INDIVIDUALIZED EDUCATION PROGRAM: To be completed for students participating in PARTICIPATION IN STATEWIDE ASSESSMENTS ACT Aspire™ Early High School ™ Form I-7-ACT Aspire Early High School (Rev. 5/14) (Modified by WCASS 9/12) School District___________________________________ Name of Student_____________________________________ IEP Date____________________ The student will be in (circle one) 9th or 10th grade when the ACT Aspire™ Early High School is given in Reading, English, Writing, Mathematics, and Science. The student will be taking general education assessments1 for all content areas required at this grade level. Students in need of Large Print (18 points), Braille or ASL use the Paper Format Test. All other students use the Computer Based Test. Embedded Features are available to all students for computer administered ACT Aspire™ Early High School Assessments. No advance request is needed. Section A: Open Access Tools Open Access Tools are also available for any student for whom the need has been indicated, but must be activated through the Personal Needs Profile (PNP) in advance of the assessment. Please check any Open Access Tools that may be required for the student at the time of testing: Presentation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Large Print (Yes in all Content Areas) Delivery Mode: Paper Format Line Reader (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Interaction & Navigation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Answer-Masking (Yes in Reading, English, Math & Science, N/A in Writing) Delivery Mode: Paper Format; Computer Based Response Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Respond in Test Booklet (Yes in Reading, English, Math & Science) Delivery Mode: Paper Format Dictate Responses (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based (locally provided, Not in Platform) Keyboard or AAC + Local Print (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based (locally provided not in Platform) General Test Conditions: Setting & Timing (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Breaks – Supervised (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Special Seating/Grouping 1General (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Assessments in Wisconsin refer to content reflective of the Common Core State Standards and the Wisconsin Model Academic Standards. These assessments include the Wisconsin Knowledge and Concepts Ex1mination, Smarter Balanced Assessment, ACT Aspire™ Early High School, ACT WorkKeys® and The ACT Plus Writing®. Form I-7-ACT Aspire™ Early High School Location for Movement (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Individual Administration (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Home Administration (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Other Setting (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Audio Environment (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Visual Environment (Yes in all Content Areas) Delivery Mode: Paper Format; Computer Based Physical / Motor Equipment (Yes in all Content Areas) Delivery M Mode: Paper Format; Computer Based Section B: Accommodations (complete all 5 charts) Accommodations must be entered into the Personal Needs Profile, in advance of the assessment. Accommodations for the ACT Aspire™ Early High School are specific to this assessment. Please check the Office of Student Assessment website for the current accommodation policies. Reading Reading Reading with accommodations (Check): without accommod- Presentation Supports (Review descriptions of items below in the Current ACT Aspire -ations Accessibility Features 2014) English Text Audio for Sighted (Directions Only) Delivery Mode: Paper Format; Computer Based English Text Audio + Graphics Description for Sighted (Directions only) Delivery Mode: Paper Format; Computer Based English Audio Includes Braille & Tactile Graphics for Blind (No in Reading, Refer to Braille) Delivery Mode: Paper Format (Must use Braille) Spanish Text + Audio: Directions Only Delivery Mode: Computer Based (Before the Test, on Website, Not in platform) English Text + ASL: Directions Only Delivery Mode: Paper Format Braille Contracted Includes Tactile Graphics Delivery Mode: Paper Format Braille Un-contracted Includes Tactile Graphics Delivery Mode: Paper Format 2 Form I-7-ACT Aspire™ Early High School General Test Conditions: Setting & Timing (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Extra Time Delivery Mode: Paper Format; Computer Based Breaks Unsupervised English English without- accommod ations Delivery Mode: Paper Format English with accommodations (Check): Presentation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) English Text Audio for Sighted (Directions Only) Delivery Mode: Paper Format; Computer Based English Text Audio + Graphics Description for Sighted (Directions only) Delivery Mode: Paper Format; Computer Based English Audio Includes Braille & Tactile Graphics for Blind (No in English, Refer to Braille) Delivery Mode: Paper Format (Use Braille) Spanish Text + Audio: Directions Only) Delivery Mode: Computer Based (Before the Test on Website, Not in Platform) English Text + ASL: Directions Only) Delivery Mode: Paper Format Braille Contracted Includes Tactile Graphics Delivery Mode: Paper Format Braille Un-contracted Includes Tactile Graphics Delivery Mode: Paper Format General Test Conditions: Setting & Timing (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Extra Time Delivery Mode: Paper Format; Computer Based Breaks Unsupervised Writing Writing with-out acco-mmo-dations Delivery Mode: Paper Format Writing with accommodations (Check): Presentation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) English Text Audio for Sighted Delivery Mode: Paper Format; Computer Based English Text Audio + Graphics Description for Sighted 3 Delivery Mode: Paper Format; Computer Based Form I-7-ACT Aspire™ Early High School English Audio Includes Braille & Tactile Graphics for Blind Spanish Text + Audio: Directions Only) Word to Word Dictionary Include Braille Companion Piece Delivery Mode: Paper Format (Must use Braille) Delivery Mode: Computer Based (Before the Test, on Website, not in Platform) Delivery Mode: Paper Format; Computer Based (Locally Provided, Not in Platform) English Text + ASL Full Translation Delivery Mode: Paper Format English Text + ASL: Directions Only Delivery Mode: Paper Format; Braille Contracted Includes Tactile Graphics Delivery Mode: Paper Format Braille Un-contracted Includes Tactile Graphics Delivery Mode: Paper Format General Test Conditions: Setting & Timing(Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Extra Time Delivery Mode: Paper Format; Computer Based Breaks Unsupervised Mathem Mathematics -atics with-out acco-mmo-dations Delivery Mode: Paper Format Mathematics with accommodations (Check): Presentation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) English Text Audio for Sighted Delivery Mode: Paper Format; Computer Based English Text Audio + Graphics Description for Sighted English Audio Includes Braille & Tactile Graphics for Blind Spanish Text + Audio: Directions Only) Word to Word Dictionary Delivery Mode: Paper Format; Computer Based Include Braille & Tactile Graphics Companion Piece Delivery Mode: Paper Format (Must use Braille) Delivery Mode: Computer Based (Before the Test, on Website, not in Platform) Delivery Mode: Paper Format; Computer Based (Locally Provided, Not in Platform) English Text + ASL Full Translation Delivery Mode: Paper Format English Text + ASL: Directions Only Delivery Mode: Paper Format; 4 Form I-7-ACT Aspire™ Early High School Braille Contracted Includes Tactile Graphics Delivery Mode: Paper Format Braille Un-contracted Includes Tactile Graphics Delivery Mode: Paper Format Interaction & Navigation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Abacus Delivery Mode: Paper Format; Computer Based (Locally Provided, Not in Platform) General Test Conditions: Setting & Timing (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Extra Time Delivery Mode: Paper Format; Computer Based Breaks Unsupervised Science Science without accomm odations Delivery Mode: Paper Format Science with accommodations (Check): Presentation Supports (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) English Text Audio for Sighted Delivery Mode: Paper Format; Computer Based English Text Audio + Graphics Description for Sighted English Audio Includes Braille & Tactile Graphics for Blind Spanish Text + Audio: Directions Only Word to Word Dictionary Delivery Mode: Paper Format; Computer Based Include Braille & Tactile Graphics Companion Piece Delivery Mode: Paper Format (Must use Braille) Delivery Mode: Computer Based (Before the Test, on Website, Not in Platform) Delivery Mode: Paper Format; Computer Based (Locally Provided, Not in Platform) English Text + ASL Full Translation Delivery Mode: Paper Format English Text + ASL: Directions Only Delivery Mode: Paper Format Braille Contracted Includes Tactile Graphics Delivery Mode: Paper Format Braille Un-contracted Includes Tactile Graphics Delivery Mode: Paper Format General Test Conditions: Setting & Timing (Review descriptions of items below in the Current ACT Aspire Accessibility Features 2014) Extra Time Delivery Mode: Paper Format; Computer Based 5 Form I-7-ACT Aspire™ Early High School Breaks Unsupervised Delivery Mode: Paper Format 6