THE DISTRICT SCHOOL BOARD OF PASCO COUNTY, FLORIDA ...
THE DISTRICT SCHOOL BOARD OF PASCO COUNTY, FLORIDA MAINSTREAM CONSULTATION FORM
Student: Student Number: Grade:
School Year: DOB: School: RRHS
Exceptionality(ies)
Mainstream Consultation Teacher/ESE Teacher Responsible:
The IEP committee has determined that the student’s successful participation in the general education and vocational programs cannot be met without special services, aids, or equipment. These special services, aids, or equipment shall be provided in accordance with school board policy.
ACCOMMODATIONS / SERVICES OPTIONS
___Additional time:note taking/assignments/projects/tests ___Modification of grading procedure
___Assignments:reduce/modify/provide alternatives ___Peer assistance
___Variation in testing environment/format ___Text/materials for home use
___Modifications for note taking ___Special materials/equipment
___Strategies for note taking/study skills ___Consult services: ESE program
___Variation in instructional methods ___Behavior management plan
___Provide direct instruction ___Attendance contract
___Multi-modality curriculum presentation ___Daily/weekly report
___Hands-on activities ___Assignment Notebook
___Proximity Seating/Preferential Seating ___Comprehension Checks/Rephrasing
___Cuing ___Graphic Organizers
___Calculator ___Increased Practice Opportunities
___Pretest Review/Debriefing ___Oral Testing
___Other _____________________________________________________________________
Course Title(s):
Regular Education Teacher(s) Responsible:
Date of initial Contact:
Student Profile of Strengths and Weaknesses:
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