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Last Update: 11/04/2009

Special Education Assessment

Initial Eligibility

Vision-Hearing Screening & General Education Interventions Prior to Referral Updated 10/09 || pdf / doc

2009 - 2010 Assessments in Easy IEP || pdf Updated 10/09

**Documents other than the Disability Eligibility Standards - Optional

Document Name

Date

Format
Approved Disability Eligibility Standards--Approved12-07   pdf
Autism 8-10-07 pdf
          **Autism Assessment Documentation 7-21-08 pdf
Deaf-Blindness 8-10-07 pdf
         **D-B Assessment Documentation 7-21-08 pdf
Deafness 8-10-07 pdf
**Deafness Assessment Documentation 7-21-08 pdf
Developmental Delay 8-10-07 pdf
         ** DD Assessment Documentation 8-15-09 pdf
Emotional Disturbance 8-10-07 pdf
         ** EMD Assessment Documentation 7-21-08 pdf
Functional Delay 8-10-07 pdf
          **FD Assessment Documentation 7-21-08 pdf
Hearing Impairment 8-10-07 pdf
          **HI Assessment Documentation 7-21-08 pdf
Intellectually Gifted 8-10-07 pdf
          **IG Assessment Documentation 7-21-08 pdf
Mental Retardation 8-10-07 pdf
          **MR Assessment Documentation 7-21-08 pdf
Multiple Disabilities 8-10-07 pdf
         ** MD Assessment Documentation 7-21-08 pdf
Orthopedic Impairment 8-10-07 pdf
          **OI Assessment Documentation 7-21-08 pdf
Other Health Impairment 8-10-07 pdf
         ** OHI Assessment Documentation 7-21-08 pdf
Specific Learning Disabilities 12-19-07 pdf
        **  Reading Instruction Worksheets-Interventions Prior to Referral New 1-22-09 pdf / e.form
         ** Math Instruction Worksheets-Interventions Prior to Referral New 1-22-09 pdf / e.form
         ** Student Support and Interventions Team Referral for Comprehensive Evaluation New 1-26-09 pdf / e.form
          Regression Table Updated 4-1-09 pdf
         ** SLD Assessment Documentation 7-21-08 pdf
Speech or Language Impairment 8-10-07 pdf
          **SLI Severity Rating Scales 04-01-09 pdf / doc
          **SLI Assessment Documentation 7-21-08 pdf
Traumatic Brain Disorder 8-10-07 pdf
          **TBI Assessment Documentation 7-21-08 pdf
Visual Impairment 8-10-07 pdf
        **  VI Assessment Documentation 10-01-09 pdf

English As A Second Language (ESL) - Appropriate Identification & Assessment

Assessment Guidelines for English Language Learners (SEM ' 03 Appendix D) || pdf

Assessment Considerations for Culturally & Linguistically Diverse Students (02-08) || pdf

Myths and Facts & Q&As: Special Education and ESL (5-08 update) || pdf

Power Point - Myths and Facts: Special Education & ESL (10 - 07) || pdf

Forms For Evaluation (s. for Spanish)

Form Name English-PDF Spanish-PDF DOC E-Form
Explanation of Evaluation Procedures
(revised 8/08)
.pdf pdf    
Notice and Consent for Initial Assessment
(revised 8/08)
.pdf pdf    
Instructions - Notice & Consent for Initial Assessment (revised 8/08)
.pdf      
Response to Request for Evaluation (revised 8/08) .pdf pdf    
Instructions - Response to Request for Evaluation (revised 8/08) .pdf      
Eligibility Report (rev. 9/09)     .doc / Span.doc e.form/ span e.form
Instructions - Eligibility Report (rev. 9/09) .pdf      
Notice of Procedural Safeguards 5/11/09 pdf pdf    
Prior Written Notice 8/08 pdf pdf    
Medical Release of Information 03-09 Optional e-form       e.form
General Medical Information 03-09  Optional e-form       e.form
AUT, EMD, OHI, OI, TBI Medical Information 03-09 Optional e-form       e.form

Re-Evaluation Summary Report

Instructions 02-09Acrobat file (.pdf)

Forms (rev. Jan-Feb 09) .doc .pdf Form
Sections I & II .doc   e.form
Section III - Reading Instruction Interventions .doc   e.form
Section III - Math Instruction Interventions .doc   e.form
Section III - Achievement Evaluation .doc   e.form

Section III - Adaptive Behavior

.doc   e.form
Section III - Articulation .doc   e-form
Section III - Cognitive/Intellectual Evaluation .doc   e.form
Section III - Developmental Delay Evaluation .doc   e.form
Section III - Fluency/Voice Impairment .doc   e.form
Section III - Hearing Impairment/Deafness .doc   e.form
Section III - Language Impairment .doc   e.form
Section III - Orthopedic Impairment .doc   e-form
Section III - Other Health Impairment .doc   e.form
Section III - Social/Emotional/Behavior Evaluation .doc   e.form
Section III - Visual Impairment Evaluation (rev 10/09) .doc   e.form
Section IV - Curriculum-Based Assessment Review .doc   e.form
Section V - IEP Team Assessment Review .doc .pdf / Span pdf  
Observations      
Parent .doc .pdf / Span pdf  
Classroom Teacher .doc .pdf  
Special Education Teacher .doc .pdf  
Related Services Provider .doc .pdf  

Responsiveness To Intervention (RTI)

  • HEART Procedure Manual || pdf
  • Template for RTI Guidelines || pdf
  • RTI Process Decision Tree || pdf
  • Questions and Answers on Response to Intervention (RTI) and Early Intervening Services (EIS) from the U.S. Department of Education, Office of Special Education and Rehabilitative Services (OSERS) || pdf
  • New Criteria for Identification of Specific Learning Disabilities Training Power Point || pdf
  • RTI Planning Checklist || pdf
  • RTI School Readiness for Implementation || pdf
  • Getting Started - Hardeman County || pdf

Disproportionality

  • FFY 2008 Chart for Disproportionate Over and Under Representation - Updated 7-13-09 || pdf
  • Summary Data FFY2008 - Disproportionate Overrepresentation Summary Data - Revised || excel
  • Summary Data FFY2008 - Disproportionate Underrepresentation Summary Data - Revised || excel
  • Summary Data FFY2008 – Significant Disproportionality Summary Data - Revised || excel
  • 2009 Process Description - Disproportionate Representation Updated 7-13-09 || pdf
  • TnREpppSA Instructions 2009 || pdf
  • 2009 TnREpppSA Reviewer Scoring Guidelines || pdf
  • 2009 TN School District TnREpppSA || e-form
  • FFY 2008 Chart for Significant Disproportionality || pdf
  • Comparison - Disproportionate Representation / Significant Disproportionality || pdf
  • PPT: Comparison - Disproportionate Representation/Significant Disproportionality || pdf

Disproportionality Archive

Disability Evaluation and Services

Assessment Memoranda & Guidance

  • Memorandum: IDEA Eligibility Determinations for Children with Down Syndrome (6.03.09) || pdf
  • OSEP Letter (6.03.08) - Are IEP Services Limited to Area of Identification || pdf
  • Guidance on Private School/Home School Evaluation Requests
    Parent Requests for Evaluation || pdf
  • Memorandum Specific Learning Disabilities 12-27-07 || doc
  • Memorandum of 8-22-07: Revised Disability Standards || pdf
  • IDEIA Memo #1A RTI 8.30.05 || pdf
  • Guidance in Implementing the Newly Reauthorized IDEA 5.26.05 || pdf
  • IDEIA Memo #1 Responsiveness to Intervention 5.26.05 || pdf
  • Operationalizing RTI: Overview & FAQs || pdf
  • Operationalizing RTI: Case Studies || pdf
  • Consensus Statements: 2004 LD Roundtable || pdf
  • Memorandum Gifted Reevaluation Rule to LEAs || e.pdf (9/10/04)
  • Memorandum-Eligibility Date for IEP Teams || pdf

Resource Packets-Questions & Answers-Instructional Guidance

  • Autism: Resources Packet ( Updated 07/2009) || pdf || doc
  • Deaf-Blindness: Resources Packet ( Updated 07/2009) || pdf || doc
  • Deafness/ Hearing Impairment: Resources Packet ( Updated 07/2009) || pdf || doc
  • Developmental Delay: Resources Packet ( Updated 07/2009) || pdf || doc
  • Gifted: Complete Intellectually Gifted Assessment Resource Packet (01-08) || .doc || pdf
  • Gifted WebEx Questions & Answers (12-07) || .doc || pdf
  • Gifted: Special Education Conference Presentation: Writing IEPs for Gifted Students (02-09) || .ppt
  • Developmental Delay Packet || pdf || doc
  • Mental Retardation/Functional Delay: Resources Packet ( Updated 07/2009) || pdf || doc
  • Specific Learning Disabilities: Evaluation - Discrepency & Processing Deficits Resource Packet
    ( Updated 07/2009) || pdf || doc
  • Speech and Language Impairments: (General) Resources Packet ( Updated 07/2009) || pdf || doc
  • Speech and Language Impairments: (Language) Resources Packet ( Updated 07/2009) || pdf || doc
  • Speech and Language Impairments: (Articulation) Resources Packet ( Updated 07/2009) || pdf || doc
  • Speech and Language Impairments: (Fluency) Resources Packet ( Updated 07/2009) || pdf || doc
  • Speech and Language Impairments: (Voice) Resources Packet ( Updated 07/2009) || pdf || doc
  • Traumatic Brain Injury: Resources Packet ( Updated 7/2009) || pdf || doc
  • Visual Impairment: Resources Packet ( Updated 07/2009) || pdf || doc
  • 2-26-09 Special Education Conference Presentation: Evaluation, Reevaluation & Eligibility - Updates, Notes, Guidance || ppt

Tennessee Comprehensive Assessment Program (TCAP) Accommodations

  • 2009-2010 TCAP Accommodations Addenda || pdf
  • 2009-2010 Unique Adaptive Accommodation Request Form || pdf
  • 2009-2010 Instructions: TCAP Accommodations for Students with Disabilities|| pdf
  • 2009-2010 Allowable Accommodations Chart || pdf
  • 2009-2010 Special Accommodations Chart || pdf
  • 2009-2010 English Language Learners (ELL) Chart || pdf

TCAP Assessment Accommodations Archive

Alternate Assessment

  • Instruction Sheet for Using Performance Based Rubric || pdf
  • Algebra I Alternative Performance Based Rubric || pdf
  • Algebra II Alternative Performance Based Rubric || pdf
  • Biology Alternative Performance Based Rubric || pdf
  • Chemistry Alternative Performance Based Rubric || pdf
  • English I Alternative Performance Based Rubric || pdf
  • English II Alternative Performance Based Rubric || pdf
  • English III Alternative Performance Based Rubric || pdf
  • Geometry Alternative Performance Based Rubric || pdf
  • Physics Alternative Performance Based Rubric || pdf
  • United States History Alternative Performance Based Rubric || pdf
  • TCAP-MAAS: Clarification Memo || pdf
  • TCAP-MAAS: Fall '09 Instructions || pdf
  • TCAP-MAAS: IEP Flowchart / TCAP Eligibility Criteria || pdf
  • TCAP-MAAS:What You Need to Know to Get Started || ppt
  • TCAP-MAAS: Initial Guidance (Explanation Sheet) || pdf
  • TCAP-MAAS: Initial Guidance on the Use of the New TCAP || pdf
  • 2% TCAP-MAAS || ppt

Alternate Assessment Archive