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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