Section 504 Individual Accommodation Plan (Iap) Template - Louisiana Department Of Education Page 3
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4IAP Form – Page 3 of 4
CONFIDENTIAL
LDE 07/2013
SECTION 504
INDIVIDUAL ACCOMMODATION PLAN (IAP)
_______________________________________________
Local Educational Agency (LEA)
Student______________________________________ I.D. # _______________________School____________________________
Last
First
Part G. Assistive Technology
(01) Manipulatives
(08) Digital Recorder
(02) Organizers
(09) Colored reading filters/overlays
(03) Highlighters/Markers
(10) Adapted grips, pencils, utensils, other tools (Circle)
(04) Cellular Phone (Specify Purpose) _______________________ (11) Calculators
(05) Text to Speech to Text Device
(12) Electronic Scribe/Recorder
(06) Digital/Electronic Books
(13) FM System
(07) Word processor with talking spellchecker, grammar checker, word prediction, et al (Specify feature and purpose below)
___________________________________________________________________________________________________________
Part H. Tests/Quizzes
(01) Prior Notice of Tests
(09) Increased time for completion
(02) Increased time for written projects
(10) Allow student to write on tests
(03) Preview test material or procedures
(11) Provide test study guide or material
(04) Pace long-term projects
(12) Shortened tests
(05) Modified test format (Specify) ________________________
(13) Rephrase test content/simplify wording
(06) Objective tests
(14) Limited multiple choice
(07) Hands-on assessments/projects
(15) Tests read aloud
(08) Alternate options for demonstrating learning
(16) Require fewer responses to achieve grade
Part I. Standardized Testing Accommodations (Specify the need for specific accommodation)
: (1) i LEAP
(2) LEAP
(3) EOC
(4) ELDA
(5) GEE 21
Check the appropriate assessment to be taken within one year
(6) PLAN
(7) EXPLORE
(8) ITBS
(9) ACT
(00) None (Student does not need standardized testing accommodations or has completed all required testing)
(68) Braille________________________________________________________________________________________________
(69) Large Print____________________________________________________________________________________________
(70) Answers Recorded______________________________________________________________________________________
(71) Transferred Answers__________________________________________________________________________________
(72) Adjusted Time_________________________________________________________________________________________
(73) Extended Time_________________________________________________________________________________________
(74) Individual Administration_________________________________________________________________________________
(75) Small Group Administration______________________________________________________________________________
(76) Assistive Technology____________________________________________________________________________________
(77) Test(s) Read Aloud (Exception: Reading and Responding)_______________________________________________________
(78) Communication Assistance for Hearing Impaired Only (Exception: Reading and Responding)__________________________
(79) Other: ________________________________________________________________________________________________
Accommodations such as those listed in Sections C through H enhance academic performance for many
students. However, Section 504 accommodations are required for students with a learning, behavior, or
health-related condition that significantly reduces the student’s ability to obtain a Free Appropriate Public
Education.
Section 504 accommodations should be noted on this IAP only if they are consistently needed to provide this
student equal access to educational opportunities or to allow the student to learn and demonstrate learning
despite his/her disability.
Students may receive the above-listed standardized testing accommodations if those accommodations are
routinely received during the instructional period.
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