STUDENT ACCOMMODATION AND SUPPLEMENTARY AID LOG

Student Name: R.S Case Manager: Gen Ed Teacher: Biskach

Monday Tuesday Wednesday Thursday Friday

ACCOMMODATIONS
O U R NA O U R NA O U R NA O U R NA O U R NA

Preferential seating

Social/behavioral
support: refocusing
cues

Repetition of
instruction

Testing
Extended time

Reduce distractions

SUPPLEMENTARY Monday Tuesday Wednesday Thursday Friday

AIDS O U R NA O U R NA O U R NA O U R NA O U R NA

Place a in the appropriate box for each Accommodation or Supplementary Aid. O=Offered, U=Used, R=Refused, NA= Not Applicable.
If a student refuses, please mark O as well as R, fill out the Refusal Form, and contact the Parent and IEP Chair.