501 North Dixon Street, Portland, Oregon 97227

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

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Student Initials

Name:

DOB:

Age:

PPS ID #:

Home Language:

Report Date:

School:

Grade:

Examiner:

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Student Initials

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), 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):

●Reading Comprehension: The student reads symbols, words, sentences, and passages appropriate to his or her gradelevel, and then responds to comprehension questions.

●Reading Vocabulary: The student reads a word in the context of a picture (early items) or a sentence (lateritems), and then selects a word that means the same thing.

●Letter & Word Recognition: The student identifies letters and reads grade-appropriate words.

●Nonsense Word Decoding: The student pronounces made-up words.

●Word Recognition Fluency: The student reads as many words as possible within a time limit.

●Decoding Fluency: The student reads as many made-up words as possible within a time limit.

●Silent Reading Fluency: The student has two minutes to silently read simple questions and circle yes or no to each.

●Written Expression: The student hears a story presented with pictures in a booklet and completes the story by writing letters, words, sentences, and (for students in grade 1 or higher) an essay.

●Writing Fluency: The student writes simple sentences, each one describing a different picture, within a timelimit.

●Spelling: The student writes single letters and spells words dictated by the examiner.

●Math Concepts & Applications: The student solves math problems that relate to real life situations and assess skills such asnumber concepts, arithmetic, time and money, and measurement.

●Math Computation: The student solves written math calculation problems.

●Math Fluency: The student writes answers to simple arithmetic problems within a time limit. Problemsinclude addition and subtraction, and for later items, multiplication and division.

Respectfully submitted,

______

Special Education Teacher

Portland Public Schools

Directions For Editing The Report Template

●Add demographic information.

●Find ***** and replace with student name (replace *** with either her or his)

●Add classroom observation if completed by Special Education teacher

●Add testing behavior (edit existing text)

●Add standard scores and %iles for subtests and composite tables

●Feel free to add additional information needed

●Delete all italicized directions

●Edit all bold items (with the exception of headings and test/subtest names)

●In the footer, replace the words “Student Initials” with the actual student’s initials.

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