Section 504 Individual Accommodation Plan (Iap) Template - Louisiana Department Of Education Page 2
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4IAP Form – Page 2 of 4
CONFIDENTIAL
LDE 07/2013
SECTION 504
INDIVIDUAL ACCOMMODATION PLAN (IAP)
___________________________________________________
Local Educational Agency (LEA)
Student______________________________________ I.D. # _______________________School____________________________
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Part B. Area(s) where IAP is needed: (Teachers responsible for the subjects checked must receive a copy of this IAP.)
Math
Art/Music
Computer Lab
Vocational Electives
Other:______________
Reading
Spelling
Physical Education
Library
_____________________
Composition Science
Health
Field Trips
_____________________
English
Social Studies
Gifted / Talented
_____________________
Part C. Accommodations for Setting
(01) Assign preferential seating
(08) Post or provide visual cues and/or markers
(02) Alter physical room environment (Details Attached)
(09) Change location to increase physical access
(03) Reduce/minimize distractions
(10) Use flexible/special purpose grouping
(04) Provide home/school communication (Details Attached)
(11) Stand near student when giving directions/redirection
(05) Assign peer tutors/work buddies/note takers or scribe
(12) Use notebook for assignments/materials/homework
(06) Modify student’s schedule
(13) Small group/Individualized instruction/testing (Circle)
(07) Other: ______________________________________________________________________________________________
Part D. Accommodations for Presentation/Response
(01) Use graphic organizers as teaching/learning tools
(15) Use virtual/multisensory modes to reinforce instruction
(02) Provide outlines and notes of key material/highlight material
(16) Provide photocopies of teacher/peer notes
(03) Use teacher-initiated signal to redirect attention
(17) Provide assistance/cues for homework and transitions
(04) Prioritize tasks/assist with pacing (e.g., lists/desktop notes)
(18) Provide daily assignments
(05) Break tasks and procedures into sequential steps
(19) Provide practice activities and immediate feedback
(06) Use rehearsal mnemonic devices
(20) Teach concrete concepts before abstract concepts
(07) Limit number of concepts introduced at one time
(21) Do not count off for spelling when grading content
(08) Modify assignments (e.g. vary length, limit number of items)
(22) Assignments/tests read aloud
(09) Color code material
(23) Computer-assisted instruction, when available
(10) Increase amount of white space or spacing on page
(24) Allow use of computer as alternative to writing tasks
(11) Alter format of instructional content (e.g., multi. choice/essay) (25) Alter format of materials on page (e.g., font/spacing/color)
(12) Provide options for student to obtain information and demonstrate knowledge through use of (e.g. alternate projects, interviews,
oral reports, dramatization) Specify ______________________________________________________________________________
(13) Appropriate format for instructional/supplemental materials (e.g. Braille, audio, digital, large print) Specify________________
(14) Other: ________________________________________________________________________________________________
Part E. Accommodations for Time Demands
(01) Increase time allowed for class-work and/or tests
(06) Increase time allowed for homework and projects
(02) Provide timelines for completing tasks in chunks
(07) Require reduced number of responses to achieve grade
(03) Allow breaks during work periods or between tasks
(08) Limit amount of work required/length of assignments
(04) Give frequent, short quizzes and avoid long tests
(09) Other______________________________________
(05) Provide assistance/cues for transitions between classes, lockers, home et al. (Specify) ________________________________
Part F. Accommodations/Provisions for Behavior Concerns
(01) Assure that curriculum is appropriate and necessary accommodations have been implemented
(02) Establish procedures and routines to help complete activities
(09) Positive Behavior Support Program (Specify Tier) ____
(03) Reinforce appropriate behavior
(10) Use token economy reinforcement strategies
(04) Determine reason for behavior and teach replacement skills
(11) Offer systematic program to increase self-esteem
(05) Visits with counselor or other service personnel
(12) Structured social skills training/formal instruction
(06) Develop, implement, and monitor a structured behavior intervention plan (BIP) Note: Required for students who exhibit
recurrent problematic behavior and/or have repeated suspensions. (Behavior Intervention Plan Attached)
(07) Minimize triggers (Specify) _______________________________________________________________________________
(08) Other: ________________________________________________________________________________________________
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