Appendix A: General Assessment Accessibility Forms and ...
Appendix A: General Assessment Accessibility Forms and DefinitionsAccessibility Form A-1Cover PageThis form applies to the following State Assessments:Smarter ELA/Literacy and Mathematics (Summative and Interim);DCAS ScienceGeneral Student Information:Student Name: Click here to enter text. Date of Birth: Click here to enter text.State ID: Click here to enter text.Grade: Click here to enter text.School: Click here to enter text.District/Charter: Click here to enter text.Date completed: Click here to enter a date.Implementation Date of Accessibility Features on this form: Click here to enter a date.? Student has IEP/504 plan (may use Levels 1, 2, and 3)? Student is English Language Learner (may use Levels 1 and 2)? Student has an IEP/504 plan AND is English Language Learner (may use Levels 1, 2 and 3)? Student is a general education student with identified needs (may use Levels 1 and 2)List below any accessibility features that have been selected for which the student needs additional practice or preparation. Describe what practice or preparation is needed:Accommodation Code/ DescriptionAssessment/ Content AreaWhat practice/preparation is needed?Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Click here to enter text.Level 1: Universal Tools (Embedded)Level 1 Embedded Universal Tools do not have to be checked in order for a student to use the tool during testing – they are provided regardless of entry in TIDE. Non embedded Universal tools do not need to be checked either; however, a team may decide to indicate the tool below, in order to ensure that the test administrator provides these during state testing. Non-embedded universal tools MUST be provided by the test administrator on the day of testing. Page in Definitions DocSmarter ELASmarter ELA-PTSmarter MathematicsDCAS ScienceLevel 1: Non-Embedded (test administrator must provide) None????Assistive listening device3????Breaks Click here to enter text.3????English dictionary3-?--Familiar test administrator3????Modified Lighting Click here to enter text.3????Refocus3????Scratch/blank/grid paper3??Y?Small group Click here to enter text.3????Specialized equipment or furniture Click here to enter text.3????Specified area or seating Click here to enter text.3????Thesaurus4-?--Time of Day Click here to enter text.4????Level 1: Embedded (available through the test delivery system to all)Breaks (see pause rules for details)1YYYYCalculator (for calculator allowed items)1-Y--Digital notepad1YYYYEnglish dictionary1YYY-English glossary1YYY-Expandable passages1YY--Global notes2YYYYHighlighter2YYYYKeyboard navigation2YYYYMark for review2YYYYMath tools2--Y-Spell check2YYYYStrikethrough2YYYYWriting tools2YYYYZoom2YYYYY indicates already provided to all students during the test administration- indicates not available for this content areaNOTE - throughout this document the Content Areas refer to the following:Smarter ELA = For the summative, this refers to the English Language Arts CAT (Computer Adaptive Test); for the interim this refers to the English Language Arts portions that are NOT the ELA-PTSmarter ELA-PT = English Language Arts - Performance TaskSmarter Mathematics = For the summative, this refers to the Mathematics CAT and PT; for the interims it applies to all Mathematics assessmentsDCAS Science = Refers to all DCAS Science AssessmentsLevel 2: Designated Supports (Embedded)Level 2 supports are available to:General Education Students who receive extra supportsEnglish LearnersStudents with disabilities (IEP and 504)English Learners with disabilitiesEmbedded - when entered into TIDE, they will be available to the student within the test delivery system.Page in Definitions DocSmarter ELASmarter ELA-PTSmarter MathematicsDCAS ScienceNo Embedded Designated Supports Selected (none)????Color Choices: (black on white = default) Select a color choice.5????None5????Yellow background5????Blue background 5????Light Yellow background5????Black text on Rose background5????Light Magenta background5????Gray background5????Light Gray background5????Green background5????Light Green background5????Yellow text on Blue background5????Medium Gray text on Light Gray background5????Reverse Contrast (white text on black background)5????Masking5????Permissive Mode5????Zoom: √ one: ?1x ?1.5x ? 1.75x ?2.5x ?3x ?5x ?10x ?15x ? 20x6????Streamlined Mode6????Text to SpeechPassages & Stimuli & Items7-???Items 7?---Passages (DOE Approval Needed)7?---Language7Spanish (Level 2 support)7--??Online Refreshable Braille (Level 3 accommodation)7????Glossaries – online – including English For ELA, the only choice is English glossary.8No Glossary8???-English8???-Arabic8--?-Cantonese8--?-Filipino8--?-Korean8--?-Mandarin8--?-Punjabi8--?-Russian8--?-Spanish8--?-Ukrainian8--?-Vietnamese8--?-Arabic & English8--?-Cantonese & English8--?-Filipino & English8--?-Korean & English8--?-Mandarin & English8--?-Punjabi & English8--?-Russian & English8--?-Spanish & English8--?-Ukrainian & English8--?-Vietnamese & English8--?-- indicates not available for this content areaLevel 2: Designated Supports (Non-Embedded)Level 2 supports are available to:General Education Students who receive extra supportsEnglish LearnersStudents with disabilities (IEP and 504)English Learners with disabilitiesNon-embedded supports MUST be provided by the test administrator on the day of testing.Page in Definitions DocSmarter ELASmarter ELA-PTSmarter MathematicsDCAS ScienceNo Non-Embedded Designated Supports selected (none)????Select AllBilingual dictionary9-?-?Disable universal tools (in TA interface)8???-EL 1st year Exemption14??--Translations (glossaries) - paper/pencil10--?-Noise buffers10????Paper/Pencil test #10????Separate Setting in school9????Separate Setting not in school/homebound9????Simplify directions in English*16????Simplify directions in native language 16---?Interpret/translate orally - directions only17????Interpreter - native language (approval by DOE)**12--??WhisperPhone15????Color Contrast (printed) 9????Color overlays9????Scribe for EL or Gen Ed 9????Magnification (via external device)9????Human Read Aloud11Items ONLY11?---Passage/Stimuli & Items?11????Spanish 12--??Translated test directions in print10???-Unique accommodation (approval by DOE)12????- indicates “not available for this content area”* For Smarter ELA and Math, simplified directions will be provided via download on the DeSSA Portal.** Select in the “Special Request” section of the TIDE student settings screen.? Select in the “special Request” section of the TIDE student settings screen for Smarter ELA. Mark in Level 3: Accommodations – Embedded, on page 6.# Use this flag for homebound students taking paper-pencil, in addition to EL, SWD, and GenEd with Supports students.Level 3: Accommodations (Embedded)Level 3 accommodations are available to:Students with disabilities (IEP and 504)English Learners with disabilitiesEmbedded Accommodations - when entered into TIDE, they will be available to the student within the test delivery system.Page in Definitions DocSmarter ELASmarter ELA-PTSmarter MathematicsDCAS ScienceNo Embedded Accommodations Selected (None)????American Sign Language Video4???-Type of Refreshable Braille (also need to check “Language: Braille” in Level 2: Embedded above)Contracted4??--Uncontracted4??--Nemeth4--?-Closed Captioning4??--Text to Speech - Passage/Stimuli & Items?7?---Emboss (use w/refreshable Braille) (passages/stimuli and items)5???-Emboss type (use w/refreshable Braille)5Not Applicable (not using Refreshable Braille)5???-On-Request5???-Auto-Request5???-Print on Request 5Passage/Stimuli & Items5????Passage/Stimuli5?---Items5?---? Select in the “Special Request” section of the TIDE student settings screen for Smarter ELA. Level 3: Accommodations (Non-Embedded)Level 3 accommodations are available to:Students with disabilities (IEP and 504)English Learners with disabilities Non-embedded supports MUST be provided by the test administrator on the day of testing.Page in Definitions DocSmarter ELASmarter ELA-PTSmarter MathematicsDCAS ScienceNo Non-Embedded Accommodations Selected (None)????Abacus12--?-Alternate response*13????Arithmetic Tables15---?Braille (Paper/Pencil version)14????Calculator (calculator portion only) – handheld adaptive calculator13--?-Chunking/highlighting15---?Graphic organizer 16---?Human Read Aloud – passages (approval by DOE)?11?---Hundreds Table13--?-Interpreter - Visual Communication (Approval by DOE)17--?-Instructions/items on overhead projector/whiteboard14---?Math manipulatives15---?Multiplication Table (grade 4 and up)13--?-Physical assistance from a test administrator8????Respond via whiteboard16---?Scribe for SwD10????Signed directions14---?Speech to Text**13???-TA acts as ASL to English Dictionary15---?Word processor or similar device16---?? Select in the “Special Request” section of TIDE student setting screen. * Includes, but, is not limited to adapted keyboards, large keyboards, StickyKeys, MouseKeys, Filter Keys, adapted mouse, touch screen, head wand, and switches.** Must be used with Permissive Mode (see Level 2 embedded: designated supports). Requires local installation of speech-to-text software. ................
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