CCYY
* SCIENCE (SC) 99.99 99.99 99.99 * TYPE: X---------------34---------------X
* AMER HISTORY (AH) 99.99 99.99 99.99 *
* WORLD HISTORY (WH) 99.99 99.99 99.99 * $VOCATIONAL PROGRAM COMPLETION STATUS-
* ECONOMICS (EC) 99.99 99.99 99.99 * NUMBER: X--7--X X--------20--------X
* AMER GOVERNMENT (AG) 99.99 99.99 99.99 * TERMINATION: X-----15------X COMPLETED: MM/DD/CCYY
* VOCATIONAL (VO) 99.99 * $VOCATIONAL PROGRAM COMPLETION STATUS-
* PERFORM FINE ART PF) 99.99 99.99* 99.99* * NUMBER: X--7--X X--------20--------X
* LIFE MGMT SKILLS (LM) 99.99 99.99 99.99 * TERMINATION: X-----15------X COMPLETED: MM/DD/CCYY
* PHYSICAL ED (PE) 99.99 99.99 99.99 * $VOCATIONAL PROGRAM COMPLETION STATUS-
* FOREIGN LANGUAGE (FL) 99.99 99.99 99.99 * NUMBER: X--7--X X--------20--------X
* LANGUAGE ARTS (LA) 99.99 99.99 99.99 * TERMINATION: X------15-----X COMPLETED: MM/DD/CCYY
* SOCIAL STUDIES (SS) 99.99 99.99 99.99 * $VOCATIONAL PROGRAM COMPLETION STATUS-
* ELECTIVE (EL) 99.99 99.99 99.99 * NUMBER: X--7--X X--------20--------X
* ESE (EX) 99.99 99.99 99.99 * TERMINATION: X------15-----X COMPLETED: MM/DD/CCYY
* COMPUTER ED (CE) 99.99 99.99 99.99 * $NATIONAL MERIT SCHOLARSHIP: SCHOLAR
* CREDITS, CUMULATIVE: 99.99 99.99 99.99 * $NATIONAL ACHIEVEMENT SCHOLARSHIP: FINALIST
* *TOTALS INCLUDE VOCATIONAL & PERFORM FINE ARTS * $NATIONAL HISPANIC SCHOLAR: SCHOLAR
* GPA QTY PTS GPA QTY PTS *
* DISTRICT: 999999 999999 STATE: 9.9999 999.99 * $DISTRICT CLASS RANK-EFFECTIVE DATE: MM/DD/CCYY
************************************************** CLASS RANK, NUMERICAL POSITION: 999999
%++++++++++++++++++++++++++++++++++++++++++++++++++ CLASS RANK, PERCENTILE: 99
+CERTIFIED BY: + CLASS RANK, TOTAL NUMBER IN CLASS: 999999
+ +
+ +#DATE PASSED ASSESSMENT TEST FOR GRADUATION PURPOSES
+SIGNATURE: _____________________________________+ COMMUNICATIONS: MM/CCYY
+ + MATHEMATICS: MM/CCYY
+DATE: _________________ +
++++++++++++++++++++++++++++++++++++++++++++++++++$MINIMUM EXCEPTIONAL STUDENT EDUCATION PERFORMANCE
STANDARDS MASTERED FOR GRADUATION PURPOSES -
DATE: MM/DD/CCYY
COMMUNITY SERVICE HOURS: 999 REQUIREMENT MET: X
ESE 964: Student Records Transfer Category A (Graduation Information) Print Chart Page 3 for students in grades 9 - 12 and Adult
NOTES: 1. # If the test was administered prior to 3/91 the "SSAT-II: DATE PASSED FOR GRADUATION PURPOSES" heading would be used
(it is possible to have both headings if the tests were passed at different times)
2. The certification box may appear on the left or right side of the page at the district's discretion
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX COMMENTS FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
--------------------------------------- DEFINITION OF TERM CODES ----------------------------------------
CODE DEFINITION CODE DEFINITION CODE DEFINITION CODE DEFINITION CODE DEFINITION
1 SEMESTER 1 T* INTERSESSION 1 6 QUARTER 1 E QUINMESTER 1 J SIX WEEKS 1
2 SEMESTER 2 U* INTERSESSION 2 7 QUARTER 2 F QUINMESTER 2 K SIX WEEKS 2
3 ANNUAL V* INTERSESSION 3 8 QUARTER 3 G QUINMESTER 3 L SIX WEEKS 3
4 SUMMER SESSION 1 W* INTERSESSION 4 9 QUARTER 4 H QUINMESTER 4 M SIX WEEKS 4
5 SUMMER SESSION 2 X* INTERSESSION 5 B TRIMESTER 1 I QUINMESTER 5 N SIX WEEKS 5
S COMBINED SUMMER C TRIMESTER 2 O SIX WEEKS 6
SESSION D TRIMESTER 3
*NOTE: INTERSESSION CODES ARE USED (INSTEAD OF SUMMER SCHOOL SESSIONS) WITH YEAR-ROUND SCHOOL
RECORDKEEPING
STATE GRADING SCALE FOR HIGH SCHOOL STUDENTS (REGARDLESS OF ENTRY DATE) EFFECTIVE SCHOOL YEAR 1997-1998
GRADING SCALE, EFFECTIVE 07/01/2001
GRADE QUALITY GRADE QUALITY GRADE QUALITY
GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS
A = 90 - 100 4.00 B = 80 = 89 3.00 C = 70 - 79 2.00
D = 60 - 69 1.00 F = 0 - 59 0.00
GRADING SCALE, PRIOR TO 07/01/2000
GRADE QUALITY GRADE QUALITY GRADE QUALITY
GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS GRADE EQUIVALENT POINTS
A = 94 - 100 4.00 B = 85 = 93 3.00 C = 77 - 84 2.00
D = 70 - 76 1.00 F = 0 - 69 0.00
NOTE: FROM THE 1987-1988 THROUGH THE 1996-1997 SCHOOL YEARS, FOR STUDENTS ENTERING
HIGH SCHOOL DURING THESE YEARS, THE GRADE EQUIVALENTS FOR C, D, AND F WERE:
C = 75-84, D = 65-74, AND F = 64; QULAITY POINTS AND ALL OTHER GRADES WERE
THE SAME AS THOSE SHOWN IN THE IMMEDIATELY PRECEDING STATE GRADING SCALE.
-------------------------------------- STATE DEFINED COURSE FLAGS ---------------------------------------
E=ACADEMIC SCHOLAR-ELECTIVE R=ACADEMIC SCHOLAR-REQUIREMENT 9=NINTH GRADER
G=GIFTED H=HONORS N=NO CREDIT
I=INCLUDE IN GPA X=EXCLUDE FROM GPA W=EXCLUDE FROM STATE GPA
P=COURSE IS IN PROGRESS S=CREDIT AWARDED BY SLEP EXAM T=TRANSFERRED COURSE
VOCATIONAL SUBSTITUTION COURSES- &=JROTC AIR FC SUB FOR LIFE MGMT
$=JOURNALISM SUB FOR PRAC ARTS 0=JROTC SUB FOR PRACTICAL ARTS 1=COMP ED SUB FOR PRACTICAL ARTS
2=SUB FOR BUS EN I 1001440 3=SUB FOR BUS EN I 1001440/II 1001450 4=SUB FOR MA I 1205540
5=SUB FOR MA I 1205380/II 1205390 6=SUB FOR GEN SCI 2002310 7=SUB FOR ANAT PHYSIO 2000350
8=SUB FOR PRE ALGEBRA 1200300 A=JROTC CST GD SUB FOR SCIENCE F=JROTC AIR FORCE SUB FOR SCIENCE
K=JROTC NAVY SUB FOR SCIENCE O=JROTC ARMY SUB FOR LIFE MGMT Q=JROTC MARINE SUB FOR LIFE MGMT
@=SUB FOR BIO TECH 2000430 #=SUB FOR ENV SCI 2001340 %=SUB FOR PHY SCI 2003310
LEP INSTRUCTION-
M=HOME LANGUAGE INSTRUCTION B=HOME LANGUAGE &/OR ESOL INSTRUCTION (ELEMENTARY SELF-CONTAINED)
D=ESOL INSTRUCTION
ESE 964: Student Records Transfer Category A (Comments) Print Chart Page 4A for students in grades 9 - 12 and Adult
NOTES: a. This information will print before the Fiscal Year and General Comments
b. The state grading scale, state defined Course Flags, and Term code definitions are hard coded in the FIRN print program
c. The student name may be compressed
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX COMMENTS FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
$----------------------------------------- FY CCYY-CCYY COMMENTS -----------------------------------------
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$------------------------------------------- GENERAL COMMENTS --------------------------------------------
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
$ X-----------------------------------80-----------------------------------------X
ESE 964: Student Records Transfer Category A (Comments) Print Chart Page 4 for students in grades 9 - 12 and Adult
NOTES: a. Page 3 for students in grades PK - 8
Page 4 for students in grades 9 - 12 and adult
b. The student name may be compressed
c. Fiscal year comments - There may be up to 10 lines of comments for each fiscal year being sent
- "CCYY-CCYY" is obtained from item 7 on the student school year information transfer format
d. General comments - There may be a total of 3 occurrences of 12 lines of general comments per student
e. Local Course Flag definitions may be included in either fiscal year or general comments
f. District grading scales may be included in either fiscal year or general comments
g. Additional pages will be generated when necessary
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX CATEGORY B INFORMATION FILE: X--8---X GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999 WITHDRAWAL-DATE: MM/DD/CCYY CODE: XXX $STUDENT NAME, AKA: X-------------------42-------------------X X-------------------42-------------------X $ X-------------------42-------------------X X-------------------42-------------------X HOME LANGUAGE SURVEY DATE: MM/DD/CCYY COUNTRY OF BIRTH: XX X-------------30-------------X NATIVE LANGUAGE: XX X-----15------X PARENT/GUARDIAN PRIMARY HOME LANGUAGE: XX X-----15------X HEALTH EXAMINATION, SCHOOL ENTRY: X $SCREENINGS - HEARING: XX X-----------25----------X VISION: XX X-----------25----------X $MIGRANT - STATUS: X-------------31--------------X QAD: MM/DD/CCYY RESIDENCY DATE: MM/DD/CCYY $------------------------------------ EXCEPTIONAL STUDENT INFORMATION ------------------------------------ STUDENT PLAN DATE: MM/DD/CCYY CURRENT EVALUATION/RE-EVALUATION DATE: MM/DD/CCYY PRIMARY EXCEPTIONALITY: X X-------------30--------------X FEFP PROGRAM: XXX X-----------28-------------X $SECTION 504 ELIGIBLE: X $EVEN START FAMILY LITERACY PROGRAM: X $FLORIDA FIRST START PROGRAM: X $PARTICIPATION PRIOR TO KINDERGARTEN: X PROGRAM PRIOR TO KINDERGARTEN: X--------------30-------------X$POSTSCHOOL OUTCOME AREAS: $X-----------------------50-----------------------X X-----------------------50-----------------------X $X-----------------------50-----------------------X X-----------------------50-----------------------X$-------------------------------- EXCEPTIONAL STUDENT PROGRAM INFORMATION -------------------------------- EVALUATION ELGB PLACE- DISMIS- PLACEMENT REFERRAL COMPLETE DETERM MENT SAL EXCEPTIONALITY STATUS DATE DATE DATE DATE DATE X-------------30--------------X X----------24----------X MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY $X-------------30--------------X X----------24----------X MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY $X-------------30--------------X X----------24----------X MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY MM/DD/YY ESE 965: Student Records Transfer Category B Print Chart Page 1 for Students in Grades PK - 12 and Adult NOTES: a. The student name may be compressed b. Withdrawal date and code - will indicate the last withdrawal information from the district c. Reevaluation School Year - is the earliest reevaluation required for the student d. Exceptional Student Programs - there may be up to 10 occurrences Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX CATEGORY B INFORMATION FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
$-------------------------------- DROPOUT PREVENTION PROGRAM INFORMATION ---------------------------------
DROPOUT PREVENTION PROGRAM PLACEMENT REASONS OUTCOMES
X--------------32--------------X X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X
$X---------------34---------------X
$X--------------32--------------X X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X
$X---------------34---------------X
$X--------------32--------------X X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X $X----------------34--------------X
$X---------------34---------------X
$X---------------34---------------X
$----------------------------- LIMITED ENGLISH PROFICIENCY (LEP) INFORMATION -----------------------------
LIMITED ENGLISH PROFICIENCY: XX X----------------------------62------------------------------X
BASIS OF ENTRY: X X--------------------45---------------------X
BASIS OF EXIT: X X--------------------45---------------------X
ENTRY DATE: MM/DD/CCYY POST RECLASSIFICATION DATES-
CLASSIFICATION DATE: MM/DD/CCYY 1ST REPORT CARD: MM/DD/CCYY
PLAN DATE: MM/DD/CCYY 1ST SEMIANNUAL REVIEW: MM/DD/CCYY
REEVALUATION DATE: MM/DD/CCYY 2ND SEMIANNUAL REVIEW: MM/DD/CCYY
EXTENTION OF INSTRUCTION: X-X END OF THE 2ND YEAR: MM/DD/CCYY
EXIT DATE: MM/DD/CCYY
RECLASSIFICATION DATE: MM/DD/CCYY
RECLASSIFICATION EXIT DATE: MM/DD/CCYY
ESE 965: Student Records Transfer Category B Print Chart Page 1A for Students in Grades PK - 12 and Adult
NOTES: a. The student name may be compressed
b. LEP Test information for entry into and exit from the program will be on the Test Information
Format and will be printed as part of the test page
c. Dropout prevention program information - send the dropout prevention programs the student was
in during the current year
Revised: 09/03
TO - DISTRICT: XXXXXXX X--25-(district name)--X SCHOOL: XXXX TEST INFORMATION FILE: X--8---X
GRADE LEVEL: 99 PREPARED DATE: MM/DD/CCYY CURRENT DISTRICT: 99 X-------18-------X PAGE: XX OF XX
FL STUDENT ID: 9999999999 $SSN: 999-99-9999 9 CURRENT SCHOOL: 9999 X----------25-----------X
LEGAL NAME: X-----17--------X XXX, X----12----X X---10---X (999) 999-9999
------------------------------------------- TEST INFORMATION --------------------------------------------
TEST TEST LEVEL SUBJECT SCORE SCORE SUBJECT SCORE SCORE SUBJECT SCORE SCORE
GRD DATE NAME FORM CONTENT TYPE TYPE CONTENT TYPE TYPE CONTENT TYPE TYPE
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
99 MM/DD/CCYY XXX X XX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX X--8---X XX XXXX XX XXXX
$------------------------------------------- DISCIPLINE INFORMATION --------------------------------------------
$ ----------------------- DISCIPLINARY/REFERRAL----------------------
$ INCIDENT INCIDENT DATE ACTION ACTION DATE DIST/SCHL DURATION
$X---------25------------X MM/DD/CCYY X----------25------------X MM/DD/CCYY XX - XXXX XXX days
$X---------25------------X MM/DD/CCYY X----------25------------X MM/DD/CCYY XX - XXXX XXX days
$X---------25------------X MM/DD/CCYY X----------25------------X MM/DD/CCYY XX - XXXX XXX days
ESE 965: Student Records Transfer Category B Test Print Chart Page 3 for students in grades PK - 12 and Adult
Revised: 11/12