State and/or District Assessment

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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:
 

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
 

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
 

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
 

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: 
 

Participation in State/District Wide Assessments (STAR)
Grade Exempt (before grade 2 and after grade 11)

CAT-6/California Standards Test  
  Accommodations/modifications (describe):
  Will not participate in CAT-6/CST because

California Alternate Performance Assessment (CAPA) - Level
[About CAPA levels]   
(CASEMIS) (CASEMIS)
 
  Based on IEP Team decision following state guidelines, the student is exempt from taking the group assessment. Student progress will be measured using the California Alternate Performance Assessment (CAPA): see CAPA Participation Criteria Checklist.

Other State-Wide/ District-Wide Assessments - Accommodations/Alternate
 
State District   Due to parent request, the student is exempt from taking the group assessment. Student progress will be measured by the following alternative assessment.
 
Alternate assessment(s) appropriate because: 

For 7th Grade and above: 
For High School: Current total GPA   Current credits

PROFICIENCY STANDARDS (required for diploma)   Specify Pass (P) or Not Pass (N):
 
Method:    Math Reading
    Written Language Computer
  NOTE: Exit exam required for diploma as of 2004