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Accessibility Features and Accommodations for Students with Disabilities with IEPs and 504 Plans
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Name (Last/First)Grade LevelSD / 504Administrative Considerations for ALL Students (Table 2)Accessibility Features for ALL Students (Table 1)Presentation Accommodations for Students with Disabilities with IEP or 504 Plans (Table 3)Response Accommodations for Students with Disabilities with an IEP or 504 Plan (Table 4)Other Accessibility Features and AccommodationsTiming & Scheduling Accommodations (Table 5)
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SR/PNP BASR/PNP BBSR/PNP BCSR/PNP BDSR/PNP BESR/PNP BFSR/PNP BGSR/PNP BHSP/PNP BISRPNP BJSR/PNP BKSR/PNP BLSR/PNP BMSR/PNP BNSR/PNP BOSR/PNP BPSR/PNP BQSR/PNP BSSR/PNP BTSR/PNP BUSR/PNP BVSR/PNP BWSR/PNP BXSR/PNP BYSR/PNP BZSR/PNP CASR/PNP CGSR/PNP CH SR/PNP CISR/PNP CJSR/PNP CK
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Frequent Breaks (Y=Yes or Leave Blank)Separate / Alternate Location (Y=Yes or Leave Blank)Small Group Testing (Y=Yes or Leave Blank)Adaptive & Specialized Equipment or Furniture (Y=Yes or Leave Blank)Specified Area or Setting (Y=Yes or Leave Blank)Time of Day (Y=Yes or Leave Blank)Answer Masking (Y=Yes or Leave Blank)Student Reads Assessmnet Aloud to Self (Y=Yes or Leave Blank) Color Contrast (Select One CONTRAST: 01=Black-Cream 02=Black-Blue 03=Black-Magenta 04=White-Black 05=Yellow-Blue 06=Gray-Green 07=Locally Provided Or Leave Blank)ASL Video (N/A Leave Blank)Assistive Technology Screem Reader Versiom (Y=Yes or Leave Blank)Assistive Technology Non-Screen Reader (Y=Yes or Leave Blank)Closed Captioning of Multimedia on the ELA/Literacy Assessment (Y=Yes or Leave Blank)Refreshable Braille Display with Screen Reader Version for ELA/Literacy (Y=Yes or Leave Blank)Alternate Respresentation Paper-Based Edition (Y=Yes or Leave Blank)Large Print Edition (Y=Yes or Leave Blank)Braille with Tactile Graphics - Hard Copy (Selection One: 01=UEB / Unified English Braille 02=EBAE / English Bralille American Edition Or Leave Blank)Human Signer for Test Directions (Y=Yes or Leave Blank)Answers Recorded in Test Book (Y=Yes or Leave Blank)Braille Response Note-taker (Select One: 01=Braille Writer 02=Braille Notetaker Or Leave Blank)Calculation Device & Mathematics Tools (Select One: C=Uses calculator on non-calculator section T=Uses mathematics tools on non-calculator section B=Uses both calculator and mathematics tools on non-calculator sention Or Leave Blank)ELA/Literacy Constructed Response Options: Speech-to-Text; Human Scribe; Human Signer; Assistive Technology Device (Select One: 01=Speech-to-Text 02=Human Scribe 03=Human Signer 04=External AT Device OR Leave Blank)ELA/Literacy Selected Response or Technology Enhanced Items Options: Speech-to-Text; Human Scribe; Human Signer; Assistive Technology Device (Select One: 01=Speech-to-Text 02=Human Scribe 03=Human Signer 04=External AT Device Or Leave Blank)Mathematics Response Options: Speech-to-Text; Human Scribe; Human Signer; Assistive Technology Device (Select One: 01=Speech-to-Text 02=Human Scribe 03=Human Signer 04=External AT Device Or Leave Blank)Monitor Test Response (Y=Yes or Leave Blank)Word Prediction External Devicxe on the ELA/Literacy Assessment (Y=Yes or Leave Blank)Text-to-Speech (Select One: 02=Text-to-Speech English for Math Text and Graphics 03=Text-to-Speech English for Math Text Only 04=Text-to-Speech Spanish for Math Text and Graphics 05=Text-to-Speech Spanish for Math Text Only Or Leave Blank)Human Reader or Human Signer for Mathematics Test (Select One: 01=Human Signer 02=Human Read Aloud Or Leave Blank) Unique Accommodation (Y=Yes or Leave Blank)Emergency Accommodations (Selct One: 01=Scribe 99=Other Or Leave Blank)Extended Time (Select One: EL and IEP EL and 504 IEP and 504 Or Leave Blanlk)
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Total Number of Students
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100