<p> West Clermont School District</p><p>Summary of Performance</p><p>Student Name Birth Date Student ID # </p><p>Year of Graduation/Exit: School of Attendance </p><p>Anticipated Exit Date/deferring? (mm/dd/yy) Disability Diagnosis </p><p>Address City State Zip Code </p><p>Telephone Number: Primary Language: </p><p>Date of most recent IEP or most recent 504 plan: Date of last MFE </p><p>Date this summary was completed: </p><p>Summary of Student’s Academic Achievement and Functional Performance</p><p>Post – Secondary Goals What does the student plan on doing after graduating?</p><p>West Clermont Summary of Performance 10/23/08 - 1 - Recommendations What recommendations would you make to assist the student in reaching his/her post-secondary goals (adaptive equipment, accommodations, services and/or other agencies)?</p><p>Transition Options</p><p>**Option #1 - Upon meeting graduation requirements, I will accept my diploma and understand that my special education services through West Clermont Schools will be terminated. </p><p>Student ______</p><p>------</p><p>**Option #2 – I wish to continue with public education through West Clermont Schools and defer my diploma at this time. I will be participating in the following school age program______</p><p>Student ______</p><p>Team Signatures</p><p>Participants:</p><p>Name ______Title ______Date ______</p><p>Name ______Title ______Date ______</p><p>Name ______Title ______Date ______</p><p>Name ______Title ______Date ______</p><p>Name ______Title ______Date ______</p><p>West Clermont Summary of Performance 10/23/08 - 2 -</p>