INTERVENTION CHECKLIST
Student:
DOB:
Date:
Teacher:
Grade:
Please check which interventions you have used or are using with the
student.
PHYSICAL ARRANGEMENT OF THE CLASSROOM/SCHOOL
ENVIRONMENT
Seating student near the teacher
Seating student near a positive role
model
Standing near the student when giving
directions or presenting lessons; close
proximity
Limit or avoiding distracting stimuli (seat
away from high traffic areas, use of study
carrel)
Different instructional environment
Where? ___________________
Small group instruction
Other Accommodations:
HOME CONNECTION
Weekly home reports
Daily home reports
Student maintained progress checklist
Homework contract
Check work before moving on
Conference with parent
Extra set of texts at home
Phone calls home
Homework area provided
at home
at school
Monitor time spent on homework
Home visit
Other accommodations:
LESSON DEVELOPMENT AND PRESENTATION
Pair students to check work
Write key points on the blackboard
Have student review key points orally
Provide peer note taker/scribe
Provide visual cues
Make sure directions are understood
Provide written backup for oral
directions
Limit the amount of writing required
Contract for grade earned
Allow student to tape record lessons
Provide peer tutoring
Use computer-assisted instruction
Teach through multi-sensory modes
Include a variety of activities in each
lesson
Break presentations into shorter
segments
Allow extra time
Provide text/materials at reading level
1
Provide alternate text or materials
Provide written lesson outline or study
guide
Read material to student
provide alternative presentation of text
positive reinforcement
concrete reinforcement
frequent review checks for
understanding
Other Accommodations:
CLASSROOM AND HOMEWORK ASSIGNMENTS
give extra time to complete tasks
simplify complex directions
give an assignment sheet each morning
allow student to tape record assignments
break assignments into shorter segments
contract for assignments/homework
provide a student assignment notebook
open book/notes tests
retake/redo tests and assignments
behavior contracts
use self-monitoring devices
reduce homework assignments
give assignments at student’s reading
level
provide study skills training
accept word processed assignments
provide additional set of textbooks for
home.
use a contingency system for work
completion
avoid spelling penalty
frequent progress checks
Other Accommodations:
ASSISTIVE TECHNOLOGY
calculator
spell checker
tape recorder
computer
alpha smart
colored overlays
reading guides
Other Accommodations:
2