Consent for Evaluation (North Dakota)

Tool Search: Special Ed Documents

The Consent for Evaluation documents the guardian's consent for their student to be evaluated for determining their initial or continuing need for special education services.

See the Plan and Evaluation Information article for information on general functionality, navigation, and additional plan and evaluation features.

The current print format is ND Consent for Evaluation 2026. North Dakota is a State Edition, and districts cannot change the evaluation format.

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Consent for Evaluation Information

The Consent for Evaluation Information editor documents when the school received the guardian's consent for the student's evaluation for special education services.

Consent for Evaluation Information Editor

Field	Description	Validation
Date Required	The day the consent for the evaluation information document was entered.	This field auto-populates with today's date, but can be modified.
The multidisciplinary team proposes to conduct an evaluation for the following purposes Required	The reasons the team decided to conduct the Consent for Evaluation. Options include: Initial Evaluation Reevaluation Student needs/programming Dismissal/exit Other	Multiple options can be selected.
Specify Other *Required	The other purpose the team decided to conduct the Consent for Evaluation.	*This field is available and required when Other is selected above. This field is limited to 200 characters.
I have received a copy of the "Parental Rights for Public School Students Receiving Special Education Services - Notice of Procedural Safeguards" booklet. I have received a full explanation and understand the procedural safeguards available to me as stated in this document. *Required	Indicates the guardian received a Notice of Procedural Safeguards booklet. Options are Yes or No.	*Yes or No must be selected in order to Complete this editor.
As the parent of <Insert Student Name>, I agree with the multidisciplinary team's proposed evaluation *Required	Indicates the guardian agrees with the team's proposed evaluation. Options are Yes or No.	*Yes or No must be selected in order to Complete this editor. The student's name pulls in from the Student Information editor.
Parent Signature Obtained	Indicates the school recieved guardian consent. Options are Yes or No.	N/A
Date Consent Obtained *Required	The day consent was obtained.	*This field is available and required when Parent Signature Obtained is Yes.

Student Information

The Student Information editor pulls demographic information regarding the student. This is a read-only editor.

The Refresh button retrieves a fresh copy of data from the student's record.

Student Information Editor

Field	Description	Database and UI Location (when Refreshed is clicked)
Last Name	The student's last name.	Demographics > Last Name identity.lastName
First Name	The student's first name.	Demographics > First Name identity.firstName
Middle Name	The student's middle name.	Demographics > Middle Name identity.middleName
Suffix	The student's suffix.	Demographics > Suffix Name identity.suffix
Age	The student's age.	Demographics > Age
Birthdate	The student's birthdate.	Demographics > Birth Date identity.birthDate
Gender	The student's gender.	Demographics > Gender identity.gender
Address	The student's address.	Households > Address Information address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip
Student Number	The student's state ID number.	Demographics > State ID
Primary Language Spoken at Home	The student's home language.	Demographics > Home Primary Language identity.homePrimaryLanguage
Case Manager Information
Name	The first and last name of the team member.	Student Information > Special Ed Team Members > Case Manager
Title	The role of the team member.	Student Information > Special Ed Team Members > Case Manager > Title
Phone	The phone number of the team member.	Student Information > Special Ed Team Members > Case Manager > Work Phone
Email Address	The email address of the team member.	Student Information > Special Ed Team Members > Case Manager > Work Email

Enrollment Information

The Enrollment Information editor is a read-only editor that retrieves district and school information for the student's enrollment location.

Enrollment Information Editor

Field	Description	Additional Information
Resident District Required	The student's district of residence.	Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Resident Plant	The building associated with the student's residence.	Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Serving District	The student's district providing service.	Upon Refresh, this field is pulled from the Enrollment tool but can be manually edited.
Serving Plant	The building in which the student receives services.	Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Special Education Unit	The name of the special education building.	Upon Refresh, this field is pulled from the Enrollment tool but can be manually edited.
Special Education Unit Address	The location of the special education building.	Upon Refresh, this field is pulled from the District Residency tool, but can be manually edited.
Grade	The student's grade.	Upon Refresh, this field is pulled from the Enrollment tool and cannot be modified. Database Location: enrollment.grade
District Information
District Number	The district number associated with the enrolled school.	District Information > State District Number
District Name	The district name associated with the enrolled school	District Information > Name
District Address	The district address associated with the enrolled school.	District Information > Address
District Phone	The district phone number associated with the enrolled school.	District Information > Phone
District SPED Address	The district special education address associated with the enrolled school.	District Information > SPED Address
District SPED Phone	The district special ed phone number associated with the enrolled school.	District Information > SPED Phone

Consent for Evaluation (North Dakota)

Consent for Evaluation Information

Student Information

Enrollment Information

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