| | Yr 01 | Yr 01 | Yr 02 | Yr 02 | Yr 03 | Yr 04 |
| Item Description | 1985 F | 1986 S | 1986 F | 1987 S | 1988 S | 1989 S |
| Cohort 1 | 1st grade | 1st grade | 2nd grade | 2nd grade | 3rd grade | 4th grade |
| Cohort 2 | | | 1st grade | 1st grade | 2nd grade | 3rd grade |
| Cohort 3 | | | | | | |
| Cohort 4 | | | | | | |
|
| Part III - Child Service Items (continued): | | | | | | |
| Testing/Evaluation for Special Ed. Services: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service* | | | | | | |
| *Have You Referred Child to Special Ed. | | | | | | |
| *Has ARD Manager Referred Child to Special Ed. | | | | | | |
| Special Classroom for Learning Problems: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Special School for Learning Problems: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Gifted and Talented Classes: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Enrichment Program at the School: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Summer School Before Starting Grade: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Treatment for Emotional Problems: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Meds. for Hyperacitivity/Attn. Problems: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Treatment for Drug Problems: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Social Services: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Juvenile Services: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Foster Home or Group Home: | | | | | | |
| - Received This Year | | | | | | |
| - How Frequent/Contact with Provider | | | | | | |
| - Does Child Need Service | | | | | | |
| Child Attend Summer School Last Summer: | | | | | | |
| Child Need Summer School this Summer: | | | | | | |
| Any Other Service Child is Receiving: | | | | | | |
| Specify: | | | | | | |
| Any Other Service Child Needs: | | | | | | |
| Specify: | | | | | | |
| Think Child/Need Repeat this Grade: | | | | | | |
| Removed from Class/Disciplinary Reasons/Past Year: | | | | | | |
| Was Child Expelled in Past Year: | | | | | | |
| Was Child Suspended in Past Year: | | | | | | |
| Used Weapon in Fight in Past Year: | | | | | | |
| Run Away from Home Overnight/Past Year: | | | | | | |
| Set Fires in Past Year: | | | | | | |
| Broken into Someone Else's House, etc./Past Year: | | | | | | |
| Has Child Ever Smoked Tobacc | | | | | | |
| Tobacco Use: | | | | | TOCTOB32 | TOCTOB42 |