Bath Review of Accommodations Used During Testing for Classroom Assessments ONLY

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Email *

Record my email address with my response

Date of Test Administration *

YYYY

Test Administrator First Name *

Test Administrator Last Name *

Student First Name *

Student Last Name *

Student ID *

Type the name of the tested subject. *

Subject Tested *

Class Period *

Case Manager *

Accommodations Provided - Were any of the following accommodations PROVIDED to the student during testing? Check all that were provided. *

Braille Edition

Large Print Edition

One Test Item Per Page Edition

Assistive Technology Devices

Braille Writer/Slate and Stylus (and Braille Paper)

Cranmer Abacus

Dictation to a Scribe

Interpreter/Transliterator Signs/Cues Test

Magnification Devices

Word-to-Word Bilingual Dictionary/Electronic Translator

Student Marks Answers in Test Book

Student Reads Test Aloud to Self

Test Administrator Reads Test Aloud - Student Request

Test Administrator Reads Test Aloud - Read Everything

Computer Reads Test Aloud - Student Controlled

Multiple Testing Sessions

Scheduled Extended Time

Testing in a Separate Room

Special NCDPI - Approved Accommodation(s)

Other:

Required

Describe specific details of HOW the accommodation(s) were provided to the student. Did the student USE the accommodation? If yes, HOW did he/she use it? For example, extended time used was 35 minutes and/or Read Aloud was provided but student did not follow along. *

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