DEPARTMENT OF SPECIAL PROGRAMS AND SERVICES FORMAL EDUCATION PLAN

Academic Accommodations 20______-

16 20______
17

DATE: _______/_______/_______
05 15 16 PARENT INITIALS: _______________
NAME: ___________________________________________________________________
CASSANDRA COOLEY GRADE: ___________________________
10
COMPREHENSIVE STUDENT SUPPORT (CSS) - IN LAB SUPPORTIVE STUDENT SERVICES (SSS) - NOT IN LAB
DSPS LAB TEACHER: _____________________________________________
SARA PINICK DSPS CASE MANAGER: ___________________________________________
YES NO DSPS ENGLISH YES NO DSPS HISTORY

DIAGNOSED DISABILITY
Specific Learning Disorder: ADHD (Other Health Impairment):
Reading/Dyslexia _________________________________________ Inattentive Type Hyperactive Type
Math ________________________________________________________ Combined Type
Written Expression _____________________________________ Autism Spectrum Disorder
Dysgraphia (writing or fine motor skills deficit) Other __________________________________________________________
OBESSSIVE COMPULSIVE DISORDER
Visual Impairment ___________________________________________ Medical _______________________________________________________

ACCOMMODATIONS THAT HAVE PREVIOUSLY BEEN APPROVED FOR STANDARDIZED TESTS

College Board Accommodations (SAT / PSAT / AP) - Extended Time ____________% Other ________________________________________
ACT Accommodations - Extended Time ____________% Other _________________________________________________________________________

Accommodations - Tests/Quizzes/Assignments: Accommodations - Environment & Organization:

Extra time extended to Comprehensive Support Lab
Oral testing extended to Lab (as requested by student)
Study Guides available on Blackboard prior to test date
Supply word bank for fill-in-the-blank exams
Opportunity to re-take exams on which student earned D/F
(based on assessment recommendations / grade to raise to a C average)
Updated Google Document on Blackboard to notify of
up-coming exams
Additional time on lengthy assignments
(requested by student in advance, as needed)
NO SCANTRONS
Supportive Student Services (Level 2 only)
Extended time on tests/quizzes/timed writes (Wednesdays
7:00am-8:10am & 2:30pm-3:15pm)
Accommodations - Instructional Strategies :
Check for understanding of directions
Check work in progress
Directions given both verbally and visually
Provide a model of finished projects/research papers/etc.
Updated Google Document on Blackboard to include
specific assignments & due dates
Do not call on student to read aloud in class unless the
student volunteers
Preferential Seating near instruction
Front 1/4 of classroom
Away from distractions
Near a positive role model/peer
Back of the classroom to allow for movement
Close proximity to student when giving directions
Arrange group work with strong peer model
Discreetly bring student back to task
Allow for breaks as needed (not to become excessive)
Allow for snacks due to medical needs
Accommodations - Materials/Equipment :
Assignments are turned in typed (dysgraphia concerns)
Support note taking by using a Smart Pen/Laptop/Noteability
Student utilizes audio novels and text books as available
Calculator is used for all tests/assignments
Audio Bible app that can be used with headphones in class
Student listens to music with headphones to reduce
distractions during tests/quizzes/in-class assignments

Accommodations - Additional Notes: ____________________________________________________________________________________________________

SEAT PLACEMENT BEST OPTION: TO THE SIDE ON SECOND ROW
_________________________________________________________________________________________________________________________________________________

Edited 02/24/16 Page 2