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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