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DISABILITY ACCOMMODATION REFERENCE WORKSHEET
|Applicant/Student Name |ID# |Date: |
|TABE TESTING |INSTRUCTIONAL/ASSIGNMENTS |BEHAVIORAL |
|01 - Extended time - 1.5 times |01 - Verification of understanding of instructions, rules, |01 - Rules/expectations in accessible format |
| |assignments | |
|02 - Double time |02 - Movement breaks |02 - Verification of understanding of expectations, rules,|
| | |consequences. |
|03 - Unlimited time |03 - Break large projects/assignments into smaller sections|03 - Student/staff cues for need of time-out or break or |
| | |to re-direct often |
|04 - Small group setting |04 - Instructional supports |04 - Time-out/break area |
|05 - Secluded testing |05 - Reduced content |05 - Positive behavior supports |
|06 - Use of calculator |06 - Increased wait time for responses |06 - Feedback on progress |
|07 - Accessible format |07 - Consumables-questions & answer spaces on same page |99 - Other |
|08 - Proctor read test |08 - Study guides | |
|09 - Audio-taped administration |09 - Copies of notes | |
|10 - Frequent breaks |10 - Extended time for assignment completion | |
|11 - Adapted equipment |11 - Avoid penalizing for poor penmanship/spelling | |
|12 - Accessible seating |12- Provide teacher note/key points from | |
| |board/presentation | |
|13 - Shorter but more frequent testing | |ASSISTIVE TECHNOLOGY |
|periods | | |
|14 - Clarify Directions | |01 – Computer for word processing or other task completion|
|15 - Read Directions | |02 – Calculator |
|16 - Repeat Directions | |03 – Graph paper |
|OTHER TESTING |ORGANIZATIONAL |04 – Highlighter |
|01 - Extended time - 1.5 times |01 - Planners |05 – Reading pen |
|02 - Double time |02 - Graphic organizers |06 – Reading support with voice output (e.g. software) |
|03 - Unlimited time |03 - Checklists (e.g. dorms tasks, daily tasks, assignment |07 – Video tapes of lessons |
| |checklist) | |
|04 - Use of calculator |04 - Pocket notebook for directions/tasks |08 – Audio tape of course content or other center |
| | |materials |
|05 - Simplify or clarify directions |99- Other |09 – Books on tape |
|06 - Read directions to student | |10 – Speech input software (Dragon Naturally Speaking) |
|07 - Frequent breaks | |11 – Writing Software |
|08 - Small group setting | |12 – Talking adaptive devices |
|09 - Secluded/Private testing |COMMUNICATION |13 – Adaptive Equipment |
|10 - Audio-taped administration |01- Sign language interpreter |14 – General adaptations |
|11 - Proctor read test |02- Relay services |15 - Adaptive resource materials |
|12 - Alternate/Accessible format |03- i-communicator |16 – Adaptive combination locks |
|13 - Student provide oral responses to |04 - Alternate format |17 - Dictionary/Thesaurus, Spell Checker |
|test items | | |
|14 - Multiple testing periods |05 - Closed caption |99 - Other |
|15 - Accessible seating |99 - Other | |
|16 - Schedule test at specific time of | | |
|day | | |
|17 - Tape recorder to record writing | |OTHER (99-OTHER) |
|assessment | | |
|18 - Adapted equipment |ENVIRONMENTAL | |
|19 - Other |01 - Pass | |
| |02 - Preferential seating | |
| |03 - Distraction free space | |
| |04 - Modified schedule |STAFF RESPONSIBILITY REFERENCE CATEGORIES |
|PERSONAL SUPPORTS |05 - Headphones |All | Health & Wellness |
| | |Academics |High School Staff |
| | |Career Counselors |Other (User would enter) |
| | |Career Technical |Recreation |
| | |CDP |Residential Living |
| | |Center Standards Officer |Safety |
| | |CPP |TABE Administrator |
| | |CTS |Transportation |
| | |Food Services |Food Services |
|01 - Buddy/Mentor |06 - Adaptive seating/furniture/workspace | | |
|99 - Other |07 - Dormitory-related | | |
| |08 - Special lighting | | |
| |99 - Other | | |
| | | | |
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