Appendix G: 

Sample 2013 SD and ELL Worksheets & Instructions 

And 

Generic State Guidelines 
SD Worksheet Instructions 
This form must be completed in No. 2 pencil.

Please complete both sides of this

worksheet for each student.

NAEP 2013

Students with Disabilities (SD)

Worksheet

TEL

NAEP 2013

Students with Disabilities (SD) Worksheet

TEL 

NAEP Student Booklet ID #

(Column O on Admin. Schedule)

A

NAEP Subject

T = Technology and Engineering Literacy

School Name:

Inv. #NA000?????

perf

Student Name Session # /

Line #

SCHOOL #:

Sheet ____ of ____

C

NAEP Use Only

D E

Sheet ____ of ____

F

Record the student's current SD classification using one of the codes below:1 = Has an IEP for a disability2 = Has a Section 504 Plan and needs accommodation to be tested3 = Does not have an IEP or Section 504 Plan (Do not complete the rest of the worksheet  for this student)

According to the student's IEP or Section 504 Plan, how is this student assessed on the state (standardized) assessment for science?1 = Without accommodations

(Go to column I)

2 = With accommodations (Go to column G)3 = With alternate assessment/modified achievement standards (Go to column G)4 = With alternate assessment/alternate achievement standards (Go to column G)

B G

What accommodations or universal design

elements does this student receive for

computer-based testing (any subject)? If 

the student is not tested using a computer, 

what accommodations/universal design

elements does the student receive when

tested on the state (standardized)

assessment for science?

Refer to the enclosed SD Inclusion Guidelines 

for information on the allowed

accommodations/universal design elements. 

Record the NAEP code of each required 

accommodation/universal design element from 

the guidelines in the space below for each 

student.

Are all of the student's accommodations listed in column G allowed for NAEP?Refer to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by NAEP.1 = Yes, all accommodations are allowed2 = No, some/all accommodations are not allowed

H J

SCHOOL COPY Please complete the back of this worksheet for each student.

For

NAEP

Use Only

How should this student be tested on NAEP? Review columns G and H and the SD Decision Tree on page 2 of the Worksheet Instructions for how to answer this question.1 = Without accommodations2 = With accommodations allowed by NAEP3 = Do not test

I

SAMPLE FORM
NAEP Student Booklet ID # Student Name (Column O on Admin. Schedule) Session # /

Line #

SCHOOL #: Sheet ____ of ____

NAEP 2013

Students with Disabilities (SD)

Worksheet

TEL

School Copy

L M N O

At what grade level does this student perform in science?

1 = At or above grade level2 = One year below grade level3 = Two or more years below grade level4 = Not receiving instruction in this subject5 = Don't know

K

Sheet of 

P

What is the degree of this student's disability(ies)?1 = Profound/Severe2 = Moderate3 = Mild

Specific learning disability

Hearing impairment/deafness

Intellectual disability

Emotional disturbance

Orthopedic impairment

Traumatic brain injuryAutism

Developmental delay (age 9 or younger)

Other health impairment (Record the other health impairment in the space to the right)

Which of the following IDEA categories best describes this student's identified disability(ies)?

(Fill in all ovals that apply)

Visual impairment/blindness

Q

183158-001:321	 Printed in the USA by Pearson	 ISD8962

Other health impairment (specify)

NAEP 2013 SD Worksheet TEL School

Speech or language impairment

NAEP Subject

T = Technology and Engineering Literacy

Students with Disabilities (SD) Worksheet

TEL SAMPLE FORM
National Assessment of Educational Progress (NAEP)

Instructions for Completing Worksheets for Students with Disabilities (SD) 

Technology and Engineering Literacy (TEL) Assessment 

(Please review these instructions before completing the SD Worksheets)

Frequently Asked Questions

Frequently Asked Questions

What is the Technology and Engineering Literacy Assessment?

According to the NAEP framework, technology and engineering literacy is defined as “the capacity to use, 

understand, and evaluate technology as well as to understand technological principles and strategies needed 

to develop solutions and achieve goals.” The TEL assessment will be administered using NAEP-provided, 

stand-alone laptops with specialized software. There will be a short tutorial on how to use the specialized 

software prior to the assessments. All student work will be stored in a secure manner without student identifiable 

information. The NAEP specialized software for students does not use the Internet. All students taking a NAEP 

computer-based assessment must use the NAEP-supplied equipment. 

We don’t offer technology and engineering literacy classes. How do we evaluate if a student’s IEP 

or Section 504 Plan should be applied to the TEL assessment?

The TEL computer-based assessment is most closely associated with the STEM subjects – science, 

technology, engineering and mathematics. When evaluating if a student’s IEP or Section 504 Plan 

should be applied to the TEL assessment, review the student’s needs for computer-based testing or for 

science, if computer-based testing is not applicable.

What if an SD is withdrawn or graduated, never attends campus (e.g., home schooled), or is 

otherwise ineligible for NAEP (e.g., not enrolled in the sampled grade)?

Draw a line through that student’s name, record a note in column G, and leave the rest of the worksheet 

blank for that student. 

What is the process for determining how a student should be included in NAEP?

• Before the preassessment visit, school staff complete the worksheets using these instructions and 

the SD Inclusion Guidelines. 

• At the preassessment visit, the NAEP representative will collect the completed worksheets, 

review them for consistency, and then discuss with the school coordinator how each student 

should be assessed on NAEP. 

• All final inclusion and accommodation decisions are made by school staff and/or 

parents/guardians. 

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 number for this information collection is 1850-0790. The time required to complete 

this information collection is estimated to average 10 minutes per student 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. 20202-4537. 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, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. The information you provide 

will be used for statistical purposes only. In accordance with the Confidential 

Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and 

other applicable Federal laws, your responses will be kept confidential and will not 

be disclosed in identifiable form to anyone other than employees or agents. By law, 

every NCES employee as well as every agent, such as contractors and NAEP 

coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of 

up to $250,000, or both, if he or she willfully discloses ANY identifiable

information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except the most 

cognitively disabled, will participate on NAEP, as they do on their state assessments.

NAEP results are not reported for individual students or schools and do not affect a student’s 

grade or a school’s AYP results.
Page 2 of 4 

How to Complete the Front of the SD Worksheet

Columns A through D are preprinted. 

• Names beginning with “&” in column A are also listed on the ELL Worksheet (student is both SD and ELL). 

• List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.

• List any students sampled for NAEP who currently have a Section 504 Plan and require accommodations to 

be tested, but whose names are not preprinted.

Columns E through I are to be completed by school staff.

• Column E: Record the student’s current SD classification using one of the codes listed. If a student has 

both an IEP and Section 504 Plan, record IEP as the student’s SD classification.

• Column F: Record how this student is tested or instructed in the NAEP subject listed in column B

• Column G: Record the accommodations this student receives when tested in the 

, 

according to the student’s IEP or Section 504 Plan, using one of the codes listed. 

NAEP subject listed in 

column B

• Column H: Record if all the student’s required accommodations are allowed in the NAEP subject. Refer 

to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by 

NAEP.

. Refer to the enclosed SD Inclusion Guidelines for information on the allowed 

accommodations. 

• Column I: To answer column I, review columns G and H, and the decision tree below.

Column J is for NAEP Use Only.

According to the student’s IEP or 

Section 504 Plan, how is this student 

assessed on the state (standardized) 

assessment for science?

Without 

accommodations

With 

accommodations

allowed by NAEP

With one or more 

accommodations

not allowed by 

NAEP

With an alternate 

assessment with

modified

achievement 

standards*

With an alternate 

assessment with

alternate

achievement 

standards *

Student takes NAEP 

without

accommodations

(Column I = Code 1)

Student takes NAEP 

with

accommodations 

allowed by NAEP

(Column I = Code 2)

Schools are 

encouraged to 

include student on

NAEP with

accommodations

allowed by NAEP

(Column I = Code 2)

Student takes NAEP 

with

accommodations

allowed by NAEP

(Column I = Code 2)

Student may be 

excluded

(Column I = Code 3)

Decision Tree for Students with Disabilities

* Check the enclosed SD Inclusion Guidelines for more information about alternate assessments with modified or alternate

achievement standards in your state.
Page 3 of 4 

How to Complete the Back of the SD Worksheet

On the back of the worksheet are some research questions about the same students listed on the front. Please

consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer 

these questions. 

Columns K through N are preprinted. 

Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?

Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used 

by the Individuals with Disabilities Education Act (IDEA).

“Other (specify)” should only be marked for disability(ies) other than those pre-listed.

Column P: What is the degree of this student’s disability(ies)?

Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes: 

1 = Profound/Severe 

2 = Moderate

3 = Mild

The response should be based on the knowledge of the person most familiar with this student’s disability(ies) 

and based on this person’s professional judgment how it/they might compare to other students with similar

disability(ies) in the same grade.

Column Q: At what grade level does this student perform in science?

Record the grade level at which the student performs

1 = At or above grade level

in the NAEP subject listed in column L, using one of 

the following codes:

2 = One year below grade level

3 = Two or more years below grade level

4 = Not receiving instruction in this subject

5 = Don’t know 

For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade 

level should be marked as code 3 (two or more years below grade level).
Page 4 of 4 
National Assessment of Educational Progress (NAEP)

Instructions for Completing Worksheets for Students with Disabilities (SD) 

Technology and Engineering Literacy (TEL) Assessment 

Private Schools

(Please review these instructions before completing the SD Worksheets)

Frequently Asked Questions

What is the Technology and Engineering Literacy Assessment?

According to the NAEP framework, technology and engineering literacy is defined as “the capacity to use, 

understand, and evaluate technology as well as to understand technological principles and strategies needed 

to develop solutions and achieve goals.” The TEL assessment will be administered using NAEP-provided, 

stand-alone laptops with specialized software. There will be a short tutorial on how to use the specialized 

software prior to the assessments. All student work will be stored in a secure manner without student identifiable 

information. The NAEP specialized software for students does not use the Internet. All students taking a NAEP 

computer-based assessment must use the NAEP-supplied equipment. 

Our school does not use Individualized Education Programs (IEP) or Section 504 Plans. Can our 

students still receive accommodations for NAEP?

Yes, students can receive any NAEP-allowed accommodation specified in individualized instructional 

plans, or that they routinely receive either during standardized testing or classroom instruction. See the 

enclosed SD Inclusion Guidelines for more information on accommodations allowed by NAEP. 

We don’t offer technology and engineering literacy classes. How do we evaluate if a student’s 

individualized instructional plan should be applied to the TEL assessment?

The TEL computer-based assessment is most closely associated with the STEM subjects – science, 

technology, engineering and mathematics. When evaluating if a student’s individualized instructional 

plan should be applied to the TEL assessment, review the student’s needs for computer-based testing or 

for science, if computer-based testing is not applicable. 

What is the process for determining how a student should be included in NAEP?

• Before the preassessment visit, school staff complete the worksheets using these instructions and 

the SD Inclusion Guidelines. 

• At the preassessment visit, the NAEP representative will collect the completed worksheets, 

review them for consistency, and then discuss with the school coordinator how each student 

should be assessed on NAEP. 

• All final inclusion and accommodation decisions are made by school staff and/or 

parents/guardians. 

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 number for this information collection is 1850-0790. The time required to complete 

this information collection is estimated to average 10 minutes per student 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. 20202-4537. 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, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. The information you provide 

will be used for statistical purposes only. In accordance with the Confidential 

Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and 

other applicable Federal laws, your responses will be kept confidential and will not 

be disclosed in identifiable form to anyone other than employees or agents. By law, 

every NCES employee as well as every agent, such as contractors and NAEP 

coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of 

up to $250,000, or both, if he or she willfully discloses ANY identifiable

information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except the most 

cognitively disabled, will participate on NAEP, as they do on standardized assessments.

NAEP results are not reported for individual students or schools. 
Page 2 of 4 

How to Complete the Front of the SD Worksheet

Columns A through D are preprinted.

• Names beginning with “&” in column A are also listed on the ELL Worksheet (student is both SD and ELL). 

• List any students sampled for NAEP who currently have an IEP but whose names are not preprinted.

• List any students sampled for NAEP who currently have a Section 504 Plan and

• List any students who 

 require accommodations to 

be tested, but whose names are not preprinted.

routinely receive accommodations for standardized testing or during classroom 

instruction. 

Columns E through I are to be completed by school staff.

• Column E: Record the student’s current SD classification using one of the codes listed. If a student has 

both an IEP and Section 504 Plan, record IEP as the student’s SD classification. If none of 

these codes apply, leave the column blank for that student.

• Column F: Record how this student is tested or instructed in the NAEP subject listed in column B

• Column G: Record the accommodations this student receives when tested or instructed in the 

, 

according to the student’s individualized instructional plan, using one of the codes listed. 

NAEP 

subject listed in column B

• Column H: Record if all the student’s required accommodations are allowed in the NAEP subject. Refer 

to the enclosed SD Inclusion Guidelines for information on the accommodations allowed by 

NAEP.

. Refer to the enclosed SD Inclusion Guidelines for information on 

the allowed accommodations. 

• Column I: To answer column I, review columns G and H, and the decision tree below.

Column J is for NAEP Use Only.

According to the student’s IEP, 

Section 504 Plan, or individualized 

instructional plan, how is this 

student assessed on standardized

assessment for science?

Without 

accommodations

With 

accommodations

allowed by NAEP

With one or more 

accommodations

not allowed by 

NAEP

With an alternate 

assessment with

modified

achievement 

standards*

With an alternate 

assessment with

alternate

achievement 

standards **

Student takes NAEP 

without

accommodations

(Column I = Code 1)

Student takes NAEP 

with

accommodations 

allowed by NAEP

(Column I = Code 2)

Schools are 

encouraged to 

include student on

NAEP with

accommodations

allowed by NAEP

(Column I = Code 2)

Student takes NAEP 

with

accommodations

allowed by NAEP

(Column I = Code 2)

Student may be 

excluded

(Column I = Code 3)

Decision Tree for Students with Disabilities

* Modified assessments are based on grade-level content that is less rigorous than regular assessments. 

** Alternate assessments are based on the grade-level content but at reduced depth, breadth, and complexity than regular assessments.
Page 3 of 4 

How to Complete the Back of the SD Worksheet

On the back of the worksheet are some research questions about the same students listed on the front. Please

consult the person most knowledgeable about each student’s disability(ies) and grade-level performance to answer 

these questions. 

Columns K through N are preprinted. 

Columns O through Q are to be completed by school staff.

Column O: Which of the following IDEA categories describes this student’s identified disability(ies)?

Fill in one or more ovals indicating all of each student’s identified disabilities. The categories listed are used 

by the Individuals with Disabilities Education Act (IDEA).

“Other (specify)” should only be marked for disability(ies) other than those pre-listed.

Column P: What is the degree of this student’s disability(ies)?

Record the degree of each student’s disability(ies) recorded in column O, using one of the following codes: 

1 = Profound/Severe 

2 = Moderate

3 = Mild

The response should be based on the knowledge of the person most familiar with this student’s disability(ies) 

and based on this person’s professional judgment how it/they might compare to other students with similar

disability(ies) in the same grade.

Column Q: At what grade level does this student perform in science? 

Record the grade level at which the student performs

1 = At or above grade level

in the NAEP subject listed in column L, using one of 

the following codes:

2 = One year below grade level

3 = Two or more years below grade level

4 = Not receiving instruction in this subject

5 = Don’t know 

For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade 

level should be marked as code 3 (two or more years below grade level).
Page 4 of 4 
ELL Worksheet Instructions 
This form must be completed in No. 2 pencil.

Please complete both sides of this

worksheet for each student.

NAEP 2013

English Language Learner (ELL)

Worksheet

TEL

NAEP 2013

English Language Learner (ELL) Worksheet

TEL 

NAEP Student Booklet ID #

(Column O on Admin. Schedule)

A

NAEP Subject

T = Technology and Engineering Literacy

School Name:

Inv. #NA000?????

perf

Student Name Session # /

Line #

SCHOOL #:

Sheet ____ of ____

C

NAEP Use Only

D E

Sheet ____ of ____

F

Record the student's current ELLclassification using one of the codes below:1 = Yes, ELL2 = No, formerly ELL (monitored for AYP) (Do not complete the rest of the worksheet for this student)3 = No, not ELL (Do not complete the rest of the worksheet for this student)

How long has this student been enrolled in U.S. schools?1 = 1 full academic year or more before the NAEP assessment2 = Less than 1 full academic year before the NAEP assessment

B G

Are all of the student's accommodations listed in column H allowed for NAEP?Refer to the enclosed ELL Inclusion Guidelines for information on the accommodations allowed by NAEP.1 = Yes, all accommodations are allowed2 = No, some/all accommodations are not allowed

H J

SCHOOL COPY Please complete the back of this worksheet for each student.

For

NAEP

Use Only

How should this student be tested on NAEP? Review columns F, H and I and the ELL Decision Tree on page 2 of the Worksheet Instructions for how to answer this question.1 = Without accommodations2 = With accommodations allowed by NAEP3 = Do not test

I

What is the student's primary language?1 = Spanish2 = Other

K

What accommodations or universal design 

elements does this student receive for

computer-based testing (any subject)? If 

the student is not tested using a computer, 

what accommodations/universal design

elements does the student receive when 

tested for science?

Refer to the enclosed ELL Inclusion 

Guidelines for information on the allowed 

accommodations/universal design elements. 

Record the NAEP code of each required 

accommodation/universal design element from 

the guidelines in the space below for each 

student.

SAMPLE FORM
NAEP Student Booklet ID # Student Name (Column O on Admin. Schedule) Session # /

Line #

SCHOOL #: Sheet ____ of ____

NAEP 2012

English Language Learner

(ELL)

Worksheet

TEL

School Copy

L M N O P

Sheet of 

Q R

NAEP 2012 ELL Worksheet Pilot School 183158-001:321	 Printed in the USA by Pearson	 ISD8962

Including this school year, how long has this student been receiving academic instruction primarily in English?1 = Does not receive academic instruction primarily in English2 = Less than 1 year3 = 1 to 2 years4 = 2 to 3 years5 = 3 years or more6 = Don't know

At what grade level does this student perform in science?1 = At or above grade level2 = One year below grade level3 = Two or more years below grade level4 = Not receiving instruction in this subject5 = Don't know

Listening comprehension in English

Speaking English

Reading EnglishWriting English

For each item listed below, how 

would you characterize this student's 

English proficiency?

1 = ELL advanced

2 = ELL intermediate

3 = ELL beginning

4 = No proficiency

5 = Don't know

NAEP Subject

T = Technology and Engineering Literacy

English Language Learner (ELL) Worksheet

TEL 

SAMPLE FORM
National Assessment of Educational Progress (NAEP)

Instructions for Completing Worksheets for English Language Learners (ELL)

Technology and Engineering Literacy (TEL) Assessment 

(Please review these instructions before completing the ELL Worksheet)

Frequently Asked Questions

What is the Technology and Engineering Literacy Assessment?

According to the NAEP framework, technology and engineering literacy is defined as “the capacity to use, 

understand, and evaluate technology as well as to understand technological principles and strategies needed to 

develop solutions and achieve goals.” The TEL assessment will be administered using NAEP-provided, standalone laptops with specialized software. There will be a short tutorial on how to use the specialized software prior 

to the assessments. All student work will be stored in a secure manner without student identifiable information. 

The NAEP specialized software for students does not use the Internet. All students taking a NAEP computerbased assessment must use the NAEP-supplied equipment.

What is “one full academic year” as defined by NAEP

One full academic year is defined as one full school year before the assessment. For example, if a student is 

currently in eighth grade, he or she would have attended school in the U.S. for all of seventh grade. 

?

We don’t offer technology and engineering literacy classes. How do we evaluate if an English language 

learner needs accommodations for the TEL assessment?

The TEL computer-based assessment is most closely associated with the STEM subjects – science, technology, 

engineering and mathematics. When evaluating if an ELL needs accommodations for the TEL assessment, 

review the student’s needs for computer-based testing or for science, if computer-based testing is not applicable.

Can students who are formerly ELL receive accommodations on NAEP?

No, students who are classified as formerly ELL participate in NAEP without accommodations. Only students 

who are classified as ELL can receive accommodations on NAEP. 

What if an ELL is withdrawn or graduated, never attends campus (e.g., home schooled), or is otherwise 

ineligible for NAEP (e.g., not enrolled in the sampled grade)?

Draw a line through that student’s name, record a note in column H, and leave the rest of the worksheet blank for 

that student.

What is the process for determining how a student should be included in NAEP?

• Before the preassessment visit, school staff complete the worksheets using these instructions and the ELL 

Inclusion Guidelines. 

• At the preassessment visit, the NAEP representative will collect the completed worksheets, review them 

for consistency, and then discuss with the school coordinator how each student should be assessed on 

NAEP.

• All final inclusion and accommodation decisions are made by school staff and/or parents/guardians.

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 number for this information collection is 1850-0790. The time required to complete 

this information collection is estimated to average 10 minutes per student 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. 20202-4537. 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, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. The information you provide 

will be used for statistical purposes only. In accordance with the Confidential 

Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and 

other applicable Federal laws, your responses will be kept confidential and will not 

be disclosed in identifiable form to anyone other than employees or agents. By law, 

every NCES employee as well as every agent, such as contractors and NAEP 

coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of 

up to $250,000, or both, if he or she willfully discloses ANY identifiable

information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except those 

who have been enrolled in U.S. schools for less than one full academic year, will participate on 

NAEP, as they do on their state assessments.

NAEP results are not reported for individual students or schools and do not affect a student’s 

grade or a school’s AYP results.
Page 2 of 4

Decision Tree for English Language Learners

How to Complete the Front of the ELL Worksheet

Columns A through D are preprinted.

• Names beginning with “&” in column A are also listed on the SD Worksheet (student is both SD and ELL).

• List any students sampled for NAEP who are currently classified as ELL, but whose names are not preprinted.

Columns E through J are to be completed by school staff.

• Column E: Record the student’s current ELL classification, using one of the codes listed. 

• Column F: Record how long this student has been enrolled in U.S. schools, using one of the codes listed. 

• Column G: Record the student’s primary language, using one of the codes listed.

• Column H: Record the accommodations this student receives when tested in the NAEP subject listed in 

column B

• Column I: Record if all of the accommodations listed in column H are allowed in the NAEP subject. 

Refer to the enclosed ELL Inclusion Guidelines for information on the accommodations 

allowed by NAEP.

. Refer to the enclosed ELL Inclusion Guidelines for information on the allowed 

accommodations.

• Column J: To answer column J, review columns F, H, and I, and the Decision Tree below.

Column K is for NAEP Use Only

How long has the student been 

enrolled in U.S. schools?

1 full academic year or more

before the NAEP assessment

Less than 1 full academic year

before the NAEP assessment

Student takes NAEP without

accommodations or with

accommodations allowed by 

NAEP

(Column J = Code 1 or 2)

Student takes NAEP without

accommodations or with

accommodations allowed

by NAEP

(Column J = Code 1 or 2)

Can the student take NAEP 

without accommodations or 

with accommodations allowed

by NAEP?

Yes No

Student may be 

excluded

(Column J = Code 3)
Page 3 of 4

How to Complete the Back of the ELL Worksheet

On the back of the worksheet are research questions for the same students listed on the front. These questions are 

not used to determine how a student should be included in NAEP. 

To answer these questions, consult the person most knowledgeable about each student’s English language 

proficiency and grade-level performance.

Columns L through O are preprinted.

Columns P through R are to be completed by school staff.

Column P: Including this school year, how long has this student been receiving academic instruction 

primarily in English?

Record how long the student has been receiving academic instruction primarily

1 = Does not receive academic instruction primarily in English

in English, using one of the 

following codes:

2 = Less than 1 year

3 = 1 to 2 years

4 = 2 to 3 years

5 = 3 years or more

6 = Don’t know

For example, if a grade 4 student has been receiving academic instruction since second grade, the response 

should be code 4 (2 to 3 years). “Academic instruction primarily in English” means that the instructor presents 

academic content in English and the student receives only occasional translation of words or explanations of 

ideas/concepts in his/her native language.

Column Q: At what grade level does this student perform in the NAEP subject listed in column M?

Record the grade level at which the student performs

1 = At or above grade level

in the NAEP subject listed in column M, using one of the 

following codes:

2 = One year below grade level

3 = Two or more years below grade level

4 = Not receiving instruction in this subject

5 = Don’t know

For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade level 

should be marked as code 3 (two or more years below grade level).

Column R: For each item listed below, how would you characterize this student’s English proficiency?

• Listening comprehension in English • Speaking English

• Reading English • Writing English

For each skill listed, record the student’s English language proficiency, using the following codes: 

1 = ELL advanced

2 = ELL intermediate

3 = ELL beginning

4 = No proficiency

5 = Don’t know

Refer to the State-specific ELL Guidelines Summary for information on how to complete this question. If no 

state-specific information is provided, the response should be based on the knowledge of the person most 

familiar with how this student’s English language proficiency compares to other ELLs in the same grade.
Page 4 of 4
National Assessment of Educational Progress (NAEP)

Instructions for Completing Worksheets for English Language Learners (ELL)

Technology and Engineering Literacy (TEL) Assessment 

Private Schools

(Please review these instructions before completing the ELL Worksheet)

Frequently Asked Questions

What is the Technology and Engineering Literacy Assessment?

According to the NAEP framework, technology and engineering literacy is defined as “the capacity to use, 

understand, and evaluate technology as well as to understand technological principles and strategies needed to 

develop solutions and achieve goals.” The TEL assessment will be administered using NAEP-provided, standalone laptops with specialized software. There will be a short tutorial on how to use the specialized software prior 

to the assessments. All student work will be stored in a secure manner without student identifiable information. 

The NAEP specialized software for students does not use the Internet. All students taking a NAEP computerbased assessment must use the NAEP-supplied equipment.

What is “one full academic year” as defined by NAEP

One full academic year is defined as one full school year before the assessment. For example, if a student is 

currently in eighth grade, he or she would have attended school in the U.S. for all of seventh grade. 

?

We don’t offer technology and engineering literacy classes. How do we evaluate if an English language 

learner needs accommodations for the TEL assessment?

The TEL computer-based assessment is most closely associated with the STEM subjects – science, technology, 

engineering and mathematics. When evaluating if an ELL needs accommodations for the TEL assessment, 

review the student’s needs for computer-based testing or for science, if computer-based testing is not applicable.

Can students who are formerly ELL receive accommodations on NAEP?

No, students who are classified as formerly ELL participate in NAEP without accommodations. Only students 

who are classified as ELL can receive accommodations on NAEP. 

What if an ELL is withdrawn or graduated, never attends campus (e.g., home schooled), or is otherwise 

ineligible for NAEP (e.g., not enrolled in the sampled grade)?

Draw a line through that student’s name, record a note in column H, and leave the rest of the worksheet blank for 

that student.

What is the process for determining how a student should be included in NAEP?

• Before the preassessment visit, school staff complete the worksheets using these instructions and the ELL 

Inclusion Guidelines. 

• At the preassessment visit, the NAEP representative will collect the completed worksheets, review them 

for consistency, and then discuss with the school coordinator how each student should be assessed on 

NAEP.

• All final inclusion and accommodation decisions are made by school staff and/or parents/guardians.

• 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 number for this information collection is 1850-0790. The time required to complete 

this information collection is estimated to average 10 minutes per student 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. 20202-4537. 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, 400 Maryland Avenue, S.W., Washington, D.C. 20202.

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. The information you provide 

will be used for statistical purposes only. In accordance with the Confidential 

Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and 

other applicable Federal laws, your responses will be kept confidential and will not 

be disclosed in identifiable form to anyone other than employees or agents. By law, 

every NCES employee as well as every agent, such as contractors and NAEP 

coordinators, has taken an oath and is subject to a jail term of up to 5 years, a fine of 

up to $250,000, or both, if he or she willfully discloses ANY identifiable

information about you. OMB No. 1850-0790 • Approval Expires 04/30/2013

NAEP’s goal is to be as inclusive as possible. The expectation is that all students, except those 

who have been enrolled in U.S. schools for less than one full academic year, will participate on 

NAEP, as they do on standardized assessments.

NAEP results are not reported for individual students or schools.
Page 2 of 4

Decision Tree for English Language Learners

How to Complete the Front of the ELL Worksheet

Columns A through D are preprinted.

• Names beginning with “&” in column A are also listed on the SD Worksheet (student is both SD and ELL).

• List any students sampled for NAEP who are currently classified as ELL, but whose names are not preprinted.

Columns E through J are to be completed by school staff.

• Column E: Record the student’s current ELL classification, using one of the codes listed. 

• Column F: Record how long this student has been enrolled in U.S. schools, using one of the codes listed. 

• Column G: Record the student’s primary language, using one of the codes listed.

• Column H: Record the accommodations this student receives when tested in the NAEP subject listed in 

column B

• Column I: Record if all of the accommodations listed in column H are allowed in the NAEP subject. 

Refer to the enclosed ELL Inclusion Guidelines for information on the accommodations 

allowed by NAEP.

. Refer to the enclosed ELL Inclusion Guidelines for information on the allowed 

accommodations.

• Column J: To answer column J, review columns F, H, and I, and the Decision Tree below.

Column K is for NAEP Use Only

How long has the student been 

enrolled in U.S. schools?

1 full academic year or more

before the NAEP assessment

Less than 1 full academic year

before the NAEP assessment

Student takes NAEP without

accommodations or with

accommodations allowed by 

NAEP

(Column J = Code 1 or 2)

Student takes NAEP without

accommodations or with

accommodations allowed

by NAEP

(Column J = Code 1 or 2)

Can the student take NAEP 

without accommodations or 

with accommodations allowed

by NAEP?

Yes No

Student may be 

excluded

(Column J = Code 3)
Page 3 of 4

How to Complete the Back of the ELL Worksheet

On the back of the worksheet are research questions for the same students listed on the front. These questions are 

not used to determine how a student should be included in NAEP. 

To answer these questions, consult the person most knowledgeable about each student’s English language 

proficiency and grade-level performance.

Columns L through O are preprinted.

Columns P through R are to be completed by school staff.

Column P: Including this school year, how long has this student been receiving academic instruction 

primarily in English?

Record how long the student has been receiving academic instruction primarily

1 = Does not receive academic instruction primarily in English

in English, using one of the 

following codes:

2 = Less than 1 year

3 = 1 to 2 years

4 = 2 to 3 years

5 = 3 years or more

6 = Don’t know

For example, if a grade 4 student has been receiving academic instruction since second grade, the response 

should be code 4 (2 to 3 years). “Academic instruction primarily in English” means that the instructor presents 

academic content in English and the student receives only occasional translation of words or explanations of 

ideas/concepts in his/her native language.

Column Q: At what grade level does this student perform in the NAEP subject listed in column M?

Record the grade level at which the student performs

1 = At or above grade level

in the NAEP subject listed in column M, using one of the 

following codes:

2 = One year below grade level

3 = Two or more years below grade level

4 = Not receiving instruction in this subject

5 = Don’t know

For example, a grade 4 student selected to take the NAEP math assessment who performs at a second-grade level 

should be marked as code 3 (two or more years below grade level).

Column R: For each item listed below, how would you characterize this student’s English proficiency?

• Listening comprehension in English • Speaking English

• Reading English • Writing English

For each skill listed, record the student’s English language proficiency, using the following codes: 

1 = ELL advanced

2 = ELL intermediate

3 = ELL beginning

4 = No proficiency

5 = Don’t know

The response to this question should be based on the knowledge of the person most familiar with how this 

student’s English language proficiency compares to other ELLs in the same grade.
Page 4 of 4
SD Inclusion Guidelines
New Moldavia NAEP 2013 Inclusion Guidelines for Students with Disabilities (SD)

Mathematics and Reading Grades 4, 8, and 12

The New Moldavia Department of Education expects that most students with disabilities (SD) will be included on the National Assess

(NAEP). Only students with disabilities who participate in the <Name of Alternate Assessment based on Alternate Achievement St

based on alternate achievement standards) may be excluded from any NAEP assessment. New Moldavia does not have an alternate 

achievement standards OR Students with disabilities that participate in the <Name of Alternate assessment based on Modified Ach

assessment based on modified achievement standards) should participate in NAEP with NAEP allowed accommodations. All other stu

participate in NAEP with or without NAEP allowed accommodations.

The following table lists the NAEP accommodations for students with disabilities. If you have questions about the NAEP accommoda

Coordinator Name, NAEP State Coordinator> at <e‐mail address or phone number>.

NAEP Accommodation 

NAEP Code 

(Record this code on 

the SD Worksheet in 

column G) 

NAEP Subject NAEP Accommodation Description 

Extended time EXT Mathematics and Reading 

This accommodation requires that students be given extra time to complete the assessNOTE: If state test is untimed, students may or may not require extended time on NAE

(it is not designed to evaluate how many questions a student can answer in a limited aable to complete the NAEP cognitive sections in the time allowed (25 minutes per sect

Small group SMG Mathematics and Reading Generally, a small group session includes no more than five students. A student can b

he/she requires one, or because one or more of the accommodations he/she typically session to minimize distractions to other students in the regular session. 

One-on-one ONE Mathematics and Reading This accommodation requires that a student is assessed individually in an area free of Directions only read aloud in English RA-D Mathematics and Reading 

For this accommodation, students may have the general directions (the same for all stread aloud, repeated, or reworded in any way in English so that students understand wNOTE: Some students’ IEPs or 504 Plans stipulate that they should receive this accomman accommodation. Students who do not have this as an IEP or 504 requirement, but wh

students) and/or the subject-specific directions read aloud, repeated, or reworded in anor her hand during the session, and it will not be recorded as an accommodation.

Test items read aloud in English – occasional RA-O 

Mathematics 

Not Allowed for 

Reading 

For this accommodation, students may request to have words, phrases, or sentences English – occasional is not allowed for Reading. 

Test items read aloud in English – most or all RA-A 

Mathematics 

Not Allowed for 

Reading 

For this accommodation, students may request to have most or all of the assessment 

aloud in English – most or all is not allowed for Reading. 

Breaks during test BRK Mathematics and Reading This accommodation requires that the student be allowed to take breaks as requested 

assessment. This also could mean that the student is allowed to take the assessment 

Must have an aide administer the test SSTF Mathematics and Reading This accommodation requires that a school staff member familiar to the student adm
NAEP Accommodation 

NAEP Code 

(Record this code on 

the SD Worksheet in 

column G)

NAEP Subject NAEP Accommodation Description 

Responds orally to a scribe SCR Mathematics and Reading This accommodation requires that the student respond orally to a scribe provided by 

answers. The scribe then records the student’s responses in the assessment booklet. 

Large print version of the test LRG Mathematics and Reading NAEP provides large-print booklets to students who are visually impaired. These are a

129 percent. 

Magnification equipment MAG Mathematics and Reading This is a lens or system provided by the school that enhances visual function. Magni

magnifiers, freestanding or handheld magnifiers, enlarged computer monitors, or compstudents use closed-circuit television to enlarge print and display printed material with 

Uses template/special equipment/preferential seating EQP Mathematics and Reading 

Template: This is a cutout or overlay provided by the school that is used to focus a stu

obscuring other parts of the page. Writing Tool: This is a large-diameter pencil, pencil grip, or other special writing tool prov

his/her answers in the assessment booklet. NOTE: Some students’ IEPs or 504 Plans stipulate that they should receive this accomman accommodation. Students who do not have this as an IEP or 504 requirement, but whor other special writing tools during assessments, may use these for NAEP, and it will noResponds Using a Computer or Typewriter: This accommodation requires that the stude

typewriter provided by the school. Preferential Seating: This accommodation requires that a student sit in a designated aother students to limit distractions; a location where there is access to special equipmestudent can see or hear more easily. It may also include special light and furniture use

Cueing to stay on task CUE Mathematics and Reading This accommodation requires that a school staff member provide students with a ver

refocus on a task.

Calculator version of the test CAL 

Mathematics 

Not Allowed for 

Reading 

NAEP has a mathematics calculator assessment booklet available for students who reassessment. Calculator version of the test is not allowed for Reading. 

Presentation in Braille BRL-P Mathematics and Reading This is a Braille version of the booklet. Response in Braille BR-R Mathematics and Reading 

This accommodation requires that a visually impaired student record his/her answers u

or an electronic Brailler note taker provided by the school, or uses a scribe to record accommodation). 

Presentation in Sign Language SL-P 

Mathematics 

Not allowed for 

Reading

This accommodation requires that a qualified sign language interpreter at the school 

script and some or all of the test questions or answer choices for the student. PresentReading. 

Response in Sign Language SL-R Mathematics and Reading This accommodation requires that a hearing-impaired student sign his/her responses t

the responses in the student’s booklet (see “Responds orally to a scribe” accommodat

Other (specify) OTR (Specify in column G) Mathematics and Reading Any accommodations not listed above. Please contact <NAEP State Coordinator 

address> or <phone number> to see if the accommodation can be provided on NAEP. 
Please keep in mind that NAEP does not produce results for individual students or schools, unlike the New Moldavia state assessmen

at the state level. In other words, the NAEP assessments do not impose consequences for the student or the school, and are instead 

picture of educational performance and progress.

Please note the following differences in accommodation practices for the <New Moldavia> state assessments and the expectation fo

1) Students who have the read aloud accommodation of the questions being read for the Reading Comprehension section on th

should be included in NAEP Reading without the accommodation.

2) Calculators are allowed on some sections of the NAEP mathematics assessment. New Moldavia students who receive this ac

should be included in the NAEP assessment even though calculators cannot be used on all sections of the NAEP mathematics 

3) Students who receive multiple day testing on the New Moldavia state assessments should take the NAEP assessments in one 

is much shorter than the state assessments, so multiple day testing is not offered. Students take two 25‐minute subject mat

questions about their educational experiences.

4) On NAEP, all students write responses in the assessment booklets, not on separate answer documents.
ELL Inclusion Guidelines
New Moldavia NAEP 2013 Inclusion Guidelines for English Language Learners (ELL)

Mathematics and Reading Grades 4, 8, and 12

The New Moldavia Department of Education expects that most English language learners (ELL) will be included on the National Asses

(NAEP). Only English language learners who have been enrolled in United States schools for less than 12 months may be excluded 

other English language learners should participate in NAEP with or without NAEP allowed accommodations.

The following table lists the NAEP accommodations for English language learners. If you have questions about the NAEP accommoda

Coordinator Name, NAEP State Coordinator> at <email or phone number>.

NAEP Accommodation 

NAEP Code 

(Record this code on the 

ELL Worksheet in 

column H) 

NAEP Subject NAEP Accommodation Description 

 Extended time EXT Mathematics and Reading 

This accommodation requires that students be given extra time to complete the asseNOTE: If state test is untimed, students may or may not require extended time on NA

(it is not designed to evaluate how many questions a student can answer in a limited able to complete the NAEP cognitive sections in the time allowed (25 minutes per se

Small group SMG Mathematics and Reading Generally, a small group session includes no more than five students. A student can 

he/she requires one, or because one or more of the accommodations he/she typically session to minimize distractions to other students in the regular session. 

One-on-one ONE Mathematics and Reading This accommodation requires that a student is assessed individually in an area free oDirections only read aloud in English RA-D Mathematics and Reading 

For this accommodation, students may have the general directions (the same for all s

read aloud, repeated, or reworded in any way in English so that students understand NOTE: Some students’ IEPs or 504 Plans stipulate that they should receive this accoman accommodation. Students who do not have this as an IEP or 504 requirement, but w

students) and/or the subject-specific directions read aloud, repeated, or reworded in or her hand during the session, and it will not be recorded as an accommodation.

Test items read aloud in English – occasional RA-O 

Mathematics 

Not Allowed for 

Reading 

For this accommodation, students may request to have words, phrases, or sentences English – occasional is not allowed for Reading. 

Test items read aloud in English – most or all RA-A 

Mathematics 

Not Allowed for 

Reading 

For this accommodation, students may request to have most or all of the assessmenaloud in English – most or all is not allowed for Reading. 

Breaks during test BRK Mathematics and Reading This accommodation requires that the student be allowed to take breaks as requeste

assessment. This also could mean that the student is allowed to take the assessmen
NAEP Accommodation 

NAEP Code 

(Record this code on the 

ELL Worksheet in 

column H)

NAEP Subject NAEP Accommodation Description 

Must have an aide administer the test SSTF Mathematics and Reading This accommodation requires that a school staff member familiar to the student ad Cueing to stay on task CUE Mathematics and Reading This accommodation requires that a school staff member provide students with a v

refocus on a task.

Bilingual dictionary without definition in any language BI-D 

Mathematics 

Not Allowed for 

Reading

This is a nonelectronic bilingual dictionary provided by the school in any language does not contain definitions. It is sometimes referred to as a “word-for-word” dictiona

“bilingual word list.” Bilingual dictionary is not allowed for Reading.

General directions only read aloud in Spanish RA-DS Mathematics and Reading This accommodation requires that the general session script instructions be read alo

same for all students.

Spanish/English version of the test BI-B 

Mathematics (4 & 8) 

Not Allowed for 

Reading or Grade 12 

Mathematics

NAEP has bilingual mathematics Spanish/English assessment booklet available for sbooklet is open, one page has the directions and questions in Spanish, and the facinquestions in English. Because of the size, the booklets are printed in a set of two. Stuand in either language. Spanish/English version of the test is not allowed for Rea

Test items read aloud in Spanish RA-AS 

Mathematics (4 & 8) 

Not Allowed for 

Reading or Grade 12 

Mathematics

For this accommodation, students may request to have words, phrases, or sentences the student to use a bilingual Spanish/English assessment booklet (see “Spanish/Enitems read aloud in Spanish is not allowed for Reading or grade 12 Mathematic

Other (specify) OTR (Specify in column H) Mathematics or Reading Any accommodations not listed above. Please contact <NAEP State Coordinator Na

address> or <phone number> to see if the accommodation can be provided on NAEP

Please keep in mind that NAEP does not produce results for individual students or schools, unlike the New Moldavia state assessmen

at the state level. In other words, the NAEP assessments do not impose consequences for the student or the school, and are instead 

picture of educational performance and progress.

Please note the following differences in accommodation practices for the <New Moldavia> state assessments and the expectation fo

1) Students who have the read aloud accommodation of the questions being read for the Reading Comprehension section on th

should be included in NAEP Reading without the accommodation.

2) Calculators are allowed on some sections of the NAEP mathematics assessment. New Moldavia students who receive this ac

should be included in the NAEP assessment even though calculators cannot be used on all sections of the NAEP mathematics 

3) Students who receive multiple day testing on the New Moldavia state assessments should take the NAEP assessments in one 

is much shorter than the state assessments, so multiple day testing is not offered. Students take two 25‐minute subject mat

questions about their educational experiences.

4) On NAEP, all students write responses in the assessment booklets, not on separate answer documents.