The Intake Assessment Form FY14 Technical College System of Georgia Office of Adult Education As required by the National Reporting System for Adult Education

 FY14 Intake Assessment Form  FY14 Intake Assessment Form Directions and Definitions 2 Before Watching

 Understand the importance of the Intake Assessment Form  Get to know each IAF section  Walk through the IAF 3 Objectives

Intake Assessment Form (IAF) 4

5 IAF, p. 1; DD, p.2

IAF Section 1: Enrollment Date, Entry Level, and Class Site 6 IAF, p. 1; DD, p.2

IAF Section 2: Student Data 7 IAF, p. 1; DD, p. 2

IAF Section 2: Student Data 8 IAF, p. 1; DD, p. 2-3

Federal CategoryOrigins 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 AmericanAny of the Black racial groups of Africa Native Hawaiian or Other Pacific Islander Hawaii, Guam, Samoa, or other Pacific Islands WhiteEurope, the Middle East, or North Africa 9 Race Categories and Origins

IAF Section 2: Student Data 10 IAF, p. 1; DD, p. 3

IAF Section 2: Student Data 11 IAF, p. 1; DD, p. 3

12 IAF Section 3: Student Contact Information IAF, p. 1; DD, p.3

13 IAF Section 4: Emergency Contact Information IAF, p. 1; DD, p.3

14 IAF Section 5: Student Status and Special Populations IAF, p.1; DD, p.3-4

15 IAF Section 5: Student Status and Special Populations IAF, p.1; DD, p.4-5

 Low Income  Displaced Homemaker  Single Parent  Dislocated Worker  Learning Disabled Adult  Physically Disabled Adult  None of the Above 16 Special Populations IAF, p.1; DD, p.4-5

17 IAF Section 5: Student Status and Special Populations IAF, p. 1; DD, p.6

18 IAF Section 6: Student Goals IAF, p. 2; DD, p. 6-9

19 IAF Section 6: Student Goals IAF, p. 2; DD, p. 6-9

20 IAF Section 7: Test Data IAF, p. 3; DD, p. 9 BEST Literacy BEST Plus GAIN TABE WorkKeys TABE CLAS-E

21 IAF Section 7: Conference Notes Academic Advisement Goal Progress Assessment Results Service Referrals IAF, p. 4; DD, p. 9

Technical Assistance 22 Office of Adult Education Instructional Services Director Bobby Creech Central/Southeast Georgia Grant Program Support Coordinator Felicia Phelps Metro Atlanta/North Georgia Grant Program Support Coordinator Charita Boles Metro Atlanta/West Georgia Grant Program Support Coordinator Leatricia Williams South/Southwest Georgia Grant Program Support Coordinator Vacant Instructional Services Technical Coordinator Kimberlee Bryant GALIS Helpdesk Data Management Assistant Davida Shelton