State and/or District Assessment
IEP Date
Student Name
CLASSROOM AND ASSESSMENT ACCOMMODATIONS (* = except for CAHSEE)
The IEP Team recommends taking the District and State-mandated tests with the following accommodations:
None
None
SETTING
Administer test to small group in separate location
Administer test individually in separate location
Provide special lighting
Provide adaptive or special furniture
Provide special acoustics
Administer test in location with minimal distractions
Administer test in small group, study carrel, or individually
None
TIMING
Allow a flexible schedule
Extend the time allotted to complete test
Allow frequent breaks during testing
Provide frequent breaks on one subtest but not another
None
RESPONSE
Allow marking of answers in booklet
Tape record responses for later verbatim translation
Allow use of scribe
Provide copying assistance between drafts
None
PRESENTATIONS
Provide directions only on audio tape
Increase spacing between items or reduce items per page/line
Increase size of answer bubbles
Provide reading passages with one complete sentence per line
Highlight key words or phrases in directions
Provide cues (e.g. arrows and stop signs) on answer form
Secure papers to work area with tape/magnets
None
SCHEDULING
Administer in several sessions, specifying each session duration
Administer over several days, specifying each day session duration
Administer in afternoon rather than morning, or vise-versa
None
OTHER
Special test preparation
On-task/focusing prompts
Any accom that does not fit existing categories. Describe:
Calculators, math charts, dictionary/thesaurus
Out of grade level testing
None
Describe, if appropriate:
Student will participate in the following assessments during the IEP year (check all that apply):
Preschool
Preschool
DRDP-R
DRDP-R
DRDP-A
List Adaptations:
Participation in Statewide Assessment Program, STAR
(California Standards Test/CAT-6, California Modified Achievement Test, California Alternate Performance Assessment)
Grade Exempt (before grade 2 and after grade 11)
MATH
MATH
Accommodations/modifications (list):
SCIENCE
SCIENCE
Accommodations/modifications (list):
English Language Arts (ELA)
English Language Arts (ELA)
Accommodations/modifications (list):
History/social science
History/social science
Accommodations/modifications (list):
WRITING
WRITING
Accommodations/modifications (list):
California Alternative Performance Assessment (CAPA) - Level
[About CAPA levels]
California English Language Development Test (CELDT)
California English Language Development Test (CELDT)
Accommodations/modifications (list):
California High School Exit Examination (CAHSEE)
California High School Exit Examination (CAHSEE)
Accommodations/modifications (list):
(CASEMIS)
(CASEMIS)
For 7th Grade and above:
For High School:
Current total GPA
Current credits
The following items are obsolete for the 2008-2009 academic year (not printed):
California Standards Tests (CST) and/or CAT/6 or CAPA
California Standards Tests (CST) and/or CAT/6 or CAPA
Accommodations/modifications (list):