Iep Participation Documentation (Page 6 of 7) in pdf

Iep Participation Documentation Page 6

Vermont Department of Vermont

Individualized Education Program

Accommodations, Modifications, Supplementary Aids, and Program

Modifications

Student Name: ____________________________________________Date: _______________________

Identify the accommodations, modifications, or supplementary aids and supports needed for the

student:

If applicable, identify the accommodations, modifications and supplementary aids and services

needed to participate in national, district-wide, and school assessments:

State-level assessment (please check appropriate box):

The team has determined that the student will be taking the on-level State assessment with the

accommodations listed below:

The team has determined that the student should be considered for an alternate assessment and the

Documentation of Eligibility for Alternate Assessment is attached.

Identify the program modifications or supports that will be provided for school personnel to

implement the IEP:

Page __ of __

Form 5

September 21, 2005

Individualized Education Program (IEP)

Page 6

Iep Participation Documentation Page 6