PLAR Assessment Tracking Form

Supporting worksheet  |  Attach prescribed Ministry records  |  2026–2027

Student surname/given names __________________________________________  OEN __________________
Date of birth __________  Student number __________  Grade _____  Gender as recorded __________
USCA BSID __________  OSR holding school ____________________  Entry date __________
Parent/guardian where applicable ____________________  Assessor ____________________
Application received __________  Assessment start __________  Completed/withdrawn date __________

Pathway: [ ] Adolescent challenge  [ ] Transfer equivalency  [ ] Mature individual assessment/equivalency
[ ] Mature challenge   Governing rule/section ____________________
Course title ____________________  Code _________  Grade/type _________  Discipline __________

1 Eligibility and planning

[ ] Pathway/age verified  [ ] Prior OST/PLAR checked  [ ] Limits/overlap checked  [ ] Exclusions checked
[ ] Evidence authenticated  [ ] Curriculum and criteria explained  [ ] Accommodations arranged
Principal eligibility authorization __________________  Date __________
Evidence and accommodation references __________________________________________________

2 Challenge assessment record

Complete for challenges only. Use an attachment if you need more rows. Identify curriculum expectations and all achievement categories assessed; retain rubrics and student evidence.

Formal tests or examinations 70% Expectations and evidence reference Date Achievement level
________________________ ________________________ ________ ________
________________________ ________________________ ________ ________

Formal component mark ____ /100 × 0.70 = ____ /70

Other assessment strategies  30% Expectations and evidence reference Date Achievement level
________________________ ________________________ ________ ________
________________________ ________________________ ________ ________

Other component mark ____ /100 × 0.30 = ____ /30
Final challenge mark ____ /100    [ ] Passed  [ ] Failed  [ ] Withdrawn    Credits awarded _____

3 Assessment acknowledgement

Assessor signature __________________________  Date __________
Student signature __________________________  Date __________
Teacher adviser/guidance __________________________  Date __________
Parent/guardian where applicable __________________________  Date __________
Principal credit decision __________________________  Date __________

Signatures acknowledge communication of results. Record a refusal or unavailable signature and the communication date; it does not replace the principal’s credit authorization.

4 Equivalency and individual assessment record

Student name ______________________________  OEN __________________
Complete for equivalency or mature individual assessment; otherwise mark not applicable.

Evidence or subject assessment Jurisdiction dates and verification Credit decision and rationale
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________

Mature Grade 9–10 areas reviewed, where required: [ ] English  [ ] Mathematics  [ ] Science
[ ] Canadian history/geography combined   Prescribed assessment record reference __________________
Exceptional PPM 132 credential pathway, if applicable: evidence and authority _____________________
____________________________________________________________________________________

5 Authorized awards and completion plan

Date Course code or block Grade/type Mark or EQV¹ Credits Compulsory²
________ ________________ ________ ________ ______ ________
________ ________________ ________ ________ ______ ________
________ ________________ ________ ________ ______ ________
________ ________________ ________ ________ ______ ________

¹ Use the prescribed OST entry; equivalency does not create a percentage grade.
² Identify the compulsory requirement satisfied on the attached graduation review.

Prior credits _____ New awards _____  Total earned _____
Compulsory credits remaining _____  Optional credits remaining _____  Courses still required _________
____________________________________________________________________________________
Literacy/community hours / online learning / financial literacy reviewed on ______________________
Outstanding requirements or documented exceptions _________________________________________

6 Principal authorization and records check

Principal signature __________________________  Date __________
Decision/reasons communicated to student on __________  Review request/outcome _________________

[ ] Correct Ministry cumulative record attached and updated
[ ] Interim record sent to OSR holding school where required
[ ] OST entry and full disclosure/withdrawal rules checked
[ ] Evidence, assessment and signed decision filed securely
[ ] Graduation plan reconciled; no duplicate credit
Recorded by __________________  Date __________  Verified by __________________  Date __________

Ministry sources checked October 17, 2026: PPM 129  |  PPM 132 revised 2023  |  Ontario Schools section 7  |  OST Manual  |  PPM 129 sample forms