Summary Of The Student’s Academic Achievement And Functional Performance (26B)
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  Student's name ,
 
  Date of Summary Date of Summary Pick a date
 
(These accommodations have been documented on IEP)
 
Recommendations Of Accommodations, Supports And Resources Continued:
 
 
Related to Support:   Response to Materials & Instruction
     
 
     
 
     
 
     

 
     
 
     
 
     
 
     
 
     
 
     
   
     
   
     
  Settings:
     
 
     

 
     
 
     

 
     

 
     
     
Related to Health Concerns:   Timing/Scheduling of Tasks/Assignments/tests:
     
 
     
 
     

 
     
   
     
Presentation of Materials & Instructions    
  For Additional Information such as however not limited to; last cognitive assessment results (psycho-educational report), academic/functional assessment results, Individual Educational Program Packet, or other K-12 schooling documentation, contact:



Name of School District:


School District's phone number:


Title of Contact Person:


Best if contact is made no later than Best if contact is made no later than  Pick a date