FORM 9A
SPECIFIC LEARNING DISABILITY – DETERMINATION
OF ELIGIBILITY
This form documents the
requirements for identifying a student as having a specific learning disability.
A draft of
this form is typically completed prior to the IEP meeting with a discussion and
final decision reached by the IEP team during the meeting.
The Case Manager completes
the form with input from the appropriate IEP team members (School Psychologist,
Special Education Teacher, General Education Teacher, etc.)
·
Fill
out the appropriate information based on the evaluations indicating the area of
achievement that is severely discrepant from the level of intellectual ability
and the processing disorder associated with this discrepancy.
·
Indicate
whether the discrepancy is or is not caused by poor attendance, environmental,
emotional, sensory or the other reasons listed in
Section III.
·
Include
any medical findings that are educationally relevant and the other information
required on this form.
·
If
there is a team decision that is not based on the standard measures indicated,
support that decision.
·
Obtain
signatures from all participants in the IEP meeting on this form.