Eligibility Worksheets

At each New Eligibility or Re-evaluation meeting, the Eligibility Team (including parent/guardian) will consider:

1. the presence of an impairment,

2. adverse impact on educational performance, and

3. the need for specially designed instruction

The team must document their deliberations, including information about the review of data, the specific disability criteria, the exclusionary factors, and any recommendations in the meeting summary. Eligibility worksheets for each of the 14 disability classifications are used to help guide the team.

Eligibility Worksheets

• Autism Eligibility Worksheet
• Deaf-Blindness Eligibility Worksheet
• Deafness Eligibility Worksheet
• Developmental Delay Eligibility Worksheet
• Emotional Disability Eligibility Worksheet
• Hearing Impairment Eligibility Worksheet
• Intellectual Disability Worksheet
• Multiple Disabilities Eligibility Worksheet
• Other Health Impairment Eligibility Worksheet
• Orthopedic Impairment Eligibility Worksheet
• Specific Learning Disability Eligibility Worksheet
• Speech or Language Impairment Eligibility Worksheet
• Traumatic Brain Injury Eligibility Worksheet
• Visual Impairment Eligibility Worksheet

Additional Languages – Special Education Eligibility Worksheets

• • Amharic
  • Arabic
  • Mongolian
  • Spanish