LARUE COUNTY SCHOOL DISTRICT 504 ACCOMMODATION CHECKLIST Name:___________________________________________ Date:_________________________ PHYSICAL ARRANGEMENT OF ROOM: ______seating student near the teacher ______seating student near a positive role model ______standing near the student when giving directions or presenting lessons ______avoiding distracting stimuli (air conditioner, high traffic area, etc.) ______increasing distance between desks ______Additional Accommodations________________________________________________________________ LESSON PRESENTATION: ______pairing students to check work ______writing key points on the board ______providing peer tutoring ______providing visual aids, large print, films ______providing peer note taker ______making sure directions are understood ______including a variety of activities during each lesson ______repeating directions to the student after they have been given to the class: then have him/her repeat and explain directions to teacher ______providing written outline ______allowing student to tape record lessons ______having child review key points orally ______teaching through multi-sensory modes, visual, auditory, kinestetics, olfactory ______using computer-assisted instruction ______accompany oral directions with written directions for child to refer to blackboard _____ or paper ______provide a model to help students, post the model and refer to it often ______provide cross age peer tutoring to assist the student in finding the main idea underlying, highlighting, cue cards, etc. ______breaking longer presentations into shorter segments ______Additional Accommodations:_______________________________________________________ ASSIGNMENTS/WORKSHEETS: ______giving extra time to complete tasks ______simplifying complex directions ______handing worksheets out one at a time ______reducing the reading level of the assignments ______requiring fewer correct responses to achieve grade (quality vs. quantity) ______allowing student to tape record assignments/homework ______providing a structured routine in written form ______providing study skills training/learning strategies ______giving frequent short quizzes and avoiding long tests ______shortening assignments; breaking work into smaller segments ______allowing typewritten or computer printed assignments prepared by the student or dictated by the student and recorded by someone else if needed. ______using self-monitoring devices ______reducing homework assignments ______not grading handwriting ______student should not be allowed to use cursive or manuscript writing reversals or transpositions of letters and numbers should not be marked wrong. ______reversals and transpositions should be pointed out for correction ______do not require lengthy outside reading assignments ______teacher monitor students self-paced assignments (daily, weekly, bi-weekly) ______arrangements for homework assignments to reach home with clear, concise directions ______recognize and give credit for student’s oral participation in class ______Additional Accomodations:_________________________________________________________________ TEST TAKING: ______allowing open book exams ______giving exam orally ______giving take home tests ______using more objective items (fewer essay responses) ______allowing student to give test answers on tape recorder ______giving frequent short quizzes, not long exams ______allowing extra time for exam ______reading test item to student ______avoid placing student under pressure of time or competition ______Additional Accommodations:________________________________________________________________ ORGANIZATION: ______providing peer assistance with organizational skills ______assigning volunteer homework buddy ______allowing student to have an extra set of books at home ______sending daily/weekly progress reports home ______developing a reward system for in-school work and homework completion ______providing student with a homework assignment notebook ______Additional Accommodations:________________________________________________________________ BEHAVIORS: ______use of timers to facilitate task completion ______structure transitional and unstructured times (recess, hallways, lunchroom, locker room, library, assembly, field trips, etc.) ______praising specific behaviors ______using self-monitoring strategies ______giving extra privileges and rewards ______keeping classroom rules simple and clear ______making “prudent use” of negative consequences ______allowing for short breaks between assignments ______cueing student to stay on task (nonverbal signal) ______marking student’s correct answers, not mistakes ______implementing a classroom behavior management system ______allowing student time out of seat to run errands, etc. ______ignoring inappropriate behaviors not drastically outside classroom limits ______allowing legitimate movement ______contracting with the student ______increasing the immediacy of rewards ______implementing time-out procedures ______Additional Accommodations:________________________________________________________________ MEDICATION: Name of Physician: ________________________________________ Phone:_______________________________ Medication(s) ____________________________________________ Schedule:_____________________________ ___________________________________________ Schedule:_____________________________ Monitoring of medication(s)__________daily_________weekly_________as needed basis administrated by staff member responsible to insure student takes medication and documentation _____________________________________________________________________________________________ SPECIAL CONSIDERATIONS: ______suggesting parent programs(s) ______monitoring student closely on field trip ______inservicing all relevant school personnel on student’s disability ______alerting bus driver ______suggesting agency involvement ______providing group/individual counseling ______providing social skills group experiences ______developing intervention strategies for transitional periods (e.g., cafeteria, physical education, etc.) ______providing specific time limit for extra help outside of classroom time ______Additional Accommodations:________________________________________________________________ Comments:____________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Participants: (name and title) ___________________________________________ _______________________________________________ ___________________________________________ ________________________________________________ ___________________________________________ _______________________________________________ ___________________________________________ _______________________________________________ Other Modifications: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________