Multidisciplinary (IEP team) members can also complete a decision-making checklist like the one below, as part of the student’s IEP, in determining whether a student should or should not participate in alternate assessment.
SAMPLE IEP PAGE DOCUMENTING THE ALTERNATIVE ASSESSMENT DECISION
Student Name:_________________ IEP ___________________Date_________________________
Check the applicable Box below: To be eligible for participation in alternate assessment, the response to each of the statements below must be “Agree.” If the answer to any of these statements is “Disagree,” the student should be included in state- or district-wide assessment.
Check “Agree” or “Disagree” for each item:
| ___Agree ___Disagree |
The student requires extensive instruction in multiple settings to acquire, maintain, and generalize skills necessary for application in school, work, home, and community environments. |
| ___Agree ___Disagree |
The student demonstrates cognitive ability and adaptive behavior that require substantial adjustment to the general curriculum. The student may participate in many of the same activities as their non-disabled peers; however, their learning objectives and expected outcomes focus on the functional application of the general curriculum. |
| ___Agree ___Disagree |
The standard assessments do not reflect the content taught to the student. |
| ___Agree ___Disagree |
The student will require support for post-school living. |
| ___Agree ___Disagree |
The team agrees that participation in the alternate assessment is not primarily based on:
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IEP Team Decision:
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