Consent for Evaluation (North Dakota)

Last Modified on 03/10/2026 10:18 am CDT

Tool Seach: Special Ed Documents

Intro

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

description

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FieldDescriptionValidation
Date
Required		The day the consent for evaluation information document was entered.This field auto-populates with today's date.
The multidisciplinary team proposes to conduct an evaluation for the following purposes
Required		The purpose the team decided to conduct the Consent for EvaluationOptions 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 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.

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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.

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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


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