Workforce Education 504/ADAAA Funding Level Classification ...



Student: Student ID: WFE 504/ADAAA Overall Funding Level:

WFE 504/ADAAA Plan Date: WFE 504/ADAAA Funding Level Form Completed by:

Instructions:

1. Identify and check off any auxiliary aids and/or services that are supported by Workforce Funding and have been documented on the Workforce Education 504/ADAAA Plan for each of the five accommodation areas.

2. Within each of the five accommodation areas, check only the highest WFE 504/ADAAA funding level in the shaded box to the right.

3. Record the funding level number in the shaded box below the chart.

1. FLEXIBLE SCHEDULE

|Auxiliary Aids and/or Services |WFE 504/ADAAA Funding Level |

|☐ Requires no auxiliary aids and/or services beyond what is typically available to all students |Level 0 |

| | |

|☐ Testing broken into multiple sessions |Level 1 |

|☐ Testing at an alternate time and/or location | |

|☐ Seat away from distractions | |

|☐ Additional time for testing/assignments 150% | |

|☐ Additional time for testing/assignments 200% | |

| | |

|☐ Breaks within the testing session |Level 2 |

|☐ Tests broken into multiple sessions | |

|☐ Small group testing | |

|☐ Lessons broken into smaller segments | |

| | |

|☐ One to one testing at a specific time of day |Level 3 |

|☐ One to one testing or testing in a private room | |

|☐ Sign language interpreter services | |

| |Flexible Schedule Funding Level ____ |

2. FLEXIBLE RESPONSE

|Auxiliary Aids and/or Services |WFE 504/ADAAA Funding Level |

|☐ Requires no auxiliary aids and/or services beyond what is typically available to all students |Level 0 |

| | |

|☐ Use of a word processor for written work |Level 1 |

|☐ Paper/pencil testing | |

|☐ Use of a calculator for all mathematics | |

|☐ Demonstration of responses (using a model, pictures, video, etc.) | |

| | |

|☐ Oral Response |Level 2 |

|☐ Assigned school’s word processor or computer for written work | |

|☐ Enlarged print, beyond 18 point font (materials, textbooks, workbooks, worksheets, etc.) | |

| | |

|☐ Signed response to a sign language interpreter (Deaf or Hard of Hearing - DHH) |Level 3 |

|☐ Scribe/aide to record answers | |

|☐ Braille | |

|☐ Audio (digital/tape recording) | |

|☐ Reformat of testing questions (non-standardized tests) | |

| |Flexible Response Funding Level ____ |

3. Flexible Presentation

|Auxiliary Aids and/or Services |WFE 504/ADAAA Funding Level |

|☐ Requires no auxiliary aids and/or services beyond what is typically available to all students |Level 0 |

| | |

|☐ Oral presentation of test directions |Level 1 |

|☐ Teacher to repeat directions | |

|☐ Write on transparencies/transparency markers | |

|☐ Paper/pencil testing | |

|☐ Preferential seating, seating near instruction | |

|☐ Use of a study carrel | |

|☐ Provide opportunities for movement | |

| | |

|☐ Instructor to clarify or paraphrase directions |Level 2 |

|☐ Advanced organizers | |

|☐ Daily or weekly individualized schedule | |

|☐ Use of manipulatives for mathematics (school provides) | |

| | |

| | |

|☐ Signed presentation of test directions by a sign language interpreter (Deaf or Hard of Hearing) |Level 3 |

|☐ Human reader, screen reader program or audio presentation (school provides staff or software) | |

|☐ Sign language interpreter for all programs, instruction and testing (Deaf or Hard of Hearing) | |

|☐ Individualized study and test taking strategies | |

|☐ Audiobooks (school provides) | |

|☐ Enlarged print materials beyond 18 point font | |

|☐ Written directions for the majority of classwork | |

|☐ Instructional personnel face student during a presentation to allow lip reading | |

|(Deaf or Hard of Hearing) | |

|☐ Braille materials | |

|☐ Audio materials (digital/tape recording) | |

|☐ Reformatted test questions (non-standardized tests) | |

| |Flexible Presentation Funding Level ____ |

4. Assistive Technology

|Auxiliary Aids and/or Services |WFE 504/ADAAA Funding Level |

|☐ Requires no auxiliary aids and/or services beyond what is typically available to all students |Level 0 |

| | |

|☐ Colored transparent overlays |Level 1 |

|☐ Graph paper | |

|☐ Highlighter, highlighter tape | |

|☐ Post it notes | |

|☐ Reading strips, straight edge | |

|☐ Write on transparencies, transparency markers | |

|☐ Pencil grips | |

|☐ Student permitted to tape record lectures with teacher notification | |

| | |

|☐ Tape recorder, headset |Level 2 |

|☐ Talking calculator | |

| | |

|☐ Portable tabletop visual magnification device (e.g. Onyx Desktop) |Level 3 |

|☐ Handheld visual magnification device (e.g. Ruby) | |

|☐ Scanner or reading appliance | |

|☐ Adaptive devices (e.g. one handed keyboard, adaptive mouse) | |

|☐ Audiobook Player (e.g. Daisy, Victor Reader Stream) | |

|☐ Assistive software (e.g. JAWS, Kurzweil) | |

|☐ Adaptive equipment (e.g. footrests, lumbar supports) | |

|☐ Special lighting | |

|☐ Accessible furniture (e.g. adjustable furniture, specialized furniture) | |

| |Assistive Technology Funding Level ____ |

5. Direct Support Services

|Auxiliary Aids and/or Services |WFE 504/ADAAA Funding Level |

|☐ Requires no auxiliary aids and/or services beyond what is typically available to all students |Level 0 |

| | |

|☐ Monthly consultation with student, staff, family and/or outside agency |Level 1 |

|☐ Monthly consultation with student | |

|☐ Provide copies of classroom presentations, materials | |

| | |

|☐ Weekly consultation with student, staff, family and/or outside agency |Level 2 |

|☐ Weekly student advisement | |

|☐ Weekly social skills training | |

|☐ Provide copies of classroom notes | |

|☐ Design and use of behavioral strategies | |

|☐ De-escalation strategies | |

|☐ Use of organizational strategies (e.g. color coded files, individualized assignment calendar) | |

|☐ Assistance with non-school based testing accommodations (e.g. GED®, Industry Certification Exams) | |

| | |

|☐ Daily consultation with student and/or staff |Level 3 |

|☐ Daily student advisement | |

|☐ Weekly individual social skills training and/or use of individual social stories | |

|☐ Specially prepared notes and/or materials | |

|☐ Monitoring from school personnel with use of organizational strategies (e.g. color coded files, | |

|individualized assignment calendar) | |

|☐ Individual test taking and study strategies | |

| |Direct Support Services Funding Level ____ |

Funding Level Table

Indicate the funding level below for each accommodation area

|Accommodation Area |Funding Level |

|Flexible Schedule | |

|Flexible Response | |

|Flexible Presentation | |

|Assistive Technology | |

|Direct Support Services | |

| | |

|Sum Total of 5 Areas | |

|Special Considerations Rating | |

|Add 5 points for a DHH student | |

|requiring a Sign Language Interpreter | |

| | |

|Grand Total | |

Overall Funding Level Table

|0 |= |Level 0 | |

|1 – 4 |= |Level A | |

|5 – 10 |= |Level B | |

|11 + |= |Level C | |

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