AccessABILITY Resources
State University of New York
College of Agriculture & Technology
Cobleskill, NY 12043
T: 518.255.5282
F: 518.255.6430
TEACHER SKILLS ASSESSMENT FORM
Please complete this form with your resource room teacher, or another teacher who is knowledgeable about your
disability. This information will help ensure that the college AccessABILITY Resources personnel are familiar with you
personally. Please mail this form back to our office (along with the Application for Reasonable Accommodations Form) in
the envelope provided.
Student Name:
Completed by:
Date:
Title:
Skills Area
Strength
Weakness
Organization:
Follow a schedule without reminders
Effectively manage your time (for study)
Stay on task
Complete Assignments on time
Organize material effectively
Appropriate classroom conduct
Academic:
Read and take notes from a textbook effectively
Take notes from lecture effectively
Research using library resources
Research using computer technology
Learning:
Word recognition reading skills
Reading comprehension
Math Concepts
Problem solving
Written language/composition
Spelling
Grammatical structure
Auditory perception
Visual perception
Appropriate Academic Accommodations you have used in the past. Please check all that apply:
Instructional
Testing
 Materials in alternative format
 Braille
 Enlarged print
 Use visual magnification devices
 Use auditory amplification devices
 Hearing aide
 Phonic ear
 Use interpretive services (ASL)
 Use texts on tape (from Recordings for the Blind and Dyslexic)
 Use a scribe or note taker
 Use scan/read software
 Use dictation software
 Use other adaptive technology (please specify):
 Use extended time
 Tests read
 Tests in distraction reduced location
 Tests in alternative format
 Braille
 Enlarged print
 Visual magnification systems or software
 Use computer for tests (for word processing)
 Use a spell checker
 Use an interpreter (ASL)
 Other (please specify):
Other supports needed
 Counseling services
 Physical access
 Other (please specify):