1161036511
IEP accommodation needs checklist
Student Name:
Date:
I need the following accommodations to make sure I have an appropriate individualized
education program (IEP) for me:
In School in General:
Supplemental visual materials
Adapted methods of instruction
Tutoring
Long-range projects divided into smaller
chunks
Extended time to complete assignments
Course substitutions
Work in groups
Peer buddy
Environmental adaptation
Rehabilitation technology
Materials in Braille
Materials in large print
Interpreter
Other
1161036512
In Class:
Directions & instructions repeated
Instructions given orally and in
writing
Study guides
Daily or weekly study plan
Calendar to plan marking period
Time management instruction
Assignments given prior to class
Multisensory approach
Work in groups
Peer buddy
Environmental adaptations
Assistive technology
Modified assignments
Other
1161036513
Lectures
Seated in front of class
Information repeated
Shared or copied notes
Supplemental visual materials
Visual materials and activities
described
Study groups
Tutoring
Taped lectures
Interpreter
Other
Written Assignments:
Spell checker
Word processor
Proofreader
Dictating work to scribe
Extra time
Grammar, spelling, punctuation not counted
Modified assignments
Oral presentation
1161036514
Writing in Class:
Shared or copied notes
Written work to be dictated
Notetakers
Taped lectures
Use of computer
Modified assignments
Other
Math:
Preferential seating
Examples given
Calculator
Talking calculator
Graph paper to line up problems
Assignments divided into steps
Extra help
Tutoring
Work in groups
Peer buddy
Shortened assignments
Modified assignments
Other
1161036515
Exams:
Word processor
Extra time
Oral exams
Tests given in a room with no
distractions
Proofreader
Use of study guides, notes,
textbooks
Alternative format
Graded on daily work rather
than tests
Modified tests
Grade based on potential rather
than program standards
Other
General Studying:
Study guides
Daily/weekly study plan
Assignments given before
class
Calendar to plan marking
period
Scheduled appointments in
learning center
Time management instructions
Modified memorization
assignments
Other
1161036516
Reading:
Highlight main points in text and
notes
Flashcards
Vocabulary notebook
Outline of the text
Study group
Taped text
Reader service
Alternate format
Tutoring
Reading/study skills class
Modified reading assignments
Taped summaries of reading
materials
Assistive technology
Other
1161036517
Community Participation and Employment Sites:
Physical accessibility
Assistive technology
Environmental adaptations
Transportation
Physical assistance
Guidance
Mentoring
Consistent instruction
Cues – verbal or visual
Modified activity
Job coach
Other
My parents are aware of my accommodation needs and support me in my request
Parent
Date:
I have discussed my accommodation needs with my teacher/guidance counselor
Teacher/guidance
Date:
Teacher/guidance
Date:
Teacher/guidance
Date:
Teacher/guidance
Date: