PORTLAND PUBLIC SCHOOLS
Special Education Department
501 North Dixon Street, Portland, Oregon 97227
Phone: 503-916-3152 Fax: 503-916-3174
Academic Evaluation Report
Confidential Information
Name:
DOB:
Age:
PPS ID #:
Home Language:
Report Date:
School:
Grade:
Examiner:
REASON FOR REFERRAL:
***** was seen for an academic evaluation to assist parents and school staff in determining *** current
level of functioning, eligibility for Special Education services under the Individuals with Disabilities
Education Act (IDEA), and to assist in educational program planning.
ASSESSMENT COMPONENT:
The Kaufman Test of Education Achievement – Third Edition (KTEA-3) is a nationally normed
individually administered test for measuring achievement.
Achievement test results may be impacted by cultural and language factors and level of formal education,
including level of formal education in a student’s first language. These factors should be taken into
account when interpreting test results.
*****’s home language is _______. *** is/is not eligible for English as a Second Language services.
Overall, ***** responded carefully and monitored for accuracy. ***** approached tasks with
confidence and persevered despite difficulty. ***** exhibited appropriate interpersonal skills (e.g.,
eye contact, conversation) and incorporated and made use of examiner feedback. Based on
relevant observations of test taking behaviors, the following results are believed to be a valid
representation of *****’s current academic achievement.
Age based achievement scores, as measured by the KTEA-3, indicate the following standard scores
(mean = 100; standard deviation = 15):
COMPOSITE SCORES
Reading Understanding
Decoding
Reading Fluency
Written Language
Math
Academic Fluency
SS
%ile
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Student Initials
READING SUBTESTS
Reading Comprehension
Reading Vocabulary
Letter and Word Recognition
Nonsense Word Decoding
Word Recognition Fluency
Decoding Fluency
Silent Reading Fluency
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SS
%ile
Written Expression: The student hears a story presented with pictures in a booklet and
completes the story by writing letters, words, sentences, and (for students in grade 1 or higher) an
essay.
Writing Fluency: The student writes simple sentences, each one describing a different picture,
within a time limit.
Spelling: The student writes single letters and spells words dictated by the examiner.
MATH SUBTESTS
Math Concepts and Applications
Math Computation
Math Fluency
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%ile
Reading Comprehension: The student reads symbols, words, sentences, and passages
appropriate to his or her grade level, and then responds to comprehension questions.
Reading Vocabulary: The student reads a word in the context of a picture (early items) or a
sentence (later items), and then selects a word that means the same thing.
Letter & Word Recognition: The student identifies letters and reads grade-appropriate words.
Nonsense Word Decoding: The student pronounces made-up words.
Word Recognition Fluency: The student reads as many words as possible within a time limit.
Decoding Fluency: The student reads as many made-up words as possible within a time limit.
Silent Reading Fluency: The student has two minutes to silently read simple questions and circle
yes or no to each.
WRITING SUBTESTS
Written Expression
Writing Fluency
Spelling
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SS
SS
%ile
Math Concepts & Applications: The student solves math problems that relate to real life
situations and assess skills such as number concepts, arithmetic, time and money, and
measurement.
Math Computation: The student solves written math calculation problems.
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Student Initials
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Math Fluency: The student writes answers to simple arithmetic problems within a time limit.
Problems include addition and subtraction, and for later items, multiplication and division.
Respectfully submitted,
________________________________
Special Education Teacher
Portland Public Schools
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Student Initials
Directions For Editing The Report Template
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Add demographic information.
Find ***** and replace with student name (replace *** with either her or his)
Add classroom observation if completed by Special Education teacher
Add testing behavior (edit existing text)
Add standard scores and %iles for subtests and composite tables
Feel free to add additional information needed
Delete all italicized directions
Edit all bold items (with the exception of headings and test/subtest names)
In the footer, replace the words “Student Initials” with the actual student’s initials.
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Student Initials