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pdfTHE NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 1 Submittal for 2008
VOLUME II
Part 5 of 5
BACKGROUND QUESTIONS
FOR 2008 ASSESSMENT
•
Student with Disabilities (SD) and English Language Learner (ELL) (for LTT
administrations)
Volume II contains:
• Part 1 of 5 - Grade 8 Student Background Questions (Visual Arts and Music)
• Part 2 of 5 - Grade 8 School Background Questions ( Visual Arts and Music)
• Part 3 of 5 - Grade 12 Student Background Questions (Reading, Mathematics, Reading
Motivational Study)
• Part 4 of 5 - Grade 12 School Background Questions (Reading Motivational Study)
• Part 5 of 5 – Student with Disabilities (SD) and English Language Learner (ELL) (for
LTT administrations)
June 8, 2007
1
SCHOOL QUESTIONNAIRES
OMB Information on School Questionnaire Cover
Page
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a
valid OMB control number. The valid OMB control numbers for this information
collection are 1850-0790. The time required to complete this information
collection is estimated to average 20 minutes per response, including the
time to review instructions, search existing data resources, gather the data
needed, and complete and review the information collection. If you have any
comments concerning the accuracy of the time estimate(s) or suggestions for
improving this form, please write to: U.S. Department of Education,
Washington, D.C. 20202-4651. If you have comments or concerns regarding the
status of your individual submission of this form, write directly to:
NAEP/NCES, U.S. Department of Education, 1990 K Street N.W., Washington, D.C.
20006-5651.
A project of the Institute of Education Sciences.
This report is authorized by law (P.L.107-110, 20 U.S.C. §9010). While your
participation is voluntary, your cooperation is needed to make the results of
the survey comprehensive, accurate, and timely. All responses that relate to
or describe identifiable characteristics of teachers or schools may be used
only for statistical purposes and may not be disclosed, or used, in
identifiable form for any other purpose, unless otherwise compelled by law.
OMB OMB No. 1850-0790 Approval Expires 05/31/2010
Mark Reflex® forms by Pearson NCS EM-166###-001-1:654321
Printed in U.S.A.
2
Student with
Disabilities (SD)
Questionnaire
(For 2008 LTT)
Cover to come from Pearson
DRWM–SD
05/07/07 GJ
Page
DRWM–SD
05/07/07 GJ
Page
DRWM–SD
05/07/07 GJ
Page
General Directions for Completing this Questionnaire
The student named on the front cover of this questionnaire has been selected to
participate in the National Assessment of Educational Progress (NAEP) and has been
identified as a student with disabilities (SD). NAEP’s definition of SD includes only:
• students with an Individualized Educational Program (IEP), for reasons other than being
gifted or talented; or
• students with 504 Plans.
The decision tree below illustrates the steps in determining how best to include this
student in NAEP. By answering the questions in this questionnaire, you will provide the
information needed to make this determination.
sd decision tree
How does this student participate in your state academic assessment in the NAEP
subject that the student has been selected to take as identified on the front cover?
A
Takes the
regular academic
assessment
with no
accommodations
B
Takes the
regular academic
assessment
with
accommodations
C
Takes an
alternate or
modified
assessment
Assess the
student on
NAEP with no
accommodations
Determine whether
the accommodations
that this student
needs are allowed on
NAEP
Determine if
this student can
be included in
NAEP
Please answer the questions on pages 5–8 about this student and return the completed
questionnaire to the person in your school who is coordinating NAEP activities.
Thank you very much for your help!
DRWM–SD
05/07/07 GJ
Page
VC195177
1. Why is this student classified as SD? (Fill in one oval.)
A This student has a disability and has an IEP. (Continue)
B This student has a Section 504 Plan. (Continue)
C This student has a disability, but the student’s IEP or 504 Plan is in process and/or
the student’s status is unclear. (Continue)
D This student has an IEP because he/she is classified as gifted and talented. (Do not
complete this questionnaire. Return it to the person coordinating NAEP at your
school.)
vc195186
On NAEP each student takes the assessment in one subject. The subject this student has
been selected to take is identified on the front cover in the box labeled “NAEP Subject to be
Assessed.” Refer to this subject when answering the questions below.
If the subject is reading or mathematics, refer to the state assessment used for reporting
adequate yearly progress under No Child Left Behind. If this student does not take a state test
in this subject refer to local testing or instructional practice.
2. How does the student participate in your state academic assessment in the NAEP subject
that the student has been selected to take? (Fill in one oval.)
A This student takes the regular academic assessment with no accommodations. ➔
Skip to page 8 and answer questions 7–9.
B This student takes the regular academic assessment with accommodations. ➔ Go to
pages 6, 7, and 8 and answer questions 3–9.
C This student takes an alternate or modified state academic assessment. ➔
Skip to page 7 and answer question 6, then complete page 8.
DRWM–SD
05/07/07 GJ
Page
VC195253
3. Which accommodations does this student receive on the state assessment in the NAEP
subject identified on the front cover of this questionnaire?
Fill in the oval in Column A for each accommodation that this student receives for your
state’s assessment in the NAEP subject indicated on the front cover of this questionnaire.
If this student does not take a state assessment in the NAEP subject, please indicate the
accommodations this student receives for local testing or instruction.
column a
column b
column c
Accommodations
Are these accommodations
student receives on
allowed on NAEP?
state assessment in
Reading
Math
Writing
NAEP subject
This Student
If allowed on
NAEP, who provides
accommodation?
Presentation Format
Has directions read aloud/repeated in English or receives Standard NAEP practice
assistance to understand directions
\
\
Has directions only signed
\
Has test items signed
\
Has occasional words or phrases read aloud
\
Has all or most of the test materials read aloud
\
Uses a Braille version of the test
\
Uses a large print version of the test
\
Uses magnifying equipment
NAEP provides
Y
Y
Y
School provides
N
Y
Y
School provides
N
Y
Y
NAEP provides
N
Y
Y
NAEP provides
Y
Y
Y
NAEP provides
Y
Y
Y
NAEP provides
Y
Y
Y
School provides
Response Format
Responds in sign language
Y
Y
N
School provides
Uses a Braille typewriter to respond
Y
Y
Y
School provides
School provides
\
\
Points to answers or responds orally to a scribe
\
Tape records answers
\
Uses a computer or typewriter to respond
\
Y
Y
N
N
N
N
NA
Y
Y
Y
School provides
Spell/grammar check not allowed
Uses a template to respond
Y
Y
Y
\
Uses a large marking pen or special writing tool
Y
Y
Y
\
Writes directly in the test booklet
Standard NAEP practice
\
School provides
School provides
NA
Setting Format
Takes the test in a small group (5 or fewer)
Y
Y
Y
NAEP provides*
Takes the test one-on-one
Y
Y
Y
NAEP provides*
\
\
Takes the test in a study carrel
\
Receives preferential seating, special lighting, or furniture
\
Has test administered by familiar person
\
Y
Y
Y
School provides
Y
Y
Y
School provides
Y
Y
Y
School provides
Timing Accommodations
Receives extended time
Y
Y
Y
NAEP provides
Is given breaks during the test
Y
Y
Y
NAEP provides
N
N
N
NA
Uses a calculator, including talking or Braille calculator
N
N
N
for computation tasks
NA
\
\
\
Takes test session over several days
Other Accommodations
\
\
Uses an abacus, arithmetic tables, graph paper
\
Uses dictionary, thesaurus, or spelling/grammar-checking
N
N
N
NA
N
N
N
NA
software or devices
Receives other accommodations
\
NA = not applicable
*NAEP provides staff to conduct small group or one-on-one sessions after regular sessions.
DRWM–SD
05/07/07 GJ
Page
Answer Question 4 and, if necessary, Question 5 using the information in Columns A and B
on page 6.
VC195245
4. Are all of the accommodations this student receives on the state assessment as recorded
in Column A allowed on NAEP (Column B)? (Fill in one oval.)
A Yes. This student should be assessed with these accommodations, as allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.
B No. ➔ Answer question 5 below.
VC195258
5. Can this student be assessed with only the accommodations allowed on NAEP? (Fill in
one oval.)
A Yes. This student should be assessed with only the accommodations allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.
B No. This student should not be assessed on NAEP. ➔ Skip to page 8.
VC195269
6. Could the student participate in NAEP with any of the accommodations allowed on
NAEP as listed in Column B on page 6? (Fill in one oval.)
A Yes. List the accommodations allowed on NAEP and include the student in NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.
B No. This student should not be assessed on NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.
DRWM–SD
05/07/07 GJ
Page
VB338417
7. Which of the following describes this
student’s identified disability(ies)? (Fill
in all ovals that apply.)
A Specific learning disability
B Hearing impairment/deafness
C Visual impairment/blindness
VC188552
8. What is the degree of this student’s
disability(ies)?
A Profound/Severe
B Moderate
C Mild
D Speech or language impairment
E Mental retardation
VC121987
F Emotional disturbance
G Orthopedic impairment
9. What grade level of instruction is this
student currently receiving in the
subject indicated on the front cover?
H Traumatic brain injury
A This student is currently not
I Autism
J Developmental delay (age 9 or
younger)
K Other health impairment
L Other (specify)
receiving instruction in this
subject.
B At or above grade level
C One year below grade level
D Two or more years below grade
level
E I don’t know.
DRWM–SD
05/07/07 GJ
Page
DRWM–SD
05/07/07 GJ
Page
English Language
Learner (ELL)
Questionnaire
(For 2008 LTT)
Cover to come from Pearson
DRWM–ELL
8/10/06 pam
Page
DRWM–ELL
8/10/06 pam
Page
DRWM–ELL
8/10/06 pam
Page
General Directions for Completing this Questionnaire
The student named on the front cover of this questionnaire has been selected to
participate in the National Assessment of Educational Progress (NAEP) and has been
identified as an English Language Learner (ELL).
The decision tree below illustrates the steps in determining how best to include this
student in NAEP. By answering the questions in this questionnaire, you will provide the
information needed to make this determination.
ELL decision tree
How does this student participate in your state academic assessment in the NAEP
subject that the student has been selected to take as identified on the front cover?
A
Takes the
regular academic
assessment
with no
accommodations
Assess the
student on
NAEP with no
accommodations
B
Takes the
regular academic
assessment
with
accommodations
C
Takes simplified
English, or
native language
state academic
assessment
Determine whether the
accommodations that this student
needs are allowed on NAEP
D
Does not take the state academic
assessment
Determine if this student can be
included on NAEP
Please answer the questions on pages 5–8 about this student and return the completed
questionnaire to the person in your school who is coordinating NAEP activities.
Thank you very much for your help!
DRWM–ELL
8/10/06 pam
Page
VB338430
1. What is this student’s first or native language?
A Spanish
B Other language (specify)
On NAEP each student takes the assessment in one subject. The subject this student has
been selected to take is identified on the front cover in the box labeled “NAEP Subject to be
Assessed.” Refer to this subject when answering the questions below.
If the subject is reading or mathematics, refer to the state assessment used for reporting
adequate yearly progress under No Child Left Behind. If this student does not take a state test
in this subject, refer to local testing or instructional practice.
VC195338
2. How does this student participate in your state academic assessment in the NAEP subject
that the student has been selected to take? (Fill in one oval.)
A This student takes the regular academic assessment with no accommodations. ➔
Skip to page 8 and answer questions 7–9.
B This student takes the regular academic assessment with accommodations. ➔ Go to
pages 6, 7, and 8 and answer questions 3–9.
C This student takes simplified English or native language state academic assessment. ➔
Go to pages 6, 7, and 8 and answer questions 3–9.
D This student does not take the state academic assessment in the NAEP subject. ➔ Skip
to page 7 and answer question 6. Then complete page 8.
DRWM–ELL
8/10/06 pam
Page
VC195350
3. Which accommodations does this student receive on the state assessment of the NAEP
subject identified on the front cover of this questionnaire?
Fill in the oval in Column A for each accommodation that this student receives for your
state’s assessment in the NAEP subject indicated on the front cover of this questionnaire.
If this student does not take a state assessment in the NAEP subject, please indicate the
accommodations this student receives for local testing or instruction.
This Student
column a
column b
Accommodations
student receives on
state assessment in
NAEP subject
Are these accommodations
allowed on NAEP?
Reading
Math
column c
Writing
If allowed on
NAEP, who provides
accommodation?
Direct Linguistic Support
Has directions read aloud/repeated in English
Standard NAEP Practice
or receives assistance to understand directions
\
NAEP provides
Has directions only read aloud in native language
\
N
Y*
N
†Spanish/English Only
Has test materials read aloud in native language
\
N
Y*
N
†Spanish/English Only
Uses a bilingual version of the booklet
N
Y
N
(Spanish/English Only)
\
NAEP provides
Uses a bilingual word-for-word dictionary without definitions
\
N
Y
Y
School provides
Has occasional words or phrases read aloud in English
\
N
Y
Y
NAEP provides
Has all or most of the test materials read aloud in English
\
N
Y
Y
NAEP provides
Has oral or written responses in native language
N
N
N
translated into written English
\
NA
Indirect Linguistic Support
Takes the test in a small group (5 or fewer)
\
Y
Y
Y
NAEP provides**
Takes the test one-on-one
\
Y
Y
Y
NAEP provides**
Receives preferential seating
\
Y
Y
Y
School provides
Has test administered by familiar person
\
Y
Y
Y
School provides
Receives extended time
\
Y
Y
Y
NAEP provides
Is given breaks during the test
\
Y
Y
Y
NAEP provides
Takes test session over several days
\
N
N
N
NA
Receives other accommodations
\
NA = Not applicable
* Spanish only and only permissible when a Spanish/English bilingual booklet is used.
** NAEP provides staff to conduct small group or one-on-one sessions after regular sessions.
† NAEP provides written directions in the bilingual booklets for students to read. Instructions in Spanish are provided for a bilingual, school-provided
interpreter to read aloud to the student, if required.
DRWM–ELL
8/10/06 pam
Page
Answer Question 4 and, if necessary, Question 5 using the information in Columns A and B
on page 6.
VC195245
4. Are all of the accommodations this student receives on the state assessment as recorded
in Column A allowed on NAEP (Column B)? (Fill in one oval.)
A Yes. This student should be assessed with these accommodations, as allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.
B No. ➔ Answer question 5 below.
VC195258
5. Can this student be assessed with only the accommodations allowed on NAEP? (Fill in
one oval.)
A Yes. This student should be assessed with only the accommodations allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.
B No. This student should not be assessed on NAEP. ➔ Skip to page 8.
VC195353
6. If this student does not take the state academic assessment in the NAEP subject, could
the student participate in NAEP with any of the accommodations allowed on NAEP as
listed in Column B on page 6? (Fill in one oval.)
A Yes. List the accommodations allowed on NAEP and include the student in NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.
B No. This student should not be assessed on NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.
DRWM–ELL
8/10/06 pam
Page
VC035697
7. Including the current school year, how long has this student been receiving academic
instruction primarily in English?
A This student does not receive academic instruction primarily in English.
B Less than 1 year
C 1 to 2 years
D 2 to 3 years
E 3 years or more
F I don’t know.
VC121987
8. What grade level of instruction is this student currently receiving in the subject
indicated on the front cover?
A This student is currently not receiving instruction in this subject.
B At or above grade level
C One year below grade level
D Two or more years below grade level
E I don’t know.
VC188373
9. How would you characterize this student’s English proficiency? (Fill in one oval in
each row.)
ELL ELL ELL No I don’t
advanced
intermediate
beginning proficiency
know.
a. Listening
comprehension
in English
A
B
C
D
E
VC188374
b. Speaking English
A
B
C
D
E
VC188375
c. Reading English
A
B
C
D
E
VC188385
d. Writing English
A
B
C
D
E
VC188388
DRWM–ELL
8/10/06 pam
Page
DRWM–ELL
8/10/06 pam
Page
| File Type | application/pdf |
| File Title | DRWM-SD.indd |
| Author | cxmoore |
| File Modified | 2007-06-13 |
| File Created | 2007-04-20 |