PORTLAND PUBLIC SCHOOLS Special Education Department 501 North Dixon Street, Portland, Oregon 97227 Phone: 503-916-3152 Fax: 503-916-3174 Academic Evaluation Report Confidential Information Name: Report Date: DOB: School: Age: Grade: PPS ID #: Examiner: Home Language: REASON FOR REFERRAL: was seen for an academic evaluation to assist parents and school staff in determining *** current ***** level of functioning, eligibility for Special Education services under the Individuals with Disabilities Education Act (IDEA) in the category of Specific Learning Disability, and to assist in educational program planning. ASSESSMENT COMPONENT: The Kaufman Test of Education Achievement Third Edition (KTEA-3) is a nationally normed – individually administered test for measuring achievement. Achievement test results may be impacted by cultural and language factors and level of formal education, including level of formal education in a factors should be taken into student’s first language. These account when interpreting test results. language is _______. *** is/is not eligible for English as a Second Language *****’s home services. Overall, ***** responded carefully and monitored for accuracy. ***** approached tasks with confidence and persevered despite difficulty. ***** exhibited appropriate interpersonal skills (e.g., eye contact, conversation) and incorporated and made use of examiner feedback. Based on relevant observations of test taking behaviors, the following results are believed to be a valid representation of *****’s current academic achievement. Age based achievement scores, as measured by the KTEA-3, indicate the following standard scores (mean = 100; standard deviation = 15): COMPOSITE SCORES SS %ile Descriptor SLD Eligibility Area Reading Understanding Reading Comprehension Decoding Basic Reading Skills Reading Fluency 1 Reading Fluency
PORTLAND PUBLIC SCHOOLS Special Education Department 501 North Dixon Street, Portland, Oregon 97227 Phone: 503-916-3152 Fax: 503-916-3174 Academic Evaluation Report Confidential Information Name: DOB: Age: PPS ID #: Home Language: Report Date: School: Grade: Examiner: REASON FOR REFERRAL: ***** was seen for an academic evaluation to assist parents and school staff in determining *** current level of functioning, eligibility for Special Education services under the Individuals with Disabilities Education Act (IDEA) in the category of Specific Learning Disability, and to assist in educational program planning. ASSESSMENT COMPONENT: The Kaufman Test of Education Achievement – Third Edition (KTEA-3) is a nationally normed individually administered test for measuring achievement. Achievement test results may be impacted by cultural and language factors and level of formal education, including level of formal education in a student’s first language. These factors should be taken into account when interpreting test results. *****’s home language is _______. *** is/is not eligible for English as a Second Language services. Overall, ***** responded carefully and monitored for accuracy. ***** approached tasks with confidence and persevered despite difficulty. ***** exhibited appropriate interpersonal skills (e.g., eye contact, conversation) and incorporated and made use of examiner feedback. Based on relevant observations of test taking behaviors, the following results are believed to be a valid representation of *****’s current academic achievement. Age based achievement scores, as measured by the KTEA-3, indicate the following standard scores (mean = 100; standard deviation = 15): COMPOSITE SCORES SS %ile Descriptor SLD Eligibility Area Reading Understanding Reading Comprehension Decoding Basic Reading Skills Reading Fluency 1 Reading Fluency
Academic%20Report.KTEA-III.SLD.docx