PAR 1 1. Mental Retardation 9. Deaf-Blindness 2. Hearing Impairment (Includes Deafness) 10. Multiple Disabilities 3. Speech or Language Impairment 11. Autism 4. Visual Impairment (Includes Blindness) 12. Traumatic Brain Injury 5. Emotional Disturbance 13. Developmentally Delayed- 3 through 9 6. Orthopedic Impairment 14. Non-Categorical 7. Other Health Impairment 15. Not Reported Under Part B of IDEA 8. Specific Learning Disability I. EDUCATIONAL SETTING check one from the age category that age matches child’s Age: Birth through 2 (Early Intervention Settings) Age: 3-5 (Early Childhood Special Education Settings 1. Home 1. Attends a Regular Early Childhood Program 2. Community-Based Setting at least 80% Time 3. Other Setting 2. Attends a Regular Early Childhood Program at least 40% - 79% Time 3. Attends a Regular Early Childhood Program less than 40% Time 4. Attending a Separate Class 5. Attending a Separate School 6. Attending a Residential Facility 7. Service Provider Location 8. Home Age: 6-12 (Educational Settings) 9. Attends Regular Class At Least 80% Time 13. Residential Facility 10. Attends Regular Class At Least 40% - 79% of time 14. Homebound/Hospital 11. Attends Regular Class Less than 40%Time 15. Correctional Facility 12. Separate School 16. Parentally placed in private schools J. PARTICIPATION IN STATEWIDE ASSESSEMENTS 1. Regular Grade-Level State Assessment 4. Alternate Assessments Based on Alternate 2. Regular Grade-Level State Assessment with Achievement Standards Accommodations 5. Modified Achievement Standards 3. Alternate Assessments Aligned with Grade-Level 6. Not Required at Age or Grade Level Achievement Standards K. LIVING SETTINGS
PAR 1 1. Mental Retardation 2. Hearing Impairment (Includes Deafness) 3. Speech or Language Impairment 4. Visual Impairment (Includes Blindness) 5. Emotional Disturbance 6. Orthopedic Impairment 7. Other Health Impairment 8. Specific Learning Disability 9. Deaf-Blindness 10. Multiple Disabilities 11. Autism 12. Traumatic Brain Injury 13. Developmentally Delayed- 3 through 9 14. Non-Categorical 15. Not Reported Under Part B of IDEA I. EDUCATIONAL SETTING check one from the age category that matches child’s age Age: Birth through 2 (Early Intervention Settings) Age: 3-5 (Early Childhood Special Education Settings 1. Home 2. Community-Based Setting 3. Other Setting 1. Attends a Regular Early Childhood Program at least 80% Time 2. Attends a Regular Early Childhood Program at least 40% - 79% Time 3. Attends a Regular Early Childhood Program less than 40% Time 4. Attending a Separate Class 5. Attending a Separate School 6. Attending a Residential Facility 7. Service Provider Location 8. Home Age: 6-12 (Educational Settings) 9. Attends Regular Class At Least 80% Time 13. Residential Facility 10. Attends Regular Class At Least 40% - 79% of time 11. Attends Regular Class Less than 40%Time 14. Homebound/Hospital 15. Correctional Facility 12. Separate School 16. Parentally placed in private schools J. PARTICIPATION IN STATEWIDE ASSESSEMENTS 1. Regular Grade-Level State Assessment 2. Regular Grade-Level State Assessment with Accommodations 3. Alternate Assessments Aligned with Grade-Level Achievement Standards 4. Alternate Assessments Based on Alternate Achievement Standards 5. Modified Achievement Standards 6. Not Required at Age or Grade Level K. LIVING SETTINGS