 All applicants with a Specific Learning Difficulty must submit a full psycho-educational
assessment completed by an appropriately qualified psychologist. The report should be dated
no older than three years i.e. on or after 1 February 2013. Scores for general ability, cognitive
processing and attainment should be reported from tests conducted on or after
1 February 2013.
 In addition, this Summary Sheet may be attached and should indicate scores for general ability,
literacy and mathematical attainments, and any additional disabilities.
 It is the applicant’s responsibility to ensure that all sections of the Summary Sheet are
completed. Remember to keep a photocopy for your personal records.
DARE criteria for Specific Learning Difficulty– Dyslexia:
1. general ability (FSIQ, GAI or GCA are acceptable) falls at or above a standard score of 90;
2. attainment at or below the 10th percentile/SS 81 in two literacy areas from:
 Single word reading / identification
 Reading accuracy
 Reading comprehension
 Reading speed / fluency
 Pseudoword decoding
 Spelling
 Writing speed
DARE criteria for Specific Learning Difficulty – Dyscalculia:
1. general ability (FSIQ, GAI or GCA are acceptable) falls at or above a standard score of 90;
2. attainment at or below the 10th percentile/SS 81 in two mathematical areas from:
 Mathematical reasoning and problem solving
 Mathematical computation
Please note that Written Expression has been removed from the
eligibility criteria for Specific Learning Difficulty Dyslexia and will not
be acceptable for DARE eligibility for entry 2016.
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Please complete all sections below in TYPE or BLOCK capitals:
1. Psychologist’s Details
Name of Psychologist
Title
Address
Contact Details
Qualifications
2. Applicant’s Details
Name of Applicant
Home Address
Date of Birth
CAO Number
Age at Testing
Date of Testing
Specific Learning Difficulty
3. Cognitive Abilities
Confidence
intervals and /
or descriptive
ranges alone
are not
sufficient.
Name of test
Verbal
Non-verbal
FSIQ
Working Memory
Processing Speed
Standard score
Percentile
4. Literacy attainments
Confidence
intervals
and / or
descriptive
ranges
alone are
not
sufficient.
Name of test
Standard score
Percentile
Name of test
Standard score
Percentile
Reading accuracy
Single word reading
Reading
comprehension
Pseudoword decoding
Reading speed
Spelling
Writing speed
5. Mathematical attainments
Confidence
intervals
and / or
descriptive
ranges
alone
are not
sufficient.
Mathematical
reasoning and
problem solving
Mathematical
computation
Signature and stamp of Psychologist
Date: