Accommodations for General Education/Special Education Classes
Student Name
Resident District
Grade
Special Education Teacher
Email Address
Telephone
IEP Implementor
Email Address
Telephone
The above named student has been determined to be eligible for Special Education Services as:
- delays in mental development
Cognitive Impairment
Emotional Impairment
-
behaviors which interfere with their learning
Hearing Impairment
-
hearing impairment significant to impact learning
Visual Impairment
-
visual impairment significant enough to impact learning
Physical Impairment
-
physical disabilities or illness that interfere with learning
Other Health Impairment
-
chronic or acute health problems that interfere with learning
Speech & Language Impairment
-
a communication disorder that adversely affects education performance such as
inappropriate behavior
depression
unsatisfactory interpersonal relationships
tendency to develop symptoms or fears associated with personal or school problems
language impairment
articulation
fluency
voice impairment
Early Childhood Developmental Delay
--
children through age seven whose impairment cannot be identified under any other category
Specific Learning Disability
-
disorders in the process of learning
oral expression
listening comprehension
written expression
reading comprehension
math calculation
Severely Multiple Impairment
-
mental and physical impairments
Autism
-
significant impairment in social and communication skills
Traumatic Brain Injury
-
acquired injury to the brain that interferes with learning
basic reading skills
math reasoning
The IEP team has considered and agreed to implement the following supplementary aids and services, program modifications, and supports for the above named
student: (These are for school personnel that are provided in regular education classes or other education related setting to enable this student to be educated with non
handicapped peers.)
The student will need assistance with modifications for assignments as determined by the IEP.
Modify the length of assignment
Modify the grading of the assignment
Allow the student to complete the assignment orally
Allow the student to have tests, quizzes, etc. to read to them
Allow the student the use of a calculator
Allow the student extra time to complete the assignment/test
Allow student to use a computer/assistive technology to complete assignments
Behavioral contact (all El students are required to have behavior plan) attached
Describe
yes
no
Use of instructional aide
Other modifications found to be helpful with this student:
Allow the student to use consumable worksheets/workbooks
Allow student to write on tests, quizzes (avoid Scantron forms)
Allow student to quietly repeat and explain directions back to
you for clarification
Allow another student to take notes for the student
Use of daily behavior monitoring tally (to be tallied by all
teachers)
Peer tutor in classroom
Directions and assignments written on board
Use of tape recorder to: complete assignments, listen to text tape
discussion/lecture
Checklist of assignments with due dates
Textbooks/workbooks for home use
Preferential seating (describe)_______
Allow the student to work in cooperative groups
Modify passing times for physically impaired students