Transcription of REEVALUATION DETERMINATION PLAN
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REEVALUATION DETERMINATION PLAN
West Virginia Department of Education March 2017 REEVALUATION DETERMINATION plan _____County Schools Student s Full Name _____ Date _____ School _____ Date of Birth _____ Parent(s)/Guardian(s) _____ Grade _____ Address _____WVEIS# _____ City/State/Zip _____Telephone _____ Triennial REEVALUATION Due Date_____ Names of Most Recent evaluation & Dates Administered Description of Student s Current Performance Evaluate/ Reevaluate Y/N Academic Information Achievement_____ Classroom Performance_____ _____ Teacher Report_____ _____ _____Achievement _____Classroom Performance _____Teacher Report Adaptive Skills Assistive Technology Behavioral Performance functional Behavioral Assessment _____ _____Functional Behavioral Assessment _____Other _____ Communication Developmental Skills Health Hearing Information from Parents _____Audiological _____ functional listening
REEVALUATION DETERMINATION PLAN ... Functional Behavioral Assessment ... Information from Parents _____Audiological _____ Functional Listening Evaluation (Ages 3-5) CONTINUE Names of Most Recent Evaluation & Dates Administered Description of Student’s Current Performance ...
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