State-Required Form
STAAR ALTERNATE 2 PARTICIPATION REQUIREMENTS
Student Name___________________________________________________________ Grade ___________Date ___________
Name of District Personnel Completing Form________________________________ Position_________________________
Step I: Review the Eligibility Criteria for STAAR Alternate 2
Prior to reviewing the eligibility criteria for STAAR Alternate 2, the admission, review, and dismissal (ARD) committee must
understand all assessment options, including the characteristics of each assessment and the potential implications of each assessment
choice. STAAR Alternate 2 is a statewide assessment for students with the most significant cognitive disabilities. STAAR Alternate 2
may only be considered if the student’s disability includes intellectual functioning and adaptive behavior deficits that primarily and
significantly affect the student’s ability to plan, comprehend, reason, and apply social and practical skills in everyday life.
If STAAR Alternate 2 is being considered, the ARD committee must review the five criteria below and select Yes or No if applicable
to the student. To be eligible to participate in STAAR Alternate 2, the answer to all five of the questions below must be Yes. If the
answer to any one of the questions is No, the student is not eligible to participate in STAAR Alternate 2 and must participate in
STAAR. Each Yes answer requires a justification that contains evidence that the student meets the criterion.
1. Does the student have a significant cognitive disability? Yes No
A determination of significant cognitive disability is made by the ARD
committee and must be based on the student’s most recent full and
individual evaluation (FIE) conducted by the multidisciplinary team that
includes a licensed specialist in school psychology (LSSP), educational
diagnostician, or other appropriately certified or licensed practitioner
with experience and training in the area of the disability. AND
Results from the FIE must indicate a deficit in the student’s ability to plan,
comprehend, and reason. FIE results must also indicate adaptive behavior
deficits that limit a student’s ability to apply social and practical skills such
as personal care, social problem-solving skills, dressing and eating, using
money, and other functional skills across life domains. It is unlikely to see
these types of results in an FIE of a student with a high-incidence
disability only, such as a specific learning disability or speech impairment.
Enter justification that must include data
from the FIE as evidenced by intellectual
and adaptive evaluation information:
2. Does the student require specialized, extensive supports to access the grade-level curriculum Yes No
and environment?
Federal regulations mandate that all students have access to grade-level
curriculum. A student with a significant cognitive disability requires
extensive, repeated, specialized supports and materials beyond the
support typical peers require. The student uses substantially modified
materials to access information in alternate ways to acquire, maintain,
generalize, demonstrate and transfer skills across all settings. AND
A student with a significant cognitive disability demonstrates adaptive
behaviors that are significantly impaired. This most likely will impact the
student’s ability to live independently and will require specialized
supports for the student to function safely in daily life across all life
domains, not just the school environment.
Enter justification that must include data
from the student’s individualized
education program (IEP), progress
monitoring, and/or the FIE:
3. Does the student require intensive, individualized instruction in all instructional settings? Yes No
A student with a significant cognitive disability requires a highly
specialized, individualized curriculum linked to functional and academic
IEP goals and objectives. AND
A student with a significant cognitive disability requires classroom
assessments administered in alternate or non-traditional methods to
demonstrate acquisition, maintenance, and generalization of discrete
skills across academic settings. AND
A student with a significant cognitive disability requires individualized
instruction that is neither temporary nor limited to specific content areas.
Enter justification that must include data
from the student’s IEP, progress
monitoring, and/or the FIE:
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Student Name___________________________________________________________ Grade ___________Date ___________
4. Does the student access and participate in the grade-level TEKS through prerequisite skills? Yes No
A student with a significant cognitive disability requires a highly
specialized educational program with intensive supports and
modifications to the curriculum to access the Texas Essential Knowledge
and Skills (TEKS) through prerequisite skills that are significantly below
grade-level instruction. For instance, an elementary student may be 3–4
levels below grade-level instruction while a student in high school may
be 7–9 levels below.
Enter justification that must include data
from the student’s IEP, progress
monitoring, and/or the FIE:
5. Is the STAAR Alternate 2 assessment determination based on the student’s significant Yes No
cognitive disability and NOT on any other factors?
The decision to administer STAAR Alternate 2 is NOT based on a
student’s racial or economic background, English learner status, excessive
or extended absences, location of service delivery, anticipated disruptive
behavior or emotional distress, or any other such factors.
Enter justification that must include data
from the student’s IEP, progress
monitoring, and/or the FIE:
Step II: Discuss Assurances
If Yes is indicated for all five eligibility criteria, the ARD committee must discuss the following assurances. All assurances
must be initialed by district personnel for the student to participate in STAAR Alternate 2.
______ Under 34 Code of Federal Regulations (CFR) §300.320(a)(6) and 19 Texas Administrative Code (TAC)§89.1055, if the ARD
committee determines that the student will take STAAR Alternate 2, the IEP must provide a statement of why the student
cannot participate in the general assessment (STAAR) with or without allowable accommodations, and why the alternate
assessment is appropriate for the student, including that all five eligibility criteria are met.
______ The decision to administer STAAR Alternate 2 is made by the ARD committee based solely on the student’s educational need,
not administratively based on federal accountability requirements, which limit the number of students assessed with an
alternate assessment to no more than 1.0% of the total number of students in the State who are assessed in a subject.
______ For a student whom the ARD committee deems eligible to take STAAR Alternate 2, the committee understands that
instructional and assessment decisions made may impact a student’s graduation plan in high school, as described in 19 Texas
Administrative Code (TAC) §89.1070.
______ According to 19 (TAC) §101.27(b), school districts are required to follow the procedures specified in the applicable test
administration materials. If the ARD committee determines that the student will take STAAR Alternate 2, justification that is
based on the information in this form and the student’s individual allowable accommodations must be documented in the
student’s IEP.
Complete the information below only for the grade (grades 3–8 or high school) the student is enrolled in during the
applicable school year.
______ Students in grades 3–8 who are eligible for STAAR Alternate 2 should be assessed only in the grade/subjects in which they are
enrolled and should NOT be assessed in above-grade enrolled curriculum. Indicate the student’s enrolled grade during the
applicable school year. This will indicate which STAAR Alternate 2 assessments the student will take.
Grade 3: mathematics and Grade 5: mathematics, reading, Grade 7: mathematics, reading,
reading and science and writing
Grade 4: mathematics, reading, Grade 6: mathematics and Grade 8: mathematics, reading,
and writing reading science, and social studies
______ For a student in high school, the student is enrolled in a course that has a Public Education Information Management System
(PEIMS) course number indicating that the coursework is accessed through prerequisite skills. Indicate the alternate high
school courses with associated PEIMS course numbers the student will be enrolled in during the applicable school year. This
will indicate which STAAR Alternate 2 end-of-course assessment(s) the student will take.
English I Alternate 03220107 Algebra I Alternate 03100507 U.S. History Alternate 03340107
English II Alternate 03220207 Biology Alternate 03010207
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