504 Student Accommodation Plan

Date Written: 11/4/15

Reviewed: 2/24/16

Student: K

District: Earlham

Grade: 10

Parent Name(s):

Plan Facilitator: Crystal Hale

Date of Birth:

Areas of Strength: K is a hard worker who is willing to put the time into homework. She is always positive, and sees the best in others. Enjoys
doing well in school, and wants to do well. K is interested in going on to college and does enjoy playing sports.

Describe Areas of Concern Based on Eligibility Determination: Dyslexia

Date of Eligibility Determination:

Team Members: Crystal Hale, Kayla Selby, Jen Knight, Amy

Parent: Amy

Faculty: Crystal Hale

School Nurse: Monica Tibben

Administrator: Jennifer Knight

Expert Reviewer: MaryAnn Strawhacker

School Counselor: Kayla Selby

Areas of Difficulty

Accommodations

Person Responsible

Progress Monitored/
Date of Review

Note Taking

Areas of Difficulty

Reading

Spanish (foreign
language)

K
K can take pictures, with her phone, of any notes taken on the board.
Classroom Teachers
This means that she may have her cell phone out in class.
Mrs. Hale

K can request and receive any PowerPoint's shown in classes for note
taking purposes.

K can take all notes using her Livescripe pen on the Livescribe paper even notes that are pre-printed and she just needs to add to. Preprinted notes need to be printed on the Livescibe paper.

At times, she may take pictograph notes (this will look like doodling or
drawing pictures).

K can use the Mic Note app on her computer to record and type her
notes
Accommodations

Person Responsible

K
K will be allowed to have extra weekend and/or time to complete work Katie Ward
that involves more than 10 pages of reading
Classroom Teachers

She will be allowed to have text/readings read aloud by technology or

human resources

Katie Ward will spend time demonstrating assistive technology with K

(ie Kurzwell 3000 or google app read and write well that runs in
background)

Will not be required to read aloud in class/in front of her peers.

K will not be graded for spelling errors with vocabulary

Janay Michel

Progress Monitored/
Date of Review

Whenever possible, take all assessments (ie tests) verbally with the
teacher rather than through written responses.

Tests (classroom or
standardized)

Assignments/Practice

504 Team Signatures

Counselor
K may have unlimited time for all tests/quizzes upon her request.
Classroom Teachers

K
K may have all tests read aloud to her (with the exception being a
reading test for MAP or Iowa Assessments) upon her request.

She may choose to go to another testing environment for quiet and few
distractions upon her request.

Teachers are encouraged to do verbal assessing when possible (ie for

essays especially)

K will be granted extra time to complete assignments especially for

projects and mathematics.

Reduce number of math problems to be completed (ie only do even

problems.K will choose to do odds when more time on the
weekend).

K will utilize math apps to help her deepen her understanding (via
phone)

Title

K
Parents
Classroom Teachers

Date

1. _____________________________________________________________________________________

2. _____________________________________________________________________________________

3. ______________________________________________________________________________________

4. ______________________________________________________________________________________
I have participated in the development of this plan, agree with its contents, and I have received a copy of Parent and Students
Rights Under Section 504, The Rehabilitation Act of 1973.
Parent Signature:

Date:

____________________________________________________

_________________________