Educational Proficiency Plan
Hanover High School
STUDENT
NAME:
PARENT/
GUARDIAN
NAME:
First
Middle
Last
First
Middle
Last
SASID:
CURRENT
GRADE:
EXPECTED YOG:
DATE:
Educational Proficiency Plan (check those that apply):
 English Language Arts
 Mathematics
Part I: Background Information
The following relevant data should be reviewed and attached to this form (if available):
1.______
Grade Report/Transcript
2.______
10th Grade MCAS Test Scores with item analysis.
3.______
Local Benchmark Exams
4.______
Student and Faculty input/recommendations
5.______
Current Schedule
6.______
Attendance Report
7.______
IEP (If Applicable)
8.______
504 (If Applicable)
9.______
Other (PSAT, SAT, ACT, ASVAB, etc)
Part II: Overall Student Plan
A. ENGLISH LANGUAGE ARTS (ELA)
What does the student see as his/her strengths in ELA in general or on the ELA MCAS exam?
What other strengths are noted from the background information?
What areas of ELA in general or ELA MCAS were challenging or areas that the student was not prepared?
What are the student’s educational and career plans after high school? (Be Specific)
Are there other reasons that the student is having difficulty in ELA?
Please note the grade appropriate courses that will help this student move toward proficiency in English Language
Arts and achieve his or her postsecondary goals:
Year
English Recommended
Coursework:
Was the course
successfully completed?
Annual Assessment(s) to
measure progress:
Was progress toward
proficiency evident?
Junior Year
Yes 
No 
Yes 
No 
Senior Year
Yes 
No 
Yes 
No 
Other suggestions that may assist the student in meeting the state requirements:
 Advanced Placement
 College Dual Enrollment
 Increase in Course Academic Level
 Virtual High School
 Other English Coursework or Career Related Coursework
 School to Work/Internship
 Community Service
 Other
Part II: Overall Student Plan (Continued)
B. MATHEMATICS
What does the student see as his/her strengths in Math in general or on the Math MCAS exam?
What other strengths are noted from the background information?
What areas of Math in general or Math MCAS were challenging or areas that the student was not prepared?
What are the student’s educational and career plans after high school? (Be Specific)
Are there other reasons that the student is having difficulty in Math?
Please note the grade appropriate courses that will help this student move toward proficiency in Math and achieve
his or her postsecondary goals:
Year
Math Recommended
Coursework:
Was the course
successfully completed?
Annual Assessment(s) to
measure progress:
Was progress toward
proficiency evident?
Junior Year
Yes 
No 
Yes 
Senior Year
Yes 
No 
Yes 
Other suggestions that may assist the student in meeting the state requirements:
 Advanced Placement
 College Dual Enrollment
 Increase in Course Academic Level
 Virtual High School
 Other Math Coursework or Career Related Coursework
 School to Work/Internship
 Community Service
 Other
No 
No 
Part III: Record of Meetings
A. Initial Meeting Date (Beginning of Junior year):
Notes or Comments:
Signatures of Participants:
Student
Parent
Principal’s Acknowledgement:
High School Representative
Date:
B. Second Meeting Date (End of Junior year):
Notes or Comments:
Signatures of Participants:
Student
High School Representative
C. Third Meeting Date (Beginning of Senior Year):
Notes or Comments:
Signatures of Participants:
Student
High School Representative
D. Fourth Meeting Date (End of Senior Year):
Notes or Comments:
Signatures of Participants:
Student
High School Representative
Part IV: Records of Communications
1.  Phone
 Letter
 E-mail
 In-person
Date:
 Letter
 E-mail
 In-person
Date:
 Letter
 E-mail
 In-person
Date:
 Letter
 E-mail
 In-person
Date:
 Letter
 E-mail
 In-person
Date:
Notes:
2.  Phone
Notes:
3.  Phone
Notes:
4.  Phone
Notes:
5.  Phone
Notes:
Part V: Principal Verification
Has this student demonstrated progress towards proficiency? Yes 
Principal’s Name:
Principal’s Signature
No 