504 forms and samples

From Afehandbook

Public School students are eligible for a 504 designation which allows a student with a disability to receive accommodations for learning in all school environments. Usually a meeting is convened with the student, parent(s), consultant teacher, another teacher representative, principal or other professional, and special education representative. Eligibility for a 504 is determined and accommodations are written up. This is a basic sample of a 504 and possible accommodations. Refer to the binder for a list of many possible accommodations for students.

STUDENT 'Z' Section 504 Service Plan August 31, 2006

Summary of Assessment: Please refer to 3/7/2005 Spec. Ed Assessment report and letter from physician. STUDENT 'Z' has diagnosis of dyslexia, dysgraphia, and processing issues.

[edit] Long Term Educational Goals

Long term goal: Successful completion of classes in 8th grade and high school diploma

Educational objective: Successful academic participation in classes

== Modifications and Accommodations ==

School responsibility:

Provide "Books on Tape" for all subject areas. Allow use of keyboard for all written work, reduced amount of written assignments, extra time allowed for processing, testing, and any handwritten tasks. Allow student to demonstrate knowledge through verbal report or other media (artwork, video, models, etc.)

Student responsibility:

Student will request accommodations when needed.

Parent responsibility:

Parent will support student in requesting accommodations and communicate with staff if needs are not being met.

Communication schedule: Once per month