Case Study Template
Student____________________________
Grade______________________________
Exceptional Areas of Deficit_______________________________________
Measurable Annual Goal(s):
1.
2.
3.
Intervention: List any possible interventions from the provided Peer Reviewed
Intervention list, or ones you are familiar with from experience, trainings, or
conferences.
Example UDL Planner
Curriculum Unit
Methods and
Materials
Challenges that these
instructional methods and
materials present to some
students
UDL Solutions
Flexible options for
student engagement
Flexible methods of
presentation


Presenting new
information


Reading


Difficulty with new
concepts and
vocabulary
Distractible and
misses information

Independent reading
level is below grade
level or cannot read
fluently
Struggles with new
vocabulary
Difficulty with critical
thinking



Checking for
understanding

Difficulty with new
concepts and
vocabulary.
Choices of paper
poster, PowerPoint
or Windows Movie
Maker to
demonstrate
knowledge of a topic
Teacher locates
appropriate text on the
internet to provide
background information.
Use PowerPoint to
introduce and review
new concepts and
vocabulary.
Students uses audio
book, Kindle or text
reader to read and listen
to text.
Teacher embeds
questions in the digital or
paper text using “notes”
to foster critical thinking.
Flexible methods of expression
and active learning

Provide guided notes at
multiple levels.

Students can use the
dictionary feature to look
up unknown words.

Student uses Inspiration
as check for
understanding of new
vocabulary.
http://www.montgomeryschoolsmd.org/departments/hiat/udl/awareness_guides.shtm
Curriculum Unit
Methods and
Materials
Challenges that these
instructional methods
and materials present
to some students
UDL Solutions
Flexible options for student
engagement
Flexible methods of
presentation
Flexible methods of
expression and active
learning
http://www.montgomeryschoolsmd.org/departments/hiat/udl/awareness_guides.shtm
Accommodation(s) for Daily Instruction: What accommodations would be
necessary for the student to access and/or participate? What would be needed
to implement the accommodation(s) with fidelity?
Modification(s) for Daily Instruction: What modifications would be necessary for
the student to access and/or participate? What would be needed to implement
the modification(s) with fidelity?
Testing Accommodation(s):
“Accommodations for All” the student should be accessing for TNReady:
“Accommodations Identified in Advance” the student should be accessing for
TNReady:
“Accommodations for Students with Disabilities” the students should be accessing
for TNReady:
Least Restrictive Environment: Outline a proposed day, including special
education services for this student