AGE Northeast Midwest South West Nation N % N % N % N % N %

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1 * ext 5575 Page 1 of 12 AGE Northeast Midwest South West Nation Information NOT reported Total known information Under 3 years of age From 3 to 5 years of age From 6 to 9 years of age From 10 to 13 years of age From 14 to 17 years of age years of age or older SEX Northeast Midwest South West Nation Information NOT reported Total known information Male Female

2 * ext 5575 Page 2 of 12 ETHNICITY Northeast Midwest South West Nation Information NOT reported Total known information Hispanic or Latino Not Hispanic or Latino RACE/ETHNIC BACKGROUND Northeast Midwest South West Nation Information NOT reported Total known information White only Black/African-American only Hispanic/Latino only American Indian or Alaska Native only Asian only Native Hawiian or Pacific Islander only Only one other background indicated Multi-ethnic background indicated Unknown or Cannot Report RACE/ETHNIC BACKGROUND ** Northeast Midwest South West Nation Information NOT reported Total known information White Black/African-American Hispanic/Latino American Indian or Alaska Native Asian Native Hawiian or Pacific Islander Other Unknown or Cannot Report ** Percent may total more than because multiple responses were allowed

3 * ext 5575 Page 3 of 12 NO CHILD LEFT BEHIND STUDENT IS Northeast Midwest South West Nation ENGLISH LANGUAGE LEARNER (ELL)? Information NOT reported Total known information Yes No NO CHILD LEFT BEHIND STUDENT IS Northeast Midwest South West Nation ECONOMICALLY DISADVANTAGED? Information NOT reported Total known information Yes No AGE AT ONSET OF HEARING LOSS Northeast Midwest South West Nation Information NOT reported Total known information At birth Under two years of age Two years of age or over Unknown HEARING LOSS WAS IDENTFIED Northeast Midwest South West Nation THROUGH INFANT SCREENING? Total students reported Information NOT reported Total known information Yes No Unknown ** Percent may total more than because multiple responses were allowed

4 * ext 5575 Page 4 of 12 ETIOLOGY ** Northeast Midwest South West Nation Information NOT reported Total Known Information Genetic/Hereditary/Familial Pregnancy Related Post-Birth Disease or Injury Cause cannot be determined/dna*** ** Percent may total more than because multiple responses were allowed *** DNA - Data not available

5 * ext 5575 Page 5 of 12 MOTHER S HEARING STATUS Northeast Midwest South West Nation Information NOT reported Total known information Hearing Deaf Hard of hearing Unknown, student is adopted Data not available FATHER S HEARING STATUS Northeast Midwest South West Nation Information NOT reported Total known information Hearing Deaf Hard of hearing Unknown, student is adopted Data not available PARENT HEARING STATUS Northeast Midwest South West Nation Information NOT reported Total known information Both parents hearing Both parents deaf or hh One parent hearing, other deaf/hh One parent deaf, other DNA*** One parent hearing, other DNA*** Both parents status DNA*** Parents status unk, student is adopted *** DNA - Data not available

6 * ext 5575 Page 6 of 12 DOES THE STUDENT HAVE ANY SIBLING(S) Northeast Midwest South West Nation Information NOT reported Total known information No, student does not have any sibling(s) Data not available Yes, student does have sibling(s) Unknown, student adopted Sibling is hard of hearing or deaf Sibling is a TWIN Sibling is hearing Sibling is a TWIN UNAIDED AUDIOMETRIC THRESHOLD Northeast Midwest South West Nation MEASURED BY: Information NOT reported Total known information Earphone (preferred measurement) Sound field ABR DEGREE OF HEARING LOSS Northeast Midwest South West Nation Information NOT reported Total known information Normal (< 27 db, ANSI) Mild (27-40 db, ANSI) Moderate (41-55 db, ANSI) Mod-severe (56-70 db, ANSI) Severe (71-90 db, ANSI) Profound (91 db and above, ANSI)

7 * ext 5575 Page 7 of 12 HAS THE STUDENT EVER HAD Northeast Midwest South West Nation A COCHLEAR IMPLANT(CI)? Information NOT reported Total known information No, has not had a cochlear implant Yes, has had a cochlear implant HAS THE STUDENT HAD A SECOND CI? Northeast Midwest South West Nation Total students reported Information NOT reported Total known information No, has not had a 2nd cochlear implant Yes, has had a 2nd cochlear implant DID THE SECOND CI REPLACE Northeast Midwest South West Nation THE FIRST IMPLANT (SAME EAR)? Total students reported Information NOT reported Total known information Yes, replaced No, not replaced WAS THE SECOND IMPLANT Northeast Midwest South West Nation IN ADDITION TO THE FIRST IMPLANT? Total students reported Information NOT reported Total known information Yes, in addition No, not in addition

8 * ext 5575 Page 8 of 12 IS IMPLANT STILL USED? Northeast Midwest South West Nation Total students reported Information NOT reported Total known information Implant still used Implant no longer used IS THE COCHLEAR IMPLANT Northeast Midwest South West Nation USED IN THE CLASSROOM? Total students reported Information NOT reported Total known information Implant used in the classroom Implant not used in the classroom HEARING AID USED FOR INSTRUCTION? Northeast Midwest South West Nation Information NOT reported Total known information Hearing aid used for instruction Hearing aid not used for instruction GROUP ASSISTIVE LISTENING DEVICE Northeast Midwest South West Nation (ALD) USED FOR INSTRUCTION? Information NOT reported Total known information Group ALD used for instruction Group ALD not used for instruction

9 * ext 5575 Page 9 of 12 INSTRUCTIONAL SETTINGS ** Northeast Midwest South West Nation Information NOT reported Total known information Special or center school Gen edu sch setting w/hearing students Self-cont. clrm in gen edu sch setting Resource room Home Other SERVICES RECEIVED ** Northeast Midwest South West Nation IN SUPPORT OF INSTRUCTION Information NOT reported Total known information No support services Oral transliteration services Cued language transliteration Sign transliteration services Deaf-blind interpreting services Sign language instruction CART, C-print, Typewell Itinerant teacher services Classroom paraprofessional services Audiology services CI mapping tutoring services Adaptive PE Speech-language pathology Oral/Aural (AVT) services vision services/o & M services Counseling services, Incl. rehab. counsel Occupational/physical therapy School nurse/medical services Social work services Psychological services Recreation incl. therapeutic recreation Transportation Resource Other *** DNA - Data not available

10 * ext 5575 Page 10 of 12 HOURS PER WEEK STUDENT IS INTEGRATED Northeast Midwest South West Nation WITH NON-DISABLED HEARING STUDENTS Information NOT reported Total known information None to 5 hours per week to 15 hours per week to 25 hours per week or more hours per week GRADE IN WHICH STUDENT IS ENROLLED Northeast Midwest South West Nation Information NOT reported Total Known Information Early Childhood Intervention Pre-kindergarten Kindegarten st Grade nd Grade rd Grade th Grade th Grade th Grade th Grade th Grade th Grade th Grade th Grade th Grade N/A, program is ungraded

11 * ext 5575 Page 11 of 12 COMMUNICATION MODE PRIMARILY USED Northeast Midwest South West Nation TO TEACH STUDENT Information NOT reported Total known information Spoken language only Sign language only Sign supported soken language (SIMCOM) Spoken language with cues Other SIGN USE IN THE HOME? Northeast Midwest South West Nation Information NOT reported Total known information Family members regularly sign Family members do not regularly sign Data not available LANGUAGE(S)REGULARLY USED Northeast Midwest South West Nation IN THE STUDENTS HOME ** Information NOT reported Total known information English Spanish ASL Other LANGUAGE(S)REGULARLY USED Northeast Midwest South West Nation IN THE STUDENTS SCHOOL ** Information NOT reported Total known information English Spanish ASL Other ** Percent may total Gallaudet more than Research because Institute multiple (April responses 2011). were allowed

12 * ext 5575 Page 12 of 12 ADDITIONAL CONDITIONS ** Northeast Midwest South West Nation Information NOT reported Total known information Student has no conditions Low vision Legal blindness Developmental delay Learning disability Orthopedic impairment ADD/ADHD Traumatic brain injury Mental retardation Emotional disturbance Autism Usher syndrome Other health impairment(s) Other conditions ** Percent may total more than because multiple responses were allowed