"Evaluation/Eligibility Report Checklist" - Kansas

Evaluation/Eligibility Report Checklist is a legal document that was released by the Kansas Department of Education - a government authority operating within Kansas.

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  • Released on August 10, 2018;
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Evaluation/Eligibility Report Checklist
The written evaluation report must contain:
The determination of whether the child has an exceptionality
(KAR 91-40-10(a)(1)(A))
The basis for making the determination
(KAR 91-40-10(a)(1)(B))
Relevant behavior noted during the observation of the child
(KAR 91-40-10(a)(1)(C))
The Relationship of that behavior to the child’s academic functioning
(KAR 91-40-
10(a)(1)(D))
Educationally relevant medical findings, if any
(KAR 91-40-10(a)(1)(E))
Signatures of each team member indicating whether the report reflects their
conclusion
(KAR 91-40-10(a)(2))
If not, the team member(s) must submit a separate statement presenting their
conclusion
(KAR 91-40-10(a)(2))
If the child was identified with a specific learning disability (SLD) in addition to
the above it must also contain:
An assurance that the determination was made in accordance with applicable
laws and regulations
(KAR 91-40-10(e)(2))
Documentation of whether the child:
does not achieve adequately for the child’s age or to meet state-approved
grade-level standards
(KAR 91-40-10(e)(5)(A))
does not make sufficient progress to meet age or state-approved standards
or
exhibits a pattern of strengths and weaknesses in performance, achievement,
or both, relative to age, state-approved grade level standards or intellectual
development
(KAR 91-40-10(e)(5)(B))
Determination of the team concerning the effect of the following factors on the
child’s achievement: visual, hearing, or motor skills disability; mental
retardation; emotional disturbance; cultural factors; environmental or
economic disadvantaged; or limited English proficiency
(KAR 91-40-10(e)(6))
If the child participated in a response to intervention (RtI) process the following
items must be included in addition to those listed above:
The instructional strategies used
(KAR 91-40-10(f)(1))
The student-centered data collected
(KAR 91-40-10(f)(1))
Documentation that parents were notified about:
The state’s policies regarding the amount and nature of student performance
data that would be collected and the general education services that would be
provided
(KAR 91-40-10(f)(2)(A))
Strategies for increasing the child’s rate of learning
(KAR 91-40-10(f)(2)(B))
The parents’ right to request an evaluation
(KAR 91-40-10(f)(2)(C))
Kansas State Department of Education
8/10/2018
Evaluation/Eligibility Report Checklist
The written evaluation report must contain:
The determination of whether the child has an exceptionality
(KAR 91-40-10(a)(1)(A))
The basis for making the determination
(KAR 91-40-10(a)(1)(B))
Relevant behavior noted during the observation of the child
(KAR 91-40-10(a)(1)(C))
The Relationship of that behavior to the child’s academic functioning
(KAR 91-40-
10(a)(1)(D))
Educationally relevant medical findings, if any
(KAR 91-40-10(a)(1)(E))
Signatures of each team member indicating whether the report reflects their
conclusion
(KAR 91-40-10(a)(2))
If not, the team member(s) must submit a separate statement presenting their
conclusion
(KAR 91-40-10(a)(2))
If the child was identified with a specific learning disability (SLD) in addition to
the above it must also contain:
An assurance that the determination was made in accordance with applicable
laws and regulations
(KAR 91-40-10(e)(2))
Documentation of whether the child:
does not achieve adequately for the child’s age or to meet state-approved
grade-level standards
(KAR 91-40-10(e)(5)(A))
does not make sufficient progress to meet age or state-approved standards
or
exhibits a pattern of strengths and weaknesses in performance, achievement,
or both, relative to age, state-approved grade level standards or intellectual
development
(KAR 91-40-10(e)(5)(B))
Determination of the team concerning the effect of the following factors on the
child’s achievement: visual, hearing, or motor skills disability; mental
retardation; emotional disturbance; cultural factors; environmental or
economic disadvantaged; or limited English proficiency
(KAR 91-40-10(e)(6))
If the child participated in a response to intervention (RtI) process the following
items must be included in addition to those listed above:
The instructional strategies used
(KAR 91-40-10(f)(1))
The student-centered data collected
(KAR 91-40-10(f)(1))
Documentation that parents were notified about:
The state’s policies regarding the amount and nature of student performance
data that would be collected and the general education services that would be
provided
(KAR 91-40-10(f)(2)(A))
Strategies for increasing the child’s rate of learning
(KAR 91-40-10(f)(2)(B))
The parents’ right to request an evaluation
(KAR 91-40-10(f)(2)(C))
Kansas State Department of Education
8/10/2018