2016-2017 MLUSD CAASPP Test Setting Form
Please complete this form to ensure the appropriate designated supports and accommodations are assigned to students through the Test Operations Management System (TOMS) via the CAASPP Portal.
Accommodations (Embedded and Non-Embedded) must be permitted on CAASPP tests to all eligible students if specified in the student's IEP or Section 504 plan.
Designated Supports (Embedded and Non-Embedded) are available to all students when determined for use by an educator, team of educators, or specified in the student's IEP or Section 504 plan.
Student Name (Last, First)
Date of Birth
Text to Speech Passages (ELA)
American Sign Language (ASL) Math and ELA Listening
Closed Captioning (ELA Listening)
Abacus (Math, Science)
Multiplication Table (Math Grades 4-8)
100s Number Table (Math Grades 4-8)
Calculator (Math for allowed items Grades 6-8; Science-4 function for 5th and scientific for 8th)
Math Tools (Science only embedded ruler and embedded protractor)
Read Aloud (ELA passages)
Scribe (ELA writing)
Speech to Text
Unlisted Resources (Requires prior approval from CDE)
Alternate Instructional Supports (CAA Only)
Comments Regarding Accommodations (Optional).
Please note some items have drop down options:
No Color Contrast
Color Contrast (Reverse Contrast)
Color Contrast (Black on Rose)
Color Contrast (Medium Gray on Light Gray)
Color Contrast (Yellow on Blue)
Translation Glossaries (Math) (N/A for CAA)
No Glossary Needed
No Increased Print Size Needed
Text to Speech
No Text to Speech
Math Stimuli and Items
ELA Items and Math Stimuli & Items
Reminder to Turn Off Any Universal Tools
Non-Embedded Designated Supports
No Glossaries Needed
Read-Aloud in Spanish (Math) (N/A for CAA)
No Read-Aloud Supports
Items and Stimuli
Bilingual Dictionary (ELA Performance Task Full Write) (N/A for CAA)
Read-Aloud Items (ELA Items Not Passages and Math Items)
Scribe Items (ELA Non-Writing and Math Items)
Separate Settings (Special Lighting/Acoustics, Adaptive Furniture, Time of Day)
Translated Test Directions (For Online ELA and Math-PDF's Provided by Smarter Balanced) (N/A for CAA)
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This form was created inside of Mother Lode Union School District.