Review Of Accommodations Used During Testing

Review of Accommodations Used During Testing

This form is to be completed in its entirety. Prior to testing, the accommodations that are documented on the student's IEP, 504 Plan, or LEP documentation are to be checked off. After testing, the test

administrator must complete the remaining columns regarding what actually took place during testing. Completed forms should be kept in the student's IEP folder or Section 504 or LEP documentation so

that it is accessible for future meetings and in case of auditing/monitoring of accommodations use. NOTE: While the list below includes all accommodations, some do not apply to students identified as LEP.

Student Name

Grade

Test

Choose one or more

EC (IEP)

LEP

504 Plan

Subject

of the following:

Date

Test Administrator

To Be Completed Prior to Testing

To Be Completed After Testing

If yes, provide specifics regarding

Was this

how this accommodation was

Accommodations Documented on Student's IEP/ Section 504

accommodation

provided. (This has been shaded for

Describe if and how the student used this accommodation

Plan/ LEP Documentation

provided to student

some accommodations if it does not

during testing?

apply.)

All items and answer choices were

Student completed test without following along with the

Example: Test Administrator Reads Test Aloud

Yes

read to student.

read aloud.

Braille Edition

Large Print Edition

One Test Item Per Page Edition

Assistive Technologies/Devices (Specify)

Braille Writer/Slate and Stylus (and Braille Paper)

Cranmer Abacus

Dictation to a Scribe

Interpreter/Transliterator Signs/Cues Test

Keyboarding Devices

Magnification Devices

Student Marks Answers in Test Book

Student Reads Test Aloud to Self

Test Administrator Reads Test Aloud (Specify)

Hospital/Home Testing

Multiple Testing Sessions

(Explain: ___________________)

Scheduled Extended Time

(Estimated Amount:_________)

Testing in a Separate Room

Other (Specify:_________________________________)

Comments/Considerations for next IEP/504/LEP team meeting:

Printed name of person completing form: ______________________________________

This form is available in electronic format at

Signature of person completing form: _________________________________________

NCDPI Division of Accountability Services

October 2009