Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and...

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Diocese of Columbus Academic Support Plan Student: Effective Dates: to Psychological Evaluation on file School: Date of Evaluation: Diagnosis: Educational Support Student Expectations Educational Accommodations 1. see page to Statewide Achievement and Diocesan Testing Accommodations see page to 2. Supplemental Goals and Objectives see page to Academic/Organizational Support 3. Total minutes/week Speech and Language Services* Total minutes/week 4. *If checked, student on Service Plan. EMIS # Other (Please Specify): 5. Parental Support 1. 6. 2. 7. 3. PAGE 1A of Adopted 8/2013 Revised

Transcript of Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and...

Page 1: Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and Diocesan Testing Accommodations . PAGE. of. Adopted 8/2013 Revised: Testing Accommodations

Diocese of Columbus Academic Support Plan

Student: Effective Dates: to

Psychological Evaluation on file School:

Date of Evaluation: Diagnosis:

Educational Support Student Expectations

Educational Accommodations 1.

see page to

Statewide Achievement and Diocesan Testing Accommodations

see page to 2.

Supplemental Goals and Objectives

see page to

Academic/Organizational Support 3.

Total minutes/week

Speech and Language Services*

Total minutes/week 4.

*If checked, student on Service Plan. EMIS #

Other (Please Specify):

5.

Parental Support

1.

6.

2.

7.

3.

PAGE 1A of Adopted 8/2013 Revised

Page 2: Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and Diocesan Testing Accommodations . PAGE. of. Adopted 8/2013 Revised: Testing Accommodations

Diocese of Columbus Academic Support Plan

Student: Effective Dates: to

Psychological Evaluation on file School:

Date of Evaluation: Diagnosis:

PAGE 1B of Adopted 8/2013 Revised

Staff responsible for writing /implementing the plan: (Signature required)

Principal’s signature:

I have had the opportunity to participate in the development of my child’s academic support plan.

Parent/Guardian’s signature: Date:

Home/cell: Work:

Parent/Guardian’s signature: Date:

Home/cell: Work:

Student’s signature: Date:

(Cont'd)

Page 3: Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and Diocesan Testing Accommodations . PAGE. of. Adopted 8/2013 Revised: Testing Accommodations

Student: Effective Dates: to

Diocese of Columbus Academic Support Plan —Educational Accommodations

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Adopted 8/2013

Revised:

Environment

Lesson Presentation

Classroom Testing

Organization

Preferential seating

Seating near a role model/buddy

Consistent classroom routine

Limit distraction stimuli

Student work area free of unnecessary materials

Cueing (verbal, gesture, physical prompt) to stay on task

Other:

Study Guide prior to start of unit

Overview of lesson before presentation

Provide copies of notes or peer note taker

Provide auditor and visual directions and information

Multi-modality and multi-activity based lessons

Presentations broken into shorter segments

Student oral review of key points

Small group instruction when possible

Other:

Open Book/note exams

Essay questions in advance

Extended time for testing in __________________________________________________

Flexible scheduling for exams

Frequent short quizzes vs. long exams

Reading and clarification of test questions

Use of calculator or math charts

Use of spell checker

Provide word banks

Reading guides of filters to cover parts of test

Small group testing when appropriate

Other:

Providing peer assistance with organizational skills

Help student organize binder, notebooks, and /or folders

Daily assignments given orally and/or in writing

Daily teacher check of assignment book

Daily/weekly progress reports

Other:

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Adopted 8/2013

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Student: Effective Dates: to

Diocese of Columbus Academic Support Plan —Educational Accommodations (Cont’d)

Praising specific behaviors

Ignoring minor inappropriate behaviors

Supervise use of self-monitoring strategies

Allowing for short breaks and time out of seat

Concise and clear classroom rules

Behavior modification plan

Other:

Assignments/Classwork Behavior, Motivation, Attention

Extended time for visual procession tasks

Extended time to complete assignments

Reduced workload by __________%

Extra set of textbooks/e-books for home

Allow use of scribe/assistive technology

Long term assignment rubrics and written directions

Provide visual editing checklists

Other:

**Document ALL measurable Goals on Supplemental Goals and Objectives pages.

Page 5: Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and Diocesan Testing Accommodations . PAGE. of. Adopted 8/2013 Revised: Testing Accommodations

Student: Effective Dates: to

Diocese of Columbus Academic Support Plan —Statewide Achievement and

Diocesan Testing Accommodations

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Testing Accommodations may only be used for students with a documented disability. To be considered current the date of the evaluation must be within the last three years.

Date of Evaluation: Diagnosis:

Name & Credentials of Evaluator(s):

For each subject tested in the child’s grade, choose with or without accommodations. If “with accom-modations” is chosen, provide a description of the accommodations for each subject. Consult the Stu-dent Inclusion Manual (section 6: Accommodations & Modifications or section 8: Regulations & Policies) for allowances.

Area Grade Tested Accommodations

Reading With Accommodations

Without Accommodations

Writing With Accommodations

Without Accommodations

Math With Accommodations

Without Accommodations

Science With Accommodations

Without Accommodations

Social Studies With Accommodations

Without Accommodations

Other With Accommodations

Without Accommodations

Page 6: Diocese of Columbus Academic Support Plan · Academic Support Plan —Statewide Achievement and Diocesan Testing Accommodations . PAGE. of. Adopted 8/2013 Revised: Testing Accommodations

Student: Effective Dates: to

Diocese of Columbus Academic Support Plan —Supplemental Goals and Objectives

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Adopted 8/2013

Revised:

(One page for each goal) **Include this page only if the student has measurable goals and objectives

Area of Need:

Goal: Staff Responsible:

Objectives:

Interventions:

Methods of Evaluation:

**Progress will be reported quarterly