Evaluation (Nevada)

Tool Search: Special Ed Documents

Evaluations are used to document the student's educational needs and the student's determination of eligibility for special education. This document describes each editor, a description of each field on the editor, and any special considerations and instructions for using the editor and fields.

An evaluation must be created whether or not the student is determined to have a disability. A copy of the evaluation summary report, including the documentation of eligibility, is given to the student’s parents by the school district.

The current format of this document is the NV Determination of Eligibility 2023. Evaluation formats are selected in the Special Ed Eval Types tool.

Screenshot of Editor Home screen.Editor Home

Editor Home

The Editor Home lists the editors available, their status, and Modification and Completion information.

HeaderDescription
NameThe name of the editor.
Status

The state of the editor. Statuses can be:

  • In Progress indicates a user has entered and saved data in that editor.
  • Not Started is the default status for all editors.
  • Complete indicates a user has clicked the Complete button on the editor, and the editor is read-only. This does not lock the editor from further editing but indicates the user considers the editor finished.
  • Not Needed indicates a user has clicked the Not Needed button on the editor. This is usually done for editors that do not apply to the student.

The following statuses are only available for certain state-specific documents:

Modified ByThe date and the user by whom the editor was last edited.
Completed ByThe date and the user who clicked the Complete button for that editor.

General Information

The following table lists the actions available for the editors. When resizing the window, certain buttons are condensed into a single Action button. 

ButtonDescription
Save

Different editors have different save options. Click the arrow next to the Save & Stay button to view all saving options for any given editor.

  • Save captures progress and navigates the user to the Editor Home or to the List Screen for List editors. See the Editor Types section for additional information.
  • Save & Stay captures progress and keeps the user on the current editor. This save button is the default save option and is usually found within the detail screen or list editors, such as Goals and Objectives. 
  • Save & Next captures progress and navigates the user to the next editor.
  • Save & New captures progress and creates a new record. This save button is usually found within the detail screen of a list editor, such as Goals and Objectives. See the Editor Type section for additional information.
Refresh

Retrieves a new copy of data from the student's record. This includes enrollment, student, parent/guardian, and team member information. This also returns any accidentally deleted records. Manually entered fields do not change when the refresh button is clicked. The user must Save after clicking Refresh to capture changes.


A side panel displays a listing of all the student's applicable enrollment records. See the Enrollments tool documentation for additional information.

CancelNavigates the user to the Editor Home screen or the List Screen for List editors.

Status

Changes the status of the editor. 

  • Complete indicates the editor is finished. This makes the editor read-only. However, this does not lock the editor from further editing. The user must click In Progress to further edit after an editor is marked Complete.
  • Not Needed indicates the editor does not apply to the student's plan or evaluation. This makes the editor read-only. However, this does not lock the editor from further editing. Click the In Progress button to further edit after an editor is marked Not Needed.
  • In Progress only displays when the editor is in the Complete or Not Needed status and allows additional edits to be made.

The following status is only available for the Nevada IEP:

Print

Prints the entire document.

EditorsOpens a side panel listing all the available editors and their status. Select an editor from this list to navigate to that editor or click Close to collapse the side panel.
PreviousNavigates the user to the previous editor.
NextNavigates the user to the next editor.

Editor Types

There are two types of editors available: List or Basic editors. When navigating to a Basic editor, the list of fields within the editor is displayed. List editors display a list of all records within that editor. Clicking an existing record or the New button opens the detail view for an individual record.

Editor Lock Out and Release Logic

Only one user at a time can actively work on an editor. A person with a padlock icon (Screenshot of the Padlock Icon.) displays in the Editors side panel, Editor Home, and List Screen of list editors indicating which editors currently have users working on them. Hovering over the icon displays the name of the user who has checked out the editor, including the current user (you).

Editors that are currently being edited are read-only for all other users. The name of the person working on the editor displays in the header. 

To release an editor, the user must:

  • navigate to the next editor by clicking Save and Next or the Editors button and selecting the next editor from the side panel.
  • click the Cancel button to return to the Editor Home screen.
  • log out of the Campus application.
  • navigate to a different tool in the Campus application.

Editors are automatically released when the in-application timeout limit has been exceeded. This is a back-end process and is usually around 30-60 minutes.

Template Banks

Certain fields within several editors have an Add Template icon that displays next to their name. Clicking this button displays a side panel with the available library of predetermined text for that field. Template Banks are managed in System Administration.

Screenshot of the Add Template icon highlighted and the Template Bank side panel displayed on the right.Template Bank Side PanelClick the plus (+) icons next to the category to view the available template values.

Screenshot of an expanded Template Bank Category on the left and several template values selected on the right. Expanded Category and Values SelectedTemplate Bank Categories display on the left and the selected text displays on the right. Click the Add button to add the template value. This adds the template to the queue of values on the right. The red X removes selected templates while the sequence field can be used to reorder the templates. Another option is to use the up and down arrows next to the sequence field to reorder values. 

Click Cancel to go back to the document. The Clear Selected Template(s) button removes all selected template values from the right selection screen. 

Once selections are finalized, click the Insert Selected Template(s) button to add the values to the field within the document in the selected order. Template values are separated by carriage returns.

Screenshot of an example field with several template bank selections added.Example Template Bank Selections in the Document

Text Editors

Images should not be inserted into text fields. 

Editors

The following section lists each editor and describes each field on the editor.

Eligibility Header

The Eligibility Header editor is used to define the Evaluation type and corresponding dates.

This editor must be saved before entering data into other editors.

Screenshot of Eligibility Header editor.Eligibility Header Editor

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FieldDescriptionValidation
Evaluation Type
Required

The type of evaluation. Options include:

  • Initial Evaluation
  • Re-evaluation

N/A

Referral DateThe date of referral.N/A
Consent DateThe date consent was received for the evaluation.  N/A
Evaluation Date
Required
The date of the evaluation.

This field auto-populates with the current date, but can be modified.

3-Yr Re-Evaluation Date
Required
The date of the re-evaluation.This field auto-populates to 3 years from the Evaluation Date, but can be modified.
Reason for ReferralThe reason the student was referred for an evaluation.N/A

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Enrollment Information

The Enrollment Information editor displays information concerning the student's grade level and school of attendance.

This editor is read-only.

Screenshot of Enrollment information editor.Enrollment Information Editor

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FieldDescriptionDatabase/UI Location (when Refresh is clicked)
GradeThe student's grade.

Student Information > General > Enrollments > Grade


enrollment.grade

School NameThe student's assigned school name.System Administration > Resources > School > School > School Detail > Name

school.name
School AddressThe address of the school.System Administration > Resources > School > School > School Detail > State School Number

school.number
School PhoneThe phone number of the school.System Administration > Resources > School > School > School Detail > Phone

school.phone

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Student Information

The Student Information editor populates information about the student such as demographic data, address and school information.

The Refresh button retrieves a fresh copy of data from the student's record. See the General Information section for additional information.

All fields on this editor are read-only EXCEPT Zoned School and Other Zoned School.

Screenshot of student information editor.Student Information Editor

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Field Name

DescriptionDatabase/UI Location (when Refresh is clicked)

Last Name

The student's last name.

Census > People > Demographics > Last Name


identity.lastName

First NameThe student's first name.Census > People > Demographics > First Name

identity.firstName
Middle NameThe student's middle name.Census > People > Demographics > Middle Name

identity.middleName
SuffixThe student's suffix.Census > People > Demographics > Suffix Name

identity.suffix
AgeThe student's age.Census > People > Demographics > Birth Date (Age)
BirthdateThe student's birthdate.Census > People > Demographics > Birth Date

identity.birthDate
GenderThe student's gender.Census > People > Demographics > Gender

identity.gender
Race, Ethnicity (state)The student's state designated race/ethnicity.Census > People > Demographics > Race/Ethnicity > Race/Ethnicity

identity.raceEthnicity
Federal DesignationThe student's federal designated ethnicity code.Census > People > Demographics > Race/Ethnicity > Federal Designation

identity.federalRaces
Race(s)The student's race(s).Census > People > Demographics > Race/Ethnicity > Race(s)

identity.raceEthnicity1-5
Primary Language of the HomeThe student's home primary language.Census > People > Demographics > First Language

identity.homePrimaryLanguage
Student English Proficiency CodeThe identifying code for the student's English learner proficiency.N/A
AddressThe student's address.

Note: When there are multiple addresses for a person, a dropdown with an option to select which address displays. When there is only one address, the dropdown has one option. The populated address is the one marked Primary.
Census > Households > Address Info

address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip
Student NumberThe student's ID number.Student Information > General > Summary > Student Number

identity.studentNumber
State IDThe student's state ID number.Student Information > General > Summary > State ID Number
Zoned School 
Required
The zoned within which the school is zoned. When refreshed, this field automatically populates with the appropriate school based on the student's household address. This field can be modified as needed.Census > Addresses > School
Other Zoned SchoolThis option is only available when Other is selected on the Zoned School field.N/A
Case Manager Information
NameThe first and last name of the team member.Student Information > Special Ed > General > Team Members
TitleThe role of the team member.Student Information > Special Ed > General > Team Members
PhoneThe phone number of the team member.Student Information > Special Ed > General > Team Members

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Parent/Guardian Information

The Parent/Guardian Information editor populates based on the guardian checkbox on the student's Relationships tool. The editor includes Demographics information for the student's guardian.

The Delete button next to each parent/guardian can be used to remove a parent/guardian from the IEP. 

The Refresh button retrieves a new copy of parent/guardians' data. This also returns any accidentally deleted people. Manually entered fields do not change when the refresh button is clicked. The user must Save after clicking Refresh to capture changes

Screenshot of Parent Guardian information editor.Parent/Guardian Information Editor

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Field Name

Description

Database/UI Location (when Refresh is clicked)

Last NameThe last name of the parent/guardian.

Census > People > Demographics > Last Name


identity.lastName

First NameThe first name of the parent/guardian.

Census > People > Demographics > First Name


identity.firstName

Middle NameThe suffix of the parent/guardian.

Census > People > Demographics > Middle Name


identity.middleName

SuffixThe suffix of the parent/guardian.

Census > People > Demographics > Suffix 


identity.suffix

RelationshipThe relationship between the student and guardian.Census > People > Relationships > Relationships

planGuardian.relationship
Print SequenceThe print order of the parent/guardian(s) on the IEP.

When no Sequence is selected, parent/guardian(s) print in the order displayed in the UI.

When any Sequences are selected, parent/guardian(s) with a sequence number print in the order defined, then un-sequenced parent/guardian(s) print at the bottom.
N/A
AddressThe address of the guardian's home.Census > Households > Address Info

address.number; address.street; address.tag; address.prefix; address.dir; address.apt; address.city; address.state; address.zip
Home PhoneThe home phone number of the guardian.Census > People > Households > Household Phone & Address(es) > Phone

contact.homePhone
Work PhoneThe work phone number of the guardian.Census > People > Demographics > Personal Contact Information > Work Phone

contact.workPhone
Cell PhoneThe cell phone number of the guardian.Census > People > Demographics > Personal Contact Information > Cell Phone

contact.cellPhone
EmailThe email address of the guardian.Census > People > Demographics > Personal Contact Information > Email

contact.email

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Determination of Eligibility

The Eligibility Determination editor is used to assist school district individualized education program (IEP) teams in determining if a student can be determined to have an impairment.

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Determination of Eligibility List Screen

Screenshot of determination of eligibility list screen.Determination of Eligibility List Screen

Column NameDescription
Padlock IconThe user currently editing the record.
SequenceThe sequence in which the Eligibility records display in the editor and on the printed version of the Evaluation.
ChecklistThe student's disability.
DateThe date of determination.
EligibleThe team's determination for the student's eligibility to receive special education services.
Print in EvalIndicates this record prints on the Evaluation.

Determination of Eligibility Detail Screen

Select an existing record or click New to view the detail screen.

Screenshot of determination of eligibility detail screen.Determination of Eligibility Detail Screen

FieldDescriptionValidation
SequenceThe sequence in which the Eligibility records display in the editor and on the printed version of the Evaluation.

N/A

Checklist
Required

The student's disability. Options include:

Once a disability has been selected, it no longer displays in the dropdown for subsequent Eligibility checklist records.


Selection determines which fields display below.


Print in EvalIndicates this record prints on the Evaluation.This defaults to marked.
EligibleIndicates the the student is eligible to receive special education services. N/A
Date of Eligibility Determination
Required
The date of determination.N/A

Autism Spectrum Disorder

The following fields display when Autism Spectrum Disorder is selected as the Checklist.

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FieldDescription
Validation
Autism Spectrum Disorder
According to state regulations (NAC 388.387)

The student's autism eligibility status. Options are:

  • This pupil is not eligible for special education under the category of autism spectrum disorder.
  • This pupil is eligible for special education under the category of autism spectrum disorder, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

The pupil has a spectrum disorder which

The scope of the spectrum disorder. Options are:

  • Significantly affects the verbal and nonverbal communication and social skills of a person and is often characterized by repetitive activities and stereotyped movements, resistance to changes in environment or daily routine and responding to sensory experiences in an unusual manner;
  • Is usually apparent before the age of 3 years; and
  • Adversely affects the educational performance of a pupil causing significant delays or irregular patterns in learning, or both.
  • The pupil's educational performance is not adversely affected primarily because the pupil has an emotional disturbance.
  • The controlling factor for the pupil's eligibility is not lack of appropriate instruction in reading, including the essential components of reading instruction, or lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.
Multiple options can be selected.
By reason of the pupil’s Autism Spectrum Disorder, the pupil needs special education and related services.Indicates the student needs special education and/or related services.N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.N/A

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Deaf Blindness

The following fields display when Deaf-Blindness is selected as the Checklist.

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FieldDescriptionValidation
Deaf-Blindness
According to state regulations (NAC 388)

The student's deaf-blindness eligibility status. Options are:

  • This pupil is not eligible for special education under the category of deaf-blindness.
  • This pupil is eligible for special education under the category of deaf-blindness, based on the following criteria.

When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR DEAF-BLINDNESS

The student's criteria for deaf-blindness. Click the Click to expand link to view available options.

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  • The pupil has a hearing impairment which satisfies any one or more of the following criteria:
    • (1) The pupil has an average hearing threshold level, at 500, 1,000 and 2,000 Hz, of 26 decibels or more; or
    • (2) The pupil suffers from a progressive deterioration of the pupil's hearing, the probable result of which will be the condition described in subparagraph (1).
  • The pupil has a visual impairment which satisfies one or more of the following criteria:
    • (1) The visual acuity of the pupil does not exceed 20/70 in the better eye with the best possible correction;
    • (2) The vision of the pupil in the better eye is restricted to a field which subtends an arc of not more than 20 degrees; or
    • (3) The pupil suffers from a progressive deterioration of the pupil's vision, the probable result of which will be one or more of the conditions described in subparagraph (1) and (2).
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.

Multiple options can be selected.
By reason of the pupil's Deaf-Blindness, the pupil needs special education and related servicesIndicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Developmentally Delayed

The following fields display when Developmentally Delayed is selected as the Checklist.

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FieldDescriptionValidation
Developmentally Delayed
According to state regulations (NAC 388.430)

The student's developmentally delayed eligibility status. Options are:

  • This pupil is not eligible for special education under the category of developmentally delayed.
  • This pupil is eligible for special education under the category of developmentally delayed, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR DEVELOPMENTAL DELAY

The student's criteria for developmental delay. Options include:

  • The pupil is under the age of 6.
  • The pupil demonstrates a delay of at least two standard deviations in one, or at least one standard deviation in two or more, of the following areas:
    • Receptive or expressive language
    • Cognitive abilities
    • Gross or fine motor function
    • Self help
    • Social or emotional condition
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.
Multiple options can be selected.
By reason of the pupil's Developmental Delay, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Emotional Disturbance

The following fields display when Emotional Disturbance is selected as the Checklist.

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FieldDescriptionValidation
Emotional Disturbance
According to state regulations (NAC 388.415)

The student's emotional disturbance eligibility status. Options are:

  • This pupil is not eligible for special education under the category of emotional disturbance.
  • This pupil is eligible for special education under the category of emotional disturbance, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR EMOTIONAL DISTURBANCE

The student's criteria for emotional disturbance. Click the Click to expand link to view available options.

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  • The pupil exhibits one or more of the following characteristics (check one or more):
    • An inability to build or maintain satisfactory interpersonal relationships within the school environment, including:
      • Withdrawal and isolation of the pupil from others.
      • Efforts by the pupil to obtain negative attention from others through punishment, ostracism or excessive approval.
    • Inappropriate behavior or feelings under normal circumstances, including atypical behavior such as outbursts of anger, crying or head banging, without apparent cause or reason.
    • A pervasive mood of unhappiness or depression.
    • Fears or a tendency to develop physical symptoms associated with personal or school problems.
  • These characteristics have been evident for at least 3 months.
  • The characteristics adversely affect the ability of the pupil to perform developmental tasks appropriate to the pupil's age within the educational environment, despite the provision of the intervention strategies; or in the case of a pupil under school age, in the home, child care or preschool setting.
  • Special education support is required to alleviate these adverse effects.
  • The pupil is not eligible solely because of sensory, intellectual, or health factors; social maladjustment; or conduct disorders.
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.

Multiple options can be selected.
By reason of the pupil's Emotional Disturbance, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Health Impairment

The following fields display when Health Impairment is selected as the Checklist.

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FieldDescriptionValidation
Health Impairment
According to state regulations (NAC 388.402)

The student's health impairment eligibility status. Options are:

  • This pupil is not eligible for special education under the category of health impairment.
  • This pupil is eligible for special education under the category of health impairment, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR HEALTH IMPAIRMENT

The student's criteria for health impairment. Options include:

  • The pupil has an impairment that limits the strength, vitality or alertness of the pupil, including, without limitation, a heightened alertness to environmental stimuli which results in limited alertness with respect to the educational environment, and which is caused by chronic or acute health problems such as asthma, attention deficit disorder or attention deficit hyperactivity disorder, childhood disintegrative disorder, diabetes, epilepsy, a heart condition, hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever, Rett's disorder and sickle-cell anemia.
  • The pupil’s health impairment adversely affects the pupil's educational performance.
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.
Multiple options can be selected.
By reason of the pupil's Health Impairment, the pupil needs special education and related servicesIndicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Hearing Impairment

The following fields display when Hearing Impairment is selected as the Checklist.

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FieldDescriptionValidation
Hearing Impairment
According to state regulations (NAC 388.390)

The student's hearing impairment eligibility status. Options are:

  • This pupil is not eligible for special education under the category of hearing impairment.
  • This pupil is eligible for special education under the category of hearing impairment, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR HEARING IMPAIRMENT

The student's criteria for hearing impairment. Options include:

  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.
Multiple options can be selected.
DEAF

The student's criteria for deafness. Options include:

  • (a) Routine auditory communication is impossible for the pupil or nearly so because of the pupil’s inability to discriminate among and understand the sounds that reach the pupil;
  • (b) The sense of hearing of the minor is nonfunctional for the ordinary purposes of life, whether as the result of congenital or postlingual deafness; and
  • (c) The pupil has an average hearing threshold level, at 500, 1,000, and 2,000 Hz., of 92 decibels or more.
Multiple options can be selected.
NOTE: A pupil is eligible as deaf if the pupil meets the criterion set forth in (c), notwithstanding the pupil's failure to meet the other criteria (a) and (b).
HARD OF HEARING

The student's criteria for hard of hearing. Options include:

  • (a) The pupil has the ability, if aided, to hear and understand most spoken words.
  • (b) The hearing mechanism of the pupil, though defective, is sufficiently functional with or without the use of a hearing aid to allow a receptive flow of information; and
  • (c) The pupil has an average hearing threshold level of 30 decibels or more.
Multiple options can be selected.
NOTE: A pupil is eligible as hard of hearing if the pupil meets the criterion set forth in (c), notwithstanding the pupil's failure to meet the other criteria (a) and (b).
By reason of the pupil's Hearing Impairment, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Intellectual Disabilities

The following fields display when Intellectual Disabilities is selected as the Checklist.

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FieldDescriptionValidation
Intellectual Disabilities
According to state regulations (NAC 388.410)

The student's intellectual disabilities eligibility status. Options are:

  • This pupil is not eligible for special education under the category of intellectual disabilities.
  • This pupil is eligible for special education under the category of intellectual disabilities, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR INTELLECTUAL DISABILITIES

The student's criteria for intellectual disabilities. Click the Click to expand link to view available options.

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  • The condition exists concurrently with related limitations in two or more of the following adaptive skill areas:
    • Communication skills
    • Self care
    • Home living
    • Social skills
    • Use of community
    • Self-direction
    • Health and safety
    • Functional academics
    • Leisure
    • Work
  • The condition manifested before the age of 18 years.
  • The condition adversely affects the educational performance of the pupil.
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.

Multiple options can be selected.
MILD

The student meets the criteria for mild when:

  • The measured cognitive abilities of the pupil, as determined by an acceptable individual standardized test, are at least two standard deviations below the mean score for that test;
  • The adaptive skills of the pupil, in comparison with those members of the pupil’s chronological peer group, indicates that the pupil is experiencing difficulty; and
  • The academic achievement of the pupil is generally consistent with the cognitive abilities and adaptive skills of the pupil.
Multiple options can be selected.
MODERATE

The student meets the criteria for moderate when:

  • The measured cognitive abilities of the pupil, as determined by an acceptable individual standardized test, are at least three standard deviations below the mean score for that test;
  • The adaptive skills of the pupil, in comparison with those members of the pupil’s chronological peer group, indicate that the pupil has markedly lower capabilities; and
  • The academic achievement and speech and language development of the pupil is generally consistent with the cognitive abilities and adaptive skills of the pupil.
Multiple options can be selected.
SEVERE

The student meets the criteria for severe when:

  • The measured cognitive abilities of the pupil, as determined by an acceptable individual standardized test, are at least four standard deviations below the mean score for that test;
  • The adaptive skills of the pupil, in comparison with those members of the pupil’s chronological peer group, indicate that the pupil has extensively lower capabilities; and
  • The developmental functioning of the pupil is generally consistent with the cognitive abilities and adaptive skills of the pupil.
Multiple options can be selected.
PROFOUND

The student meets the criteria for profound when:

  • The measured cognitive abilities of the pupil, as determined by an acceptable individual standardized test, are at least five standard deviations below the mean score for that test;
  • The adaptive skills of the pupil, in comparison with those members of the pupil's chronological peer group, indicate that the pupil has extremely limited capabilities; and
  • The developmental functioning of the pupil is generally consistent with the pupil’s cognitive abilities and adaptive skills.
Multiple options can be selected.
By reason of the pupil's Intellectual Disability, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
MULTIPLE IMPAIRMENT

The student meets the criteria for multiple impairment when:

  • The pupil meets the criteria for intellectual disabilities and any additional disabling condition other than a specific learning disability, developmental delay, deaf-blindness or a speech and language impairment.
N/A
Check the box for each additional disability for which the pupil is found eligible.  Must complete eligibility statement for each additional disability.

The student's additional disability/disabilities. Options include:

  • Autism Spectrum Disorder
  • Emotional Disturbance
  • Health Impairment
  • Hearing Impairment
  • Orthopedic Impairment
  • Visual Impairment
  • Traumatic Brain Injury
Multiple options can be selected.
By reason of the pupil's Multiple Impairment, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Orthopedic Impairment

The following fields display when Orthopedic Impairment is selected as the Checklist.

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FieldDescriptionValidation
Orthopedic Impairment
According to state regulations (NAC 388.400):

The student's orthopedic impairment eligibility status.

  • This pupil is not eligible for special education under the category of orthopedic impairment.
  • This pupil is eligible for special education under the category of orthopedic impairment, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR ORTHOPEDIC IMPAIRMENT

The student's criteria for orthopedic impairment. Options include:

  • The pupil suffers from a severe orthopedic impairment which adversely affects the pupil's educational performance.
  • The pupil has one or more of the following conditions (check one or more):
    • A congenital anomaly, including, without limitation, clubfoot or the absence of a member
    • A disease, including, without limitation, bone tuberculosis or poliomyelitis
    • Any other cause, including, without limitation, cerebral palsy, an amputation, a fracture or a burn causing a contracture
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.
Multiple options can be selected.
By reason of the pupil’s Orthopedic Impairment, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Specific Learning Disabilities

The following fields display when Specific Learning Disabilities is selected as the Checklist.

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FieldDescriptionValidation
Specific Learning Disabilities
According to state regulations (NAC 388.420)

The student's specific learning disabilities eligibility status.

  • This pupil is not eligible for special education under the category of specific learning disabilities.
  • This pupil is eligible for special education under the category of specific learning disabilities, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

GENERAL CRITERIA FOR SPECIFIC LEARNING DISABILITIES BASED ON ASSESSMENT OF RESPONSE TO INTERVENTION AND/OR COMPARATIVE ANALYSIS

The student's general criteria for specific learning disabilities. Click the Click to expand link to view available options.

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  • The pupil has been provided with learning experiences and instruction appropriate for the pupil’s age.
  • The determination that the pupil has a specific learning disability has been made based upon the results of the evaluation described in NAC 388.420. In interpreting the evaluation data, information was drawn from a variety of sources, including aptitude and achievement tests, parent input, and teacher recommendations, as well as information about the pupil's physical condition, social or cultural background, and adaptive behavior, and information from all of these sources was documented and carefully considered.
  • The pupil does not achieve adequately for the pupil's age or to meet State-approved grade-level standards in one or more of the following areas (check all that apply):
    • Oral expression
    • Listening comprehension
    • Mathematical calculation
    • Mathematical problem solving
    • Written expression
    • Basic reading skill
    • Reading fluency skills
    • Reading comprehension
  • Any identified underachievement is not primarily the result of a visual, hearing or motor disability; intellectual disability; an emotional disturbance; cultural factors; environmental or economic disadvantage; or limited English proficiency.
  • There is documented, data based evidence that any identified underachievement is not due to a lack of appropriate instruction in math or reading. This determination is based upon each of the following:
    • Data that demonstrate that prior to, or as part of, the referral process, the pupil was provided appropriate instruction in regular education settings, delivered by qualified personnel; and
    • Data based documentation of repeated assessments of achievement at reasonable intervals, reflecting formal assessment of the pupil's progress during instruction, and which was provided to the pupil's parents.
  • The controlling factor for the pupil's eligibility is not lack of appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not lack of appropriate instruction in reading, including the essential components of reading instruction. Explicit and systematic instruction has been provided for each of the following:
    • Phonemic awareness
    • Phonics
    • Vocabulary development
    • Reading fluency, including oral reading skills
    • Reading comprehension strategies
  • Interventions implemented in general education classrooms have not remedied any identified underachievement.
  • The following relevant behavior was noted during the observation of the pupil:
    • None noted
    • As follows:
      • <text area included for the user to add their written response.>
    • Relationship of any relevant behavior to the academic functioning of the pupil:
      • <text area included for the user to add their written response.>
  • The following educationally relevant medical findings were noted:
    • None noted
    • As follows:
      • <text area included for the user to add their written response.>

The user is able to check more than one option.

In the areas where there is a "None noted" option as well as a "As follows", if the user selects "None noted", they should NOT be able to select "As follows" AND they should NOT be able to write in the text area.


Multiple options can be selected.

ADDITIONAL CRITERIA FOR ELIGIBILITY
Additional Criteria for Response to Intervention

Any additional criteria for response to intervention. Click the Click to expand link to view available options.

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  • The pupil has not made sufficient progress to meet age or State-approved grade-level standards in one or more of the areas identified above (oral expression, listening comprehension, mathematical calculation, mathematical problem solving, written expression, basic reading skill, reading fluency skills, reading comprehension) when using a process based on the child’s response to scientific, research-based intervention.
    • The following instructional strategies were used:
      • <text area included for the user to add their written response.>
    • The following student-centered data were collected:
      • <text area included for the user to add their written response.>
    • Any identified underachievement is not correctable without special education services.
    • On <date field available for user to add value> the pupil's parents were notified about Nevada's policies regarding the amount and nature of student performance data that would be collected and the general education services that would be provided; strategies for increasing the child's rate of learning; and the parents' right to request an evaluation.

Multiple options can be selected.
Additional Criteria for Comparative Analysis

Any additional criteria for comparative analysis. Click the Click to expand link to view available options.

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  • The pupil exhibits a pattern of strengths and weaknesses in performance, achievement, or both, relative to age, State-approved grade-level standards, or intellectual development, that is determined by the group to be relevant to the identification of a specific learning disability, using appropriate assessments.
  • The pupil exhibits a severe discrepancy between achievement and intellectual ability in one or more of the areas identified above (oral expression, listening comprehension, mathematical calculation, mathematical problem solving, written expression, basic reading skill, reading fluency skills, reading comprehension).
    • The severe discrepancy has been determined through the use of a statistically valid formula which takes into account the age and level of ability of the pupil, the correlation between tests of ability and achievement, and the reliability of each test used. In the case of a pupil under the age of 6 years, a discrepancy may be identified through the use of one or more tests of language concepts or academic readiness skills. OR
    • In considering the continuing existence of a severe discrepancy between achievement and intellectual ability in a reevaluation of the pupil, the determination of a severe discrepancy has been made based upon information other than the statistically valid formula.
  • The severe discrepancy is not correctable without special education services.
  • The severe discrepancy is corroborated by classroom-based assessment.

Multiple options can be selected.
Additional Information (Optional)Any additional comments related to the student's eligibility criteria.N/A
By reason of the pupil’s Specific Learning Disability, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Speech and Language Disabilities

The following fields display when Speech and Language Disabilities is selected as the Checklist.

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FieldDescriptionValidation
Speech and Language Impairment
According to state regulations (NAC 388.405)

The student's speech and language disabilities eligibility status.

  • This pupil is not eligible for special education under the category of speech and language impairment.
  • This pupil is eligible for special education under the category of speech and language impairment, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR SPEECH AND LANGUAGE IMPAIRMENT PHONOLOGY OR ARTICULATION (three or more of the following conditions)

The student's criteria for speech or language impairment. Options include:

  • Physiological potential to make the neuromuscular adjustments necessary for oral expression;
  • The communicative ability of the pupil is interfered with by the pupil's lack of intelligibility;
  • The pupil cannot adequately discriminate, imitate, or sequence sound patterns;
  • The ability of the student to articulate is significantly less than that which is expected in view of the cognitive abilities and level of development of the pupil; or
  • The deficit or disorder has an adverse social, emotional, or academic effect upon the pupil.
Multiple options can be selected.
USE AND COMPREHENSION OF LANGUAGE (two or more of the following conditions)

The student's criteria for use and comprehension of language. Options include:

  • The ability of the pupil to comprehend language is significantly less than that which is expected in view of the cognitive abilities and level of development of the pupil;
  • The use of expressive language by the pupil is significantly less than that which is expected in view of the cognitive abilities and level of development of the pupil;
  • Pragmatic use of language by the pupil is inappropriate; or
  • The deficit or disorder has an adverse social, emotional, or academic effect upon the pupil.
N/A
FLUENCY (two or more of the following conditions)

The student's criteria for fluency. Options include:

  • The speech of the pupil is observed to be dysfluent
  • The severity of the deficit or disorder is such that it interferes with communication by the pupil; or
  • The deficit or disorder has an adverse social, emotional, or academic effect upon the pupil.
N/A
QUALITY, PITCH, OR INTENSITY OF PUPIL'S VOICE (two or more of the following conditions)

The student's criteria for their voice. Options include:

  • Voice therapy is recommended by a physician or another person certified as a specialist in the identification and treatment of oral, nasal, or laryngeal anomalies;
  • The severity of the deficit or disorder is such that it interferes with communication by the pupil; or
  • The deficit or disorder has an adverse social, emotional, or academic effect upon the pupil.
N/A
ADDITIONAL CRITERIA

Any additional criteria for the student. Click on the Click to expand link to view available options.

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  • The pupil has demonstrated the ability to profit from speech and language therapy.
  • The pupil requires a program of instruction because of the nature or severity of the pupil's impairment which is not feasible in the current educational setting of the pupil because:
    • intensive remedial techniques or strategies which can only be implemented in a clinical or therapeutic setting are required to improve the communication skills of the pupil;
    • the nature of the pupil's impairment requires that the pupil receive the services of a teacher of the speech and language impaired; or
    • the pupil's impairment is of such severity or multiplicity that individual or small group management available only on a speech and language program is required.
  • The pupil with limited proficiency in English is eligible for special services and programs of instruction on the same basis as other pupils if the pupil's impairment:
    • manifests itself in the pupil's native language and in English; and
    • is not attributable to the phonological system of the pupil's native language or to dialectical differences of articulation and language form between that language and English.
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.

N/A
By reason of the pupil’s Speech and Language Impairment, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Traumatic Brain Injury

The following fields display when Traumatic Brain Injury is selected as the Checklist.

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FieldDescriptionValidation
Traumatic Brain Injury
According to state regulations (NAC 388.407)

The student's traumatic brain injury eligibility status.

  • This pupil is not eligible for special education under the category of traumatic brain injury.
  • This pupil is eligible for special education under the category of traumatic brain injury, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR TRAUMATIC BRAIN INJURY

The student's criteria for traumatic brain injury. Click the Click to expand link to view available options.

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  • The pupil suffered an injury to the brain caused by an external force that resulted in the pupil's total or partial functional disability or psychosocial impairment. The injury affects (check all that apply):
    • Cognitive abilities
    • Speech
    • Language
    • Information Processing
    • Memory
    • Attention
    • Reasoning
    • Abstract thinking
    • Judgement
    • Problem solving abilities
    • Sensory, perceptual, and motor skills abilities
    • Psychosocial behavior
    • Physical functions
  • The injury was not congenital or degenerative, and was not induced by trauma during birth.
  • The injury to the brain adversely affects the pupil's educational performance.
  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.

Multiple options can be selected.
By reason of the pupil’s Traumatic Brain Injury, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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Visual Impairment

The following fields display when Visual Impairment is selected as the Checklist.

Click here to expand...

FieldDescriptionValidation
Visual Impairment
According to state regulations (NAC 388.395)

The student's visual impairment eligibility status.

  • The pupil is not eligible for special education under the category of visual impairment.
  • The pupil is eligible for special education under the category of visual impairment, based on the following criteria.

Only option can be selected.


When the user first enters the editor, the checkbox stating the pupil is not eligible is marked by default. When the user marks this eligibility checkbox, the Eligible checkbox above is automatically marked. Unmarking this eligible checkbox automatically unmarks the above Eligibility checkbox.

CRITERIA FOR VISUAL IMPAIRMENT

The student's criteria for visual impairment. Options include:

  • The controlling factor for the pupil's eligibility is not the lack of appropriate instruction in reading, including the essential components of reading instruction, or appropriate instruction in math.
  • The controlling factor for the pupil's eligibility is not limited English proficiency.
Multiple options can be selected.
SEVERE

The student's severe criteria. Options include:

  • The visual acuity of the pupil does not exceed 20/200 in the better eye;
  • The vision of the pupil in the better eye is restricted to a field which subtends an arc of not more than 20 degrees; or
  • The pupil suffers from a progressive deterioration of the pupil’s vision, the probable result of which will be one or both of the conditions described above.
Multiple options can be selected.
MODERATE

The student's moderate criteria. Options include:

  • The visual acuity of the pupil is 20/70 or less in the better eye with the best possible correction; or
  • The pupil suffers from a progressive deterioration of the pupil's vision, the probable result of which will be the condition described above.
Multiple options can be selected.
By reason of the pupil’s Visual Impairment, the pupil needs special education and related services.Indicates the student needs special education and/or related services.
N/A
Any decision of an eligibility team must be justified in a written report. Parents have been provided a copy of the report and any other documentation relating to the determination of the pupil's eligibility. (NAC 388.340.4)Indicates the parent/guardians have been provided a copy of all documentation related to the student's eligibility.
N/A

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