The following student was evaluated and found to have difficulty with attention / concentration and or impulse control

(A.D.D. / A.D.H.D). This student would benefit from accommodations in the regular classroom. The marked items below are recommended so as to increase classroom success. Please include these in the students educational plan. Thank You.

School Accommodations for a Student with ADD-ADHD

Student

I. Classroom Environment Seat in front / near teacher Needs extra space Study carrels Isles widened II. Directions Simplify / shorten instructions Provide sequential directions Have student repeat directions Break directions into small parts Show examples of finished work Provide oral and written directions. III. Note Taking Allow use of tape recorder Give verbal cues Write this Provide lecture notes NCR paper with other students notes Needs board work copied Read board work out loud IV. Work Completion Increase allocated time Reduce required work Assign only one task at a time Minimize homework V. Understanding Visual material easier to learn Auditory material easier to learn Provide guided practice Increase allocated time Provide peer tutor Provide frequent review Have student summarize verbally Needs repetition Encourage trial and error VI. Self Help Needs reminder to go to nurse for medication Weekly progress report to home academic Daily progress report to home academic

VII. Test Taking / Student Response Needs extended time Needs test read out loud Needs vocabulary explained Short answers no essays Allow creative spelling Limit options on multiple choices Provide examples of test questions Provide formulas Allow notes Allow open book Allow multiple retakes Allow verbal response Quiet environment High test anxiety: allow pass / fail or no grades High test anxiety: assist with stress reduction Emphasize correct responses VIII. Tools Wears hearing aides Wears glasses On medication Allow dictionary Allow calculator Allow tape recorder Allow headphones Use books on tape Provide 2 sets of books 1 for home Provide study guide Assist with use of written organizer IX. Behavior Use positive incentive program Publish classroom rules Document behaviors Provide consequences for inappropriate behavior No warnings Use behavior rating system (Green Yellow Red) Daily report to home behavioral Weekly report to home - behavioral

Date:

Evaluated by: _____________________________________ Credentials: _____________________________________

Signature: ______________________________________ License: ________________________________________