MECKLENBURG COUNTY PUBLIC SCHOOLS – Department of Exceptional Programs
EDUCATIONAL EVALUATION
NAME:
DOB:
CONFIDENTIAL
GRADE:
SCHOOL:
EDUCATIONAL REPORT
The contents of this report may not be divulged or released without written permission from the
student’s legal guardian.
STUDENT’S FULL NAME:
PARENT(S)/GUARDIAN:
ADDRESS:
CHRONOLOGICAL AGE:
GENDER:
DATE(S) OF TESTING:
DATE OF REPORT:
EXAMINER:
Reason for Referral and Background Information
was referred for an educational assessment as part of a full assessment for special education
services.
was referred as part of a triennial re-evaluation and currently receives special education
services as a student with Choose a Disability.
Results of the evaluation will be used along with all other reports and observations to determine if the
current educational program is meeting
’s educational needs.
Methods of Assessment
Kaufman Test of Educational Achievement, Third Edition (KTEA-3)
Review of Records
Assessment Results
was given the Kaufman Test of Educational Achievement, Third Edition (KTEA-3).The KTEA-3 is an
individually administered measure of academic achievement for grades prekindergarten through 12, or
ages 4 through 25. The KTEA-3 measures academic achievement in the areas of Math, Reading, Written
Language, and Oral Language.
P.O. Box 190, Boydton, VA 23917
434-738-6111
Page 1 of 4
434-447-7631
FAX: 434-738-0691
MECKLENBURG COUNTY PUBLIC SCHOOLS – Department of Exceptional Programs
EDUCATIONAL EVALUATION
NAME:
CONFIDENTIAL
DOB:
GRADE:
SCHOOL:
Reading
The following reading subtests were administered to the student.
Subtest/Composite
Standard
Score
Percentile
Letter & Word Recognition
Reading Comprehension
Nonsense Word Decoding
Reading Composite
95% Confidence
Interval
%
%
%
%
Range
Choose a Range
Choose a Range
Choose a Range
Choose a Range
The Letter and Word Recognition subtest has the student identify letters and pronounce words of
gradually increasing difficulty. The Reading Comprehension subtest which measures a student’s ability
read either simple instructions or passages and then either perform an action or answer questions about
the passage read. The Nonsense Word Decoding subtest was given in order to assess the student’s
ability to apply phonics and structural analysis skills to decode nonsense words of increasing difficulty.
While reading passages and answering questions,
was observed to
.
Math
The following math subtests were administered to the student.
Subtest/Composite
Standard
Score
Percentile
Math Concepts & Applications
Math Computation
Math Composite
95% Confidence
Interval
%
%
%
Range
Choose a Range
Choose a Range
Choose a Range
The Math Concepts and Applications subtest requires the student to respond orally to items that require
the application of mathematical principles to real life situations. The Math Computation subtest
measures the student’s ability to answer math calculation problems.
was observed to
.
P.O. Box 190, Boydton, VA 23917
434-738-6111
Page 2 of 4
434-447-7631
FAX: 434-738-0691
MECKLENBURG COUNTY PUBLIC SCHOOLS – Department of Exceptional Programs
EDUCATIONAL EVALUATION
NAME:
CONFIDENTIAL
DOB:
GRADE:
SCHOOL:
Writing
The following reading subtests were administered to the student.
Subtest/Composite
Standard
Score
Percentile
Written Expression
Spelling
Written Language
95% Confidence
Interval
%
%
%
Range
Choose a Range
Choose a Range
Choose a Range
The Written Expression subtest measures a student’s complete writing tasks in the context of a gradeappropriate story format. The Spelling subtest requires the student to write single letters that represent
sound and to write increasingly difficult words from dictation.
was observed to
.
Summary
was referred for an educational assessment as part of a full assessment for special education
services.
was referred as part of a triennial re-evaluation and currently receives special education
services as a student with Choose a Disability. Based on the KTEA-3 results,
demonstrated a
strength in the areas of
.
demonstrated weaknesses in the areas of
.
It is recommended that this report be considered along with all other reports and observations in order
to determine
’s educational needs. Consult with examiner as needed.
Examiner’s Signature (typed signature represents handwritten signature)
P.O. Box 190, Boydton, VA 23917
434-738-6111
Page 3 of 4
434-447-7631
FAX: 434-738-0691
MECKLENBURG COUNTY PUBLIC SCHOOLS – Department of Exceptional Programs
EDUCATIONAL EVALUATION
NAME:
DOB:
CONFIDENTIAL
GRADE:
SCHOOL:
Assessment Scores
Standard Score- The average score is 100.
Percentile Rank- Percentage of students that are the same age and scored lower on the test. Average
percentile ranks fall between 25 and 75.
Qualitative Description-Used to describe ranges of scores:
For the KTEA-3:
Category
Very High
High
Above Average
Average
Below Average
Low
Very Low
Standard Score
130 or above
120-129
110-119
90-109
80-89
70-79
69 or below
P.O. Box 190, Boydton, VA 23917
434-738-6111
Page 4 of 4
434-447-7631
FAX: 434-738-0691