INDIVIDUALIZED EDUCATION PROGRAM:
PARTICIPATION IN STATEWIDE ASSESSMENTS
To be completed for students participating
in Smarter Balanced Assessment
Form I-7-SBA (New 3/14) (Modified by WCASS 11/14)
School District_________________________________________
Name of Student___________________________
IEP Date __________________________
The student will be in (circle one) 3rd, 4th, 5th, 6th, 7th, or 8th grade when the Smarter Balanced Assessment
(SBA) is given in English language arts (ELA) and Mathematics. The student will be taking general education
assessments1 for all content areas required at this grade level.
SBA has specific policies and guidance related to Universal Tools, Designated Supports and Accommodations
permitted on the assessments in ELA and Mathematics. Please refer to the Office of Student Assessment
website for the current policies.
Section A: Universal tools and designated supports
Embedded Universal Tools are available to all students for computer administered SBA assessments,
although an IEP team may determine that one or more might be distracting for a particular student and thus
the school must ‘turn-off’ the feature for the student.
Please check the Embedded Universal Tools below that should be ‘turned-off’ for the student (see
descriptions on pages 6-7 of the Smarter Balanced Assessment Consortium: Usability, Accessibility, and
Accommodations Guidelines, November 5, 2014):
 Breaks
 Calculator (for calculator-allowed items only) (See Non-embedded Accommodations for students
who cannot use the embedded calculator)
 Digital notepad
 English Dictionary (for ELA-performance task full writes)
 English glossary
 Expandable passages
 Global notes (for ELA performance tasks)
 Highlighter
 Keyboard navigation
 Mark for review
 Math tools
 Spell Check (for ELA items)
 Strikethrough
 Writing tools
 Zoom
Non-Embedded Universal Tools; Some universal tools may need to be provided outside of the computer test
administration system.
Please check the Non-Embedded Universal Tools below that should be provided (see descriptions
on page 8 of the Smarter Balanced Assessment Consortium: Usability, Accessibility, and
Accommodations Guidelines, November 5, 2014):
 Breaks
 English Dictionary (for ELA-performance task full writes)
 Scratch Paper
 Thesaurus (For ELA-performance task full writes)
1General
Education Assessments in Wisconsin assess content reflective of the Common Core State
Standards and the Wisconsin Model Academic Standards. These assessments include the Wisconsin
Knowledge and Concepts Examination, Smarter Balanced Assessment, ACT ASPIRE ™ Early High School,
ACT WorkKeys® and The ACT®. Students identified as English Language Learners are required to
participate annually in a language assessment.
Designated Supports are available for any student for whom the need has been indicated.
Please identify (check) the Embedded Designated Supports that may be required for the student at
the time of testing (see descriptions on pages 9 -11 of the Smarter Balanced Assessment Consortium:
Usability, Accessibility, and Accommodations Guidelines, November 5, 2014):
 Color Contrast
 Masking
 Text-to-Speech (For math stimuli items and ELA items, not for reading passages) (See Embedded
Accommodations for ELA reading passages)
 Translated test directions (for math items)
 Translations (Glossaries) (for math items)
 Translations (Stacked) (for math Items)
 Turn off any universal tools
Please identify (check) the Non-Embedded Designated Supports that may be required for the
student at the time of testing (see descriptions on pages 12 - 14 of the Smarter Balanced Assessment
Consortium: Usability, Accessibility, and Accommodations Guidelines, November 5, 2014):
 Bilingual dictionary (for ELA-performance task full-writes)
 Color contrast
 Color overlays
 Magnification
 Noise buffers
 Read aloud (for math items and ELA items, not for reading passages) (see Non-embedded
Accommodations for ELA reading passages)
 Scribe (for ELA non-writing items and math items)
 Separate setting
 Translated test directions
 Translations (glossaries) (for math items)
Section B: Accommodations (complete both charts)
English
language arts
 ELA without
accommodations
 ELA with accommodations
Please identify (check) the Embedded Accommodations
that may be required for the student at the time of testing
(see descriptions on pages 16-17 of the Smarter Balanced
Assessment Consortium: Usability, Accessibility, and
Accommodations Guidelines, November 5, 2014):
 American Sign Language (ASL) (for ELA Listening items)
 Braille
 Closed captioning (for ELA listening items)
 Streamline
 Text to Speech (Grades 6 – 8) (for ELA reading passages)
1General
Education Assessments in Wisconsin assess content reflective of the Common Core State
Standards and the Wisconsin Model Academic Standards. These assessments include the Wisconsin
Knowledge and Concepts Examination, Smarter Balanced Assessment, ACT ASPIRE ™ Early High School,
ACT WorkKeys® and The ACT®. Students identified as English Language Learners are required to
participate annually in a language assessment.
Please identify (check) the Non-Embedded Accommodations that
may be required for the student at the time of testing (see
descriptions on pages 18-20 of the Smarter Balanced Assessment
Consortium: Usability, Accessibility, and Accommodations
Guidelines, November 5, 2014):
 Abacus
 Alternative response options
 Noise Buffers
 Print on demand
 Read aloud (For ELA reading passages, grades 6 – 8)
 Scribe (See Designated Supports for non-writing ELA)
 Speech-to-Text
Mathematics
 Mathematics
without
accommodations
 Mathematics with accommodations (list):
Please identify (check) the Embedded Accommodations that may
be required for the student at the time of testing (see descriptions
on pages 16 - 17 of the Smarter Balanced Assessment Consortium:
Usability, Accessibility, and Accommodations Guidelines, November
5, 2014):
 American Sign Language (for math items)
 Braille
 Streamline
Please identify (check) the Non-Embedded Accommodations that
may be required for the student at the time of testing (see
descriptions on pages 18-20 of the Smarter Balanced Assessment
Consortium: Usability, Accessibility, and Accommodations
Guidelines, November 5, 2014):
 Abacus
 Alternative Response Options
 Calculator (For calculator allowed items only)
 Multiplication Table (grade 4 and above math items)
 Print on demand
 Scribe (See Designated Supports for math)
 Speech-to-text
1General
Education Assessments in Wisconsin assess content reflective of the Common Core State
Standards and the Wisconsin Model Academic Standards. These assessments include the Wisconsin
Knowledge and Concepts Examination, Smarter Balanced Assessment, ACT ASPIRE ™ Early High School,
ACT WorkKeys® and The ACT®. Students identified as English Language Learners are required to
participate annually in a language assessment.