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The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Page 1: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

The Intake Assessment Form

FY15

Technical College System of GeorgiaOffice of Adult Education

As required by the National Reporting System for Adult Education

Page 2: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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FY15 Intake Assessment Form

FY15 Intake Assessment Form Directions and

Definitions

Before Watching

Page 3: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Understand the importance of the Intake Assessment Form

Become familiar with each section

Learn key definitions and procedures

Objectives

Page 4: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Intake Assessment Form (IAF)

Page 5: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Intake Assessment Form (IAF)

IAF, p. 1; DD, p.2

Page 6: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 1: EFL, Class Site, and Pre-test

IAF, p. 1; DD, p.2

Page 7: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 2: Student Data

IAF, p. 1; DD, p. 2

Page 8: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 2: Student Data

IAF, p. 1; DD, p. 2-3

Page 9: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Federal Category Origins

American Indian or Alaskan Native

North and South America (including Central America) and who maintains tribal affiliation or community recognition

Asian

Far East, Southeast Asia, or the Indian subcontinent including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam

Black or African American Any of the Black racial groups of Africa

Native Hawaiian or Other Pacific Islander

Hawaii, Guam, Samoa, or other Pacific Islands

White Europe, the Middle East, or North Africa

Race Categories and Origins

Page 10: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 2: Student Data

IAF, p. 1; DD, p. 3

Page 11: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 2: Student Data

IAF, p. 1; DD, p. 3-4

Page 12: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 3: Student Contact Information

IAF, p. 1; DD, p.4

Page 13: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 4: Emergency Contact Information

IAF, p. 1; DD, p.4

Page 14: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 5: Student Status and Special Populations

IAF, p.2; DD, p.4-6

Page 15: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Low Income Displaced Homemaker Single Parent Dislocated Worker Learning Disabled Adult Physically Disabled Adult None of the Above

Special Populations

IAF, p.1; DD, p.4-6

Page 16: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 6: Student Goals

IAF, p. 2; DD, p.6-9

Page 17: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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IAF Section 6: Student Goals

IAF, p. 2; DD, p. 9

Page 18: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Conference Notes

Academic AdvisementGoal ProgressAssessment ResultsService Referrals

Maintained in hard copy format in the student permanent record or in GALIS

Page 19: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Example of ABE/ASE Conference Note

I met with George to review his TABE math post-test. He advanced to ASE 1 from ABE 4. We discussed what is needed to prepare to pass the math portion of the GED® Test. George committed to attend class as scheduled and complete assignments to be ready to take the math GED® Test within the next 6 weeks.

Page 20: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Example of ABE Conference Note

Mr. Luster is working in Reading only (ABE 3). He attends class regularly and is making considerable progress. An informal assessment showed areas of weakness in the sub skill 'Words in Context'. I am providing supplemental resources to target this area. He will be informally reassessed after 10 more hours of instruction.

Page 21: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Example of ESL Conference Note

Sunhee continues to progress in the Beginning ESL class. She has difficulty with friction sounds f, v, and th. I gave her a list of links to online videos that she can watch at home to practice those sounds. Sunhee registered for Intermediate ESL next semester.

Page 22: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Removed Enrollment date, assessment page, conference

notes page Added

Pre-test score box, today’s date, Institution 1 & 2, I-BEST

Updated Entry level to EFL Goals page – students self-select Separated EL/Civics goals from other secondary

goals Intake conference section with questions

Differences between FY14 and FY15

Page 23: The Intake Assessment Form FY15 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

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Technical AssistanceOffice of Adult Education

Instructional Services DirectorBobby Creech

[email protected]

Central/Southeast GeorgiaGrant Program Support Coordinator

Felicia [email protected]

478-329-4720

Metro Atlanta/North GeorgiaGrant Program Support Coordinator

Charita [email protected]

404-679-1628

Metro Atlanta/West GeorgiaGrant Program Support Coordinator

Leatricia [email protected]

404-679-5234

South/Southwest GeorgiaGrant Program Support Coordinator

Steve [email protected]

404-679-0511

Instructional ServicesTechnical Coordinator

Kimberlee [email protected]

404-248-1060

GALIS HelpdeskData Management Assistant

Davida [email protected]

404-327-6907