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The Intake Assessment Form
FY15
Technical College System of GeorgiaOffice of Adult Education
As required by the National Reporting System for Adult Education
2
FY15 Intake Assessment Form
FY15 Intake Assessment Form Directions and
Definitions
Before Watching
3
Understand the importance of the Intake Assessment Form
Become familiar with each section
Learn key definitions and procedures
Objectives
4
Intake Assessment Form (IAF)
5
Intake Assessment Form (IAF)
IAF, p. 1; DD, p.2
6
IAF Section 1: EFL, Class Site, and Pre-test
IAF, p. 1; DD, p.2
7
IAF Section 2: Student Data
IAF, p. 1; DD, p. 2
8
IAF Section 2: Student Data
IAF, p. 1; DD, p. 2-3
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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
10
IAF Section 2: Student Data
IAF, p. 1; DD, p. 3
11
IAF Section 2: Student Data
IAF, p. 1; DD, p. 3-4
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IAF Section 3: Student Contact Information
IAF, p. 1; DD, p.4
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IAF Section 4: Emergency Contact Information
IAF, p. 1; DD, p.4
14
IAF Section 5: Student Status and Special Populations
IAF, p.2; DD, p.4-6
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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
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IAF Section 6: Student Goals
IAF, p. 2; DD, p.6-9
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IAF Section 6: Student Goals
IAF, p. 2; DD, p. 9
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Conference Notes
Academic AdvisementGoal ProgressAssessment ResultsService Referrals
Maintained in hard copy format in the student permanent record or in GALIS
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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.
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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.
21
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.
22
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
23
Technical AssistanceOffice of Adult Education
Instructional Services DirectorBobby Creech
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